Middle East Development Co. Ltd · 6 days ago
Provider Services Lead Analyst - Cigna Healthcare - Remote - CA
United States
Full-time
Remote
Mid, Senior Level
$67K/yr - $111K/yr
3+ years expMiddle East Development Co. Ltd is seeking a Provider Services Lead Analyst for Cigna Healthcare. This role is responsible for managing the provider experience and service delivery for a medium to low complex book of business, collaborating with partners to drive service improvements and strategic planning solutions.
IndustrialMachinery ManufacturingWholesale
Responsibilities
Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business aligned to medium to low complex providers
Leads, collaborates, and supports local market direction as it relates to improving the provider experience
Creates and maintains individual provider strategic action plans
Proactively identify new opportunities and risks for providers at market or national level and drives resolution
Exercises good judgment and discretion to support the provider experience
Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements
External facing with providers in assigned BOB
Collect, analyze, interpret, translate and distribute provider informatics, reports, dashboards
Track and monitor performance guarantees for assigned BOB
Promotes Provider Index score improvement through proactive and effective service and support of network
Review provider reports/dashboard with individual providers
Proactively educate providers on Cigna's business objectives, standard operating procedures, policies and programs to influence behavior and how to work with Cigna
Serve as a provider advocate both internally and externally
Understands and applies service culture principles and methodology
Serves as a provider advocate both internally and externally
Serves in a consultative role or subject matter expert to key matrix partners
Develops and participates in presentations to existing and prospective providers and/or clients
Serves as advocate in external community, representing Cigna to medical societies and external provider associations
Manage joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities
Qualification
Required
Bachelor's Degree or higher strongly preferred or equivalent work experience required
3+ years of experience in provider relations highly preferred
Account management experience required
Client facing experience with providers would be required
Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills
Intermediate experience with MS Office is required (pivot tables and VLOOKUP experience highly preferred)
Solid understanding of managed care/provider operations in CA is required
Ability to work in a matrix environment
Up to 25% travel may be required within the CA area
Preferred
3+ years of experience in provider relations highly preferred
Intermediate experience with MS Office is required (pivot tables and VLOOKUP experience highly preferred)
Ability to run reports and extract/manipulate data is highly preferred
Benefits
Medical
Vision
Dental
Well-being and behavioral health programs
401(k)
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays
Company
Middle East Development Co. Ltd
MEDCO Ltd. is a leading dealer of premium industrial and construction equipment in the Kingdom of Saudi Arabia. The company was founded in 1967 by Sk.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase