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Senior analyst - Bloomfield, United States - The Cigna Group
Description
This production role delivers professional activities in the Provider Contracting job family. Develops and maintains positive relationships with health care professionals within the network.Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks.
Travel as needed to expedite network growth as needed for client requests or market needs. Conduct quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and reimbursement data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented and standard operating policies and procedures. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in Provider Contracting.Responsibilities include:
Identifying, recruiting, contracting, and retaining qualified health care professionals in geographic area within established guidelines to meet health plan needs
Achieve competitive and cost effective contracts in assigned areas or assigned client/customer needs
Maintain positive relationships with health care professionals and their office staff extending high quality service
Conduct negotiations and ensure the smooth operation and administration of provider agreements
Explain plans, policies and procedures
Resolve complaints and disputes, ensure compliance
Negotiate contracts and recruit dental providers to become a Cigna network provider
Work to achieve contract discounts with new providers
Use data and facts to identify and overcome objections
Prioritize and organize own work to meet deadlines, and reach established personal and department goals
Provide explanations and information to others within area of specialty
Requirements:
High School Diploma or equivalent required
1-3 year experience in healthcare administration or provider relationship management
Strong analytical and problem solving skills
Strong negotiation and communication skills
Basic to Intermediate proficiency in Microsoft Office products required
Valid drivers license
25% travel required for role
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 56, ,400 USD / yearly, depending on relevant factors, including experience and geographic location.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Join us in driving growth and improving lives.
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.
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for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
These states include:
Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
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