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Provider Operations Advisor

3 months ago

Scottsdale, Arizona, United States The Cigna Group Full time
The job profile for this position is Operations Advisor, which is a Band 4 Senior Contributor Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

Position Summary

Evernorth Accountable Care (ENAC) is a new business focused on partnering with healthcare providers to form value-based care relationships, improving care for patients and reducing total healthcare costs. As part of the Evernorth Accountable Care Provider Operations team, this role is primarily focused on the timely and accurate maintenance of provider roster management including demographic information, specialties and affiliations. An ideal candidate for this role should have strong analytical skills, attention to detail, experience in healthcare operations, and the ability to work collaboratively across multiple stakeholders.

Essential Functions

  • Managing provider rosters and ensuring systems are updated with accurate and up-to-date information
  • Collaborate with Healthplan and other internal ENAC team contacts on roster reconciliation processes
  • Communicating with internal and external partners to obtain necessary documentation and/or validation on data to ensure accuracy.
  • Perform provider demographic updates through various workflow queues
  • Support the creation and maintenance of Standard Operating Procedures
  • Support establishing an end-to-end provider data management workflow with technology partners
  • Participate in external vendor discussions for establishing and maintaining data management workflows
  • Participate as a SME in ongoing continuous improvement ideation and initiatives to enhance efficiency and effectiveness
  • Participate in business user acceptance testing for technical releases on our provider applications

Qualifications

  • Bachelor's Degree or equivalent work experience required
  • 3+ years of related healthcare operations experience required
  • Provider Operations experience preferred
  • Proven ability to develop strong working relationships and establish a high level of credibility across functional and lines of business
  • High attention to detail and proven ability to manage multiple, competing priorities simultaneously in an operational setting
  • Demonstrates ability to work independently and as part of a collaborative team in a fast paced, rapidly changing environment
  • Strong interpersonal, communication, facilitation, and presentation skills.
  • Proficient in Microsoft Office applications with a experience leveraging Excel for basic data analytics
  • Periodic travel required
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 80, ,300 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.

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.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.