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Provider Network Administrator - Work from home-Northwest Ar

at Cigna in Little Rock, Arkansas, United States

Job Description

Remote work from home – Northwest Arkansas (Must live in or near work area)

Coverage Area may include the following counties: Benton, Washington, Crawford, Sebastian, Scott, Yell, Logan, Franklin, Madison, Carroll, Newton, Johnson, Pope, Searcy, Boone, Baxter & Marion

RESPONSIBILITIES:

+ Responsible for general oversight and management of Physician/PHO relationships. Including but not limited to management of provider network, financials and implementation, monthly action plans, reviews, and verification of provider demographics and network participation.

+ Responsible for network development, including physician contracting, network relationships, network communication, physician recruitment, and network partnerships as well as expansion of network and products offered by the Health plan.

+ Participates in network and Company meetings, including physician groups, quality management, financial/bonus and interdisciplinary team meetings and other committees and projects as assigned.

+ Travel is required for out of state conferences and meetings as necessary. Local travel within assigned territory 40% of time

Personal, reliable vehicle, valid driver’s license and insurance required (mileage reimbursement provided)

May manage a single Lead Analyst, Senior Analyst, Analysts and/or Associate Analyst position

+ Is responsible for the career development of the all of the above.

+ Ability to attend regular monthly meeting before or after business hours if required

+ Excellent communication skills-verbal, written and presentation.

+ Strong analytical and problem solving skills.

+ Must be an independent thinker and time management and organizational skills are a must.

+ This role requires 40% (local) of travel. You will need to be fully vaccinated in order to travel & meet the requirements for this position.

QUALIFICATIONS:

Minimum Requirements: Bachelor’s degree, strongly preferred, or equivalent work experience,

At least five or more years related experience.

Preferred Requirements: Experience in physician relations or managed care.

This role is Work from home, which allows most work to be performed at home or on occasion at a Cigna office location. Employees must be fully vaccinated if they choose to come onsite

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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.

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Job Posting: JC193143586

Posted On: Sep 24, 2021

Updated On: Oct 17, 2021