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Cigna Provider Engagement Representative in Salt Lake City, Utah

SUMMARY:

Develops and maintains positive relationships with physicians, providers, and practice managers within the provider network, including oversight and managing performance in various incentives based and/or value based programs. Acts as main point of contact for providers and practice managers for any escalated health plan issue.

  • Territory: Salt Lake City, Utah

  • Requires up to 50% local travel to network providers

  • Car & valid driver's license required (mileage reimbursement provided)

RESPONSIBILITIES:

  • Responsible for assisting with the general oversight of Medicare Advantage provider network in assigned territory, to include financial performance, quality initiatives, provider data accuracy, trend analysis, and provider engagement (particularly PCPs and hospital partners).

  • Conducts regular provider visits to educate providers and office staff on topics including, but not limited to: health plan operations/policies and procedures, preventative and quality outcome metrics, risk adjustment, etc.

  • Educates providers on the performance requirements associated with value-based and quality program contracts

  • Establish strong, solid relationships with provider offices at assigned territories

  • Develop time and cost effective territory management in compliance with department and enterprise goals

  • Understands, develops, tracks, monitors and reports on key program performance metrics, such as utilization, coding, and STARs/quality performance

  • Conducts root cause analysis and resolution of provider concerns

  • Participates in monthly financial review with senior management

  • Responsible for collaborating with administrator and other internal departments, including but not limited to Health Services, Medical Economics, Sales, and coding on strategic plans on growth, development, and vision for assigned territory.

  • Prepares for and participates in meetings with providers, provider staff, and/or physician leadership, and plans, creates and delivers presentations.

  • May provide guidance to others in the department

Minimum Requirements:

  • Strong analytical and problem solving

  • Strong communication skills

  • Intermediate to Advanced proficiency in Microsoft Office products required

Preferred Requirements:

  • Bachelor’s degree in Healthcare Administration or Business Administration

  • At least 2 years of experience in healthcare administration or provider relationship management.

  • Demonstrated knowledge of contracting process, Medicare fee schedules, financial terms, and metrics preferred

  • Ability to work independently - set and follow logical priorities

  • Strong organization skills

  • Strong communication skills - written and verbal communication

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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