The Cigna Group · 8 hours ago
Business Project Senior Analyst - Northeast & Central Region
United States
Full-time
Remote
Mid, Senior Level
$58K/yr - $98K/yr
3+ years exp
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Responsibilities
Lead as Project Manager for National Account Recruitment Requests, Middle Market and Local Sales recruitment initiatives; coordinating recruitment efforts with the market Contracting/Provider Services teams, Sales, Medical Recruitment Team and national vendor specialty teams as required.
Review datasets to identify recruitment universe; Review potential recruits against Cigna systems to check for current/previous par status, approved specialty recruitment in specific geographies and validate if the provider is currently in recruitment under a separate initiative. Meet with the market Contracting/Provider Services teams to review and approve the final recruitment universe, appropriate fee schedule/contract paper and identify market contact to be aligned with the project.
Provide analytic and reporting support for regional provider network access build initiative projects.
Manage the recruitment tracking tool: project data uploads and provider record maintenance for duration of the project. Manage project reporting and distribution to matrix partners and senior management.
Partner with Contracting and Sales/Service organizations to manage the review of providers identified as non-participating through the Regional Support Unit provider review process in support pre-sale activities and current client non-par inquiries.
Lead regional market research relating to competitor provider network participation status, competitor product development, regulatory developments and other market developments as appropriate.
Lead Hospital/Large and/or Significant Provider Termination weekly workgroup meetings. Manage/Coordinate data reporting needs for all segments; including Commercial, IFP and Medicare pending terminations within the region.
Lead separate and/or additional termination management meetings as needed to discuss segment specific activities or enhanced termination tactics to support high visibility/challenging negotiations.
Manage the creation and distribution of the weekly term management workgroup notes. Create and submit network change alerts for posting to Cigna’s internal tool, Knowledge Xchange, to communicate external notifications and changes for active potential hospital/large group or significant terminations. Coordinate Sales Effectiveness email process to all Sales opportunity owners with impacted clients. Manage all Sales requests for client specific data for impacted clients approved to receive PHI.
Strive to become the subject matter expert (SME) for all assigned states and segments in your Region in support of all role activities; termination management, recruitment initiatives and competitive analysis.
Manage/facilitate ongoing targeted recruiting and expansion projects for assigned markets for all segments.
Work collaboratively with resources within the region, other regions and nationally to ensure projects are consistently managed, tracked and reported.
Special projects as required.
Qualification
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Required
3+ years’ experience working in the health care industry, required
Strong Project Management experience, required
Strong Microsoft Excel and Access skills to support the ability to analyze large datasets, required
Strong interpersonal, analytical, and written/oral communication skills
Team player with proven ability to work independently and collaboratively by developing strong working relationships within a fast paced matrix organization
Detail oriented with the ability to prioritize workload
Preferred
College degree preferred or equivalent work experience
Understanding of medical insurance products
Strong critical thinking skills
Ability to use PC software; i.e., Outlook, WebEx, One Note, Power Point
Benefits
Medical
Vision
Dental
Well-being and behavioral health programs
401(k) with company match
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays
Company
The Cigna Group
The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.
10,001+ employees
Funding
Current Stage
Late StageLeadership Team
David Cordani
Chairman and Chief Executive Officer
Recent News
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