Provider Operations Advisor

4 weeks ago


Bloomfield, United States The Cigna Group Full time

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




  • West Bloomfield Township, Michigan, United States The Cigna Group Full time

    Please Note: This role is hybrid with the expectation of working 3 days per week onsite and 2 days per week remote. The Provider Contracting Advisor (PCA) is responsible for the overall management of the Behavioral Outpatient network which consists of identified large, high-volume, multi-state or national practices that provide virtual and digital resources....


  • West Bloomfield, United States H&R Block Full time

    **498953BR** **Title:** Block Advisors Tax Advisor **Our Company** **:** At H&R Block, we believe in the power of people helping people. Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere. We also believe in a connected culture, valuing diversity and inclusion and making everyone feel...


  • Bloomfield, United States Cigna Full time

    The Cigna Group is seeking a seasoned IT Project Management Senior Advisor to join our Global Intake Planning and Delivery (GIPD) team to support strategic project planning for Global Infrastructure & Operations (GIO.) Please note, candidates must be Project Management, IT, Health, Senior, Advisor, Management, Insurance, Technology


  • Bloomfield, United States Cigna Full time

    This is a temporary role through Magnit for a leading healthcare insurance company in the US. Position Notes: HYBRID POSITION - Approximately 3-days a week in office (somewhat flexible). Full-time, 40 hours a week. Core Hours 8am-5pm EST. Within in commutable distance of Bloomfield, CT location. Contract to Hire opportunity Responsibilities: Operating...


  • Bloomfield, United States Cigna Health and Life Insurance Company Full time

    Community Programs Advisor - Corporate Giving page is loaded Community Programs Advisor - Corporate Giving Apply remote type Hybrid locations Bloomfield, CT Newton, MA Scottsdale, AZ St. Louis, MO Philadelphia, PA time type Full time posted on Posted 10 Days Ago job requisition id 24002050 The Community Programs Advisor is a key member of the enterprise...

  • Marketing Advisor

    5 days ago


    Bloomfield, United States Cigna Full time

    This is a temporary role through Magnit Global with one of the world's leading health insurance companies. Role Summary: Customer Lifecycle Marketing Campaign Advisor The Customer Lifecycle Marketing Center of Excellence (COE) is focused on developing sustained relationships between Cigna Healthcare and our customers. We are a full end-to-end marketing...

  • Marketing Advisor

    1 week ago


    Bloomfield, United States Cigna Full time

    This is a temporary role through Magnit Global with one of the world's leading health insurance companies.Role Summary: Customer Lifecycle Marketing Campaign Advisor The Customer Lifecycle Marketing Center of Excellence (COE) is focused on developing sustained relationships between Cigna Healthcare and our customers. We are a full end-to-end marketing...


  • Bloomfield, United States Cigna Health and Life Insurance Company Full time

    Email Marketing Lead, Senior Advisor - Primary+ Care - Hybrid page is loaded Email Marketing Lead, Senior Advisor - Primary+ Care - Hybrid Apply remote type Hybrid locations Bloomfield, CT Nashville, TN St. Louis, MO Philadelphia, PA Minneapolis, MN time type Full time posted on Posted 2 Days Ago job requisition id 24006318 Email Marketing Lead, Senior...


  • Bloomfield, United States Cigna Full time

    Job DescriptionJob DescriptionSenior Advisor - Employer Pricing Strategy – Health Plan DivisionPOSITION SUMMARYLooking for a high energy individual with extensive PBM pricing expertise, an ability to facilitate change, a desire for substantial career growth, and competitive drive to win and grow new business.The Express Scripts Health Plan Growth Team is...


  • Bloomfield, United States Cigna Full time

    The Supply Analytics & Design Team is incorporating advanced analytical practices and tools to delve much deeper into population health data. We are developing cutting edge informatics to evaluate cost and quality opportunities to assist in eliminating unnecessary utilization consumption, enhance provider quality of care and improve the well-being of our...


  • Bloomfield, United States Cigna Full time

    Job DescriptionJOB SUMMARYThe IT Strategy Senior Advisor will support the head of the Digital Care business in delivering innovative digital healthcare technology solutions to our patients, members and customers. They will courageously push the boundaries of our agile engineering culture. They will passionately, persistently and productively challenge the...


  • West Bloomfield Township, Michigan, United States The Cigna Group Full time

    The job profile for this position is Infrastructure Engineering Senior 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...


  • Bloomfield, United States The Cigna Group Full time

    About Evernorth Digital Evernorth is built on the recognition that health makes progress possible. Our health services are designed to redefine health care as we know it, and the Evernorth team is unified in the belief that we are responsible for the future of healthcare. This means that our products must inspire change in people that leads to positive...


  • Bloomfield, United States Cigna Full time

    As a member of the Enterprise Operations team within the Category Management and Strategic Sourcing (CMSS) organization, this Category Management Advisor role is accountable for sourcing on, near, and offshore supplier delivery of customer-facing and functional business processes that lower costs and increase operational benefits to Cigna. More specifically,...


  • Bloomfield, United States Cigna Full time

    About Evernorth Digital Evernorth is built on the recognition that health makes progress possible. Our health services are designed to redefine health care as we know it, and the Evernorth team is unified in the belief that we are responsible for the future of healthcare. This means that our products must inspire change in people that leads to positive...


  • Bloomfield, United States The Cigna Group Full time

    The Supply Analytics & Design Team is incorporating advanced analytical practices and tools to delve much deeper into population health data. We are developing cutting edge informatics to evaluate cost and quality opportunities to assist in eliminating unnecessary utilization consumption, enhance provider quality of care and improve the well-being of our...


  • Bloomfield, United States Trinity Technology Solutions LLC Full time

    Job Title: Data Catalog and Business Metadata AdvisorLocation: Connecticut Duration: Contract Job Description:4+ years of experience cataloging data (metadata) from discovery to organization and enrichment across the entire data ecosystem. Ideally within large and complex data environments, typically found in fortune 1000 organizations. 4+ years working...


  • Bloomfield, United States Cigna Health and Life Insurance Company Full time

    Cloud Engineering Senior Advisor - Evernorth Health Services - Hybrid page is loaded Cloud Engineering Senior Advisor - Evernorth Health Services - Hybrid Apply remote type Hybrid locations Bloomfield, CT time type Full time posted on Posted 4 Days Ago job requisition id 24003189 Position Summary The Container Infrastructure team provides compute and storage...


  • Bloomfield, United States The Cigna Group Full time

    SummaryThis role will support Cigna's ­­­­Cigna Collaborative Care/FFV program. ­­­­Cigna Collaborative Care/FFV program is a critical, high-profile, multi-year investment to modernize the foundational systems on which Cigna’s CAC reporting, analytics and payments operates.  The Business Analytics Advisor will work collaboratively within an...


  • Bloomfield, United States Cigna Health and Life Insurance Company Full time

    Brand Strategy Advisor - Enterprise Brand Marketing - Hybrid (CT/STL/NYC) page is loaded Brand Strategy Advisor - Enterprise Brand Marketing - Hybrid (CT/STL/NYC) Apply remote type Hybrid locations Bloomfield, CT Nashville, TN St. Louis, MO Philadelphia, PA time type Full time posted on Posted 2 Days Ago job requisition id 24002665 Brand Strategy Advisor -...