Current jobs related to Provider Relations Senior Advisor – National Ancillary Medicare Advantage Vendor Service and Operations - Remote, Oregon - The Cigna Group

  • Tire Service Advisor

    3 weeks ago

    Remote, Oregon, United States Dealer Tire LLC Full time

    DescriptionAs a Tire Service Advisor at Dealer Tire LLC, you will be responsible for leading a team of tire technicians and providing exceptional customer service. Your primary goal will be to ensure that our customers receive the best possible service and that our team is working efficiently and effectively.Key ResponsibilitiesLead a team of tire...

  • National Admissions Counselor

    1 month ago

    Remote, Oregon, United States Colorado Technical University Full time

    About the RoleAs an Admissions Advisor at Colorado Technical University, you will play a vital role in guiding prospective students through the admissions process. Your primary responsibility will be to communicate the university's flexible program options, features, and benefits to individuals seeking a quality education.Key ResponsibilitiesConduct thorough...

  • Senior Reimbursement Specialist

    2 days ago

    Remote, Oregon, United States Caris Life Sciences Full time

    About the RoleThe Molecular Oncology Specialist is a senior sales role primarily responsible for establishing growth within an assigned territory through new account acquisition.The responsibilities include identifying, prospecting, and closing new business at potential accounts, mentoring the Account Managers within the territory by acting as the Subject...

  • Senior Solutions Architect, Applications

    3 days ago

    Remote, Oregon, United States CTG, Inc. Full time

    Job Summary:CTG, Inc. is seeking a highly skilled Senior Solutions Architect to join our team. As a Senior Solutions Architect, you will be responsible for designing and implementing strategic solutions for our clients.Key Responsibilities:Work with the Epic Vendor Services portal and utilize Epic APIs and documentation.Engage directly with vendors,...

  • Senior Solutions Architect

    1 month ago

    Remote, Oregon, United States Equinix Full time

    About EquinixEquinix is the world's digital infrastructure company, operating over 250 data centers across the globe. We enable organizations to access all the right places, partners, and possibilities to scale with agility, speed the launch of digital services, deliver world-class experiences, and multiply their value, while supporting their sustainability...

  • Senior Counsel

    1 month ago

    Remote, Oregon, United States Nationwide Private Client Full time

    Job DescriptionWe are seeking a highly skilled Senior Counsel to join our team at Nationwide Private Client. As a Senior Counsel, you will play a critical role in providing expert legal advice and counsel on complex reinsurance and alternative risk matters.Key Responsibilities:Provide high-level legal expertise on reinsurance and alternative risk matters,...

  • Senior Manager of Repair Field Operations

    1 month ago

    Remote, Oregon, United States Otis College of Art and Design Full time

    Job Title: Senior Manager of Repair Field OperationsAt Otis, we are seeking a highly motivated and experienced Senior Manager of Repair Field Operations to lead our team in the Northwest sub-region. As a key member of our leadership team, you will be responsible for driving field efficiency and quality improvements, achieving annual sales and margin plans,...

  • Senior Solutions Architect

    4 weeks ago

    Remote, Oregon, United States Equinix Full time

    About EquinixEquinix is the world's digital infrastructure company, operating over 250 data centers across the globe. We enable organizations to access all the right places, partners, and possibilities to scale with agility, speed the launch of digital services, deliver world-class experiences, and multiply their value, while supporting their sustainability...

  • Senior Solutions Architect, Ethernet Networking Expert

    3 days ago

    Remote, Oregon, United States NVIDIA Full time

    Job SummaryNVIDIA is seeking a highly skilled Senior Solutions Architect to join our Professional Services Solution Architecture team. As a key member of this team, you will be responsible for spearheading the conception, development, and execution of groundbreaking data center networks for our customers under the Plan, Design, & Implement (PDI)...

  • Senior Solutions Architect, Paris

    2 days ago

    Remote, Oregon, United States GitLab Full time

    As a Senior Solutions Architect at GitLab, you will play a key role in driving value and change with software development for one of the fastest-growing platforms. This role provides technical guidance and support throughout the entire sales cycle, helping to shape and execute a strategy to build mindshare and broad use of the GitLab platform with...

  • Technical Services Manager

    2 weeks ago

    Remote, Oregon, United States Innovative Renal Care Full time

    Job Title: Technical Services ManagerThe Technical Services Manager is a key leadership role accountable for overseeing the coordination of biomedical technical and facility services across multiple dialysis clinics. This position requires extensive expertise and a high degree of judgment to effectively address challenges within the context of established...

  • Senior Business Analyst

    3 days ago

    Remote, Oregon, United States Twilio Full time

    About the RoleWe are seeking a highly skilled Senior Business Analyst to join our Quote to Cash team at Twilio. As a Senior Business Analyst, you will play a critical role in designing, managing, and building scalable solutions for our rapidly growing Go-To-Market teams.Key ResponsibilitiesCollaborate with solution architects and program managers to design...

  • Senior Cybersecurity Solutions Architect

    3 days ago

    Remote, Oregon, United States Palo Alto Networks Full time

    Job Title: Senior Cybersecurity Solutions ArchitectAbout the Role:We are seeking a highly skilled Senior Cybersecurity Solutions Architect to join our team at Palo Alto Networks. As a key member of our Worldwide Shared Services team, you will play a critical role in empowering our go-to-market teams through innovative solutions and strategic guidance to...

  • Senior Product Operations Director

    4 weeks ago

    Remote, Oregon, United States RxBenefits, Inc. Full time

    Job Title: Senior Product Operations DirectorRxBenefits, Inc. is seeking a highly skilled Senior Product Operations Director to join our leadership team. This key role will oversee high-impact, cross-functional initiatives critical to the company's growth and operational success.Key Responsibilities:Leadership & Strategy: Lead and oversee special projects...

  • Senior UX Developer with Frontend Expertise

    2 days ago

    Remote, Oregon, United States Thermo Fisher Scientific Full time

    Job SummaryAs a Senior UX Developer with Frontend Expertise at Thermo Fisher Scientific, you will serve as a technical leader to help develop and maintain our design system. You will focus on building positive relationships with multi-functional team members and business partners to drive the adoption and scalability of our solutions.Key ResponsibilitiesLead...

  • Senior Financial Services Attorney

    3 days ago

    Remote, Oregon, United States Law Firms Full time

    Job Title: Senior Financial Services AttorneyLocation: RemotePosition Overview:We are seeking a highly skilled Senior Financial Services Attorney to join our team at Law Firms. The ideal candidate will have a deep understanding of lending, banking, and real estate law, as well as excellent analytical and communication skills.Key Responsibilities:Represent...

  • Senior Contract Specialist

    2 days ago

    Remote, Oregon, United States OCT CONSULTING LLC Full time

    Job Summary:OCT Consulting LLC is seeking a highly skilled Senior Contract Specialist to join our team. As a key member of our acquisition team, you will be responsible for creating, editing, and maintaining technical documentation related to acquisitions processes, contracts, and procurement activities.Key Responsibilities:Research and gather information on...

  • Business Operations Specialist

    2 days ago

    Remote, Oregon, United States Professional Search Group (PSG) Full time

    Job DescriptionProfessional Search Group (PSG) has partnered with a leading media and entertainment company to find an experienced professional to join a team where technology meets storytelling. This is a well-established, US-based business that has a long-standing partnership with Professional Search Group. We are seeking someone who is passionate about...

  • Senior Sales Operations Leader

    1 month ago

    Remote, Oregon, United States ZHL Zillow Home Loans, LLC Full time

    About the RoleThe Principal, Business Operations will serve as a senior sales operations leader, driving impact across sales, operations, product, go-to-market, and analytics. This position requires a visionary and results-driven individual with a demonstrated track record of leading teams that have successfully scaled operationally complex businesses.Key...

  • Director of Biomedical Technical Operations

    1 week ago

    Remote, Oregon, United States Innovative Renal Care Full time

    Job SummaryThe Director of Biomedical Technical Operations is responsible for leading and overseeing a technical team that provides biomedical technical services to assigned IRC dialysis facilities and programs. The Director ensures the team's efforts support a safe dialysis and working environment for patients and staff.Key ResponsibilitiesDevelop and...

Provider Relations Senior Advisor – National Ancillary Medicare Advantage Vendor Service and Operations

3 months ago

Remote, Oregon, United States The Cigna Group Full time

This is a Medicare Advantage position.

Work Location: This is a Remote position

The National Ancillary Senior Advisor is a key role that supports Cigna's Medicare Advantage line of business, directly addressing customer and client demands for higher quality of care and greater affordability for the senior population. The primary focus for this role includes driving and/or supporting the vendor service strategy, relationship management, business process improvements, operational efficiencies and effectiveness, and service performance outcomes within their assigned segment(s).

The Senior Advisor will monitor, assess and evaluate National MA vendor programs relative to Cigna policies and procedures as well as CMS/regulatory guidelines, and its downstream impact to Cigna MA Customers. This role will execute on the service strategy, planning, delivery and corrective action planning for their assigned segment(s) to deliver program value. This is a high functioning role with relationship management, account management, service delivery, and strategic planning responsibilities. The Senior Advisor will work closely with the National Ancillary Service and Operations Lead to develop and execute strategic business initiatives in support of overall vendor management and oversight, by collaborating across internal and external business partners to achieve desired outcomes. In this capacity the Senior Advisor may need to develop and deliver specific training / education to ensure key stakeholder alignment.

Key Responsibilities:

  • Manage end-to-end relationship
  • Facilitate Vendor/Provider Governance – JOCs, Operational Touchpoints, Strategic Alignment
  • Monitor progress against goals, including Vendor/Provider performance metrics, internal SLAs
  • Manage vendor/provider renewals, termination and replacement process
  • Collaborate with matrix partners to ensure vendor/provider compliance, conduct pilots within MA, project planning, etc.
  • Assess and implement marketing campaigns
  • Identify and resolve day to day operational issues
  • Conduct root cause analysis, trending and course correction
  • Timely escalation of barriers to success along with identification of potential solutions
  • Ensure vendor/ provider 1/1 Readiness
  • Support Sales training, vendor fairs/ event planning, etc.
  • Facilitate and validate vendor invoices to ensure payment accuracy and timeliness
  • Develop, review, deliver accurate and timely reports
  • Develop and maintain integrated project / work plans

Qualifications

  • Bachelor's Degree required; MBA and/or Masters in relevant field also valued
  • 5+ years experience in Health Care/Managed Care Programs and/or Operations, required
  • 2+ years Relation Management experience, required
  • Medicare experience, highly preferred
  • Clinical experience working with Clinicians, is a plus
  • Relationship Management experience
  • Ability to think strategically
  • Leadership mentality
  • Result-oriented with demonstrated project management skills
  • Strong analytic and decision-making abilities
  • Ability to foster collaboration, value others' perspectives and gain support and alignment for organizational proposals
  • Courage to offer and defend opposing viewpoints
  • Problem solving and root cause identification skills
  • Excellent oral, written, presentation and overall communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand as well as the ability to understand and interpret information from others
  • Comfortable interacting with multiple senior leaders both internally and externally
  • Understanding of medical insurance products and associated Ancillary, vendor/provider & customer issues
  • Demonstrated ability to influence decisions in support of Medicare Advantage vision & strategy

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 90, ,400 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.