Job Description
As a Provider Relations Senior Analyst , you will be part of the Network Management, Americas team, being responsible to manage the relationship with Health Care Providers of the Latin American & Caribbean network (with some support for Canada and the U.S.). You will work very closely with peers and stakeholders strategically positioned across the globe. Key to the role will be the end-to-end journey, managing the partnership with health provider accounts, such as hospitals and clinics, and support their journey from the onboarding, supporting on the daily / monthly interactions with Cigna, educate them to navigate Cigna operating model, monitoring their performance, and driving engagement initiatives. YOUR FUNCTIONS: Accountability to enable an effective and efficient collaboration with health providers to deliver a best-in-class customer experience through the partnership with our providers. Secure a smooth onboarding and day-to-day operational maintenance of provider relationships. Conduct all aspects of health care professional education for existing and newly contracted health care professionals as pertinent in the region to remove potential roadblocks preventing a successful partnership, including but not limited to: 1) Overview of member identification and eligibility process, 2) Claims submission, 3) Cigna operating model, and 4) Training and onboarding providers into the new provider portal. Manage the ongoing relationship and handling day-to-day operations directly with health care providers, including the follow-up, negotiation, and resolution of potential complaints, escalations, suspensions, or threats. Responsible to enable an effective and efficient collaboration with health providers through monitoring and analyzing the operational KPIs, the results of the reconciliation of the accounts, and others to provide a comprehensive support on their interpretation and assurance of further follow up if needed. Strive for continuous service improvement via ana
