27 days old

Provider Engagement Representative - Philadelphia, PA

Cigna
Philadelphia, PA 19107
  • Job Code
    21004084
Help influence the future of healthcare while using your analytical, financial and presentation skills. Work with the physician/provider population educating and influencing them to improve the lives of our members.

Let us tell you a little more. We're a global health service company dedicated to helping people improve their health, well-being and sense of security. But we don't just care about your well-being, we care about your career health too. That's why when you work with us, you can count on a different kind of career - you'll make a difference, learn a ton, and share in changing the way people think about healthcare.

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.

Requires up to 75% local travel to network providers

Coverage area - Metropolitan Philadelphia area

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

RESPONSIBILITIES:

  • 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 contracts
  • 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
  • Partners with other internal departments, including but not limited to Health Services, Medical Economics, Sales, and Coding in order to develop solutions for strategic business needs
  • 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

QUALIFICATIONS:

  • Bachelor's Degree or equivalent work experience
  • Strong analytical and problem solving
  • Strong communication skills
  • Intermediate to Advanced proficiency in Microsoft Office products required - must be proficient in pivot tables, vlookup, ability to create Power Point presentations and creating letters.
  • Preferred Requirements:
  • Bachelors' 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

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.





Posted: 2021-03-26 Expires: 2021-04-24
Sponsored by:
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Provider Engagement Representative - Philadelphia, PA

Cigna
Philadelphia, PA 19107

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