Network Operations Senior Analyst
| Company | Cigna Group |
|---|---|
| Location | Kansas, USA, North Dakota, USA, Iowa, USA, Vermont, USA, Texas, USA, Waterbury, CT, USA, South Dakota, USA, Concord, NH, USA, Minnesota, USA, Nebraska, USA, Rhode Island, USA, West Virginia, USA, Wisconsin, USA, Maine, USA, Massachusetts, USA, Oklahoma, USA, Missouri, USA, Ohio, USA, Indiana, USA, Louisiana, USA, Michigan, USA, Illinois, USA |
| Salary | $60400 – $100600 |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Mid Level, Senior |
Requirements
- College degree or equivalent work experience
- 3+ years Network Operations, Provider Relations or Provider Contracting experience, required
- 3+ years’ experience working in the Healthcare industry, required
- Cigna systems experience
- Detailed knowledge of provider set up in Cigna systems and tools to track provider recruitment
- Working knowledge of hospital, managed care and provider business models
- Understanding of medical insurance products
- Project management skills
- Ability to analyze large volumes of data
- Superior problem solving, decision making and critical thinking skills
- Strong interpersonal and written/oral communication skills
- Ability to work independently and with matrix partners
- Expert knowledge of Microsoft excel, access and power point
- Proficient in the use of PC software; i.e., Outlook, WebEx, One Note, Power Point
- Attention to detail
Responsibilities
- Act as Project Management Lead for National Account Recruitment Requests, Middle Market and Local Sales recruitment; coordinating with market Contracting and Provider Services teams.
- Identify and manage the upload, maintenance and clean-up of existing/new providers in the Salesforce recruitment tracking database.
- Manage/Support Provider Termination reporting needs and workgroup calls for the Northeast Region
- Partner with Contracting and Sales/Service organizations to manage provider fallout from disruption process.
- Provide analytic and reporting support for provider access build projects.
- Act as Northeast Region Network Development and Competitive Insights lead for market research. This could entail market developments relating to competitor-provider network participation status, competitor product development, regulatory developments and other market news as appropriate.
- Maintain Northeast Region Network Development and Competitive Insights SharePoint site.
- Special projects as needed.
Preferred Qualifications
- Cigna systems experience
- Detailed knowledge of provider set up in Cigna systems and tools to track provider recruitment
- Working knowledge of hospital, managed care and provider business models
- Understanding of medical insurance products
- Project management skills
- Ability to analyze large volumes of data
- Superior problem solving, decision making and critical thinking skills
- Strong interpersonal and written/oral communication skills
- Ability to work independently and with matrix partners
- Expert knowledge of Microsoft excel, access and power point
- Proficient in the use of PC software; i.e., Outlook, WebEx, One Note, Power Point
- Attention to detail