Provider Regional Reconciliation Analyst
Cigna
Madrid, Spain
hace 4 horas
source : Experteer

YOUR JOBAs a Provider Reconciliation Region Lead you will be part of a Global Provider Reconciliation Team embedded into Global Ops, being responsible to manage the outcome of the reconciliation process with Health Care Providers in your region.

You will report directly into the Global Provider Reconciliation Senior Supervisor based in Madrid, and work very closely with your peers in the same location and Global Provider Reconciliation Team across the globe.

Key to the role will be managing the fulfilled reconciliation of the accounts between Cigna and the health providers, in the region.

In addition to this you will be in charge of the communication of the outcome to the facilities, support them in interpreting the feedback received from Cigna and close follow up on the further actions needed.

Through close collaboration with Provider Network team you will be responsible for managing the risks and complaints in the region in terms of reconciliation, fulfilling the research, gathering the relevant data, reporting on potential issues and proposing insights for operations enhancements in order to deliver a 5 star experience to our health care network providers.

  • Your role includes : Responsible to enable an effective and efficient collaboration with health provider in your region through monitoring and anylising the results of the reconciliation of the accounts fulfilled by the Global Provider Reconciliation team;
  • Efficient and clear written communication with health care providers on the results of the conducted accounts revision;Comprehensive support on their interpretation and assurance of further follow up if needed;
  • Root cause analysis of the data obtained and consolidated feedback to Global Provider Reconciliation management team striving for continuous service delivery improvement through BAU collaboration with different teams;
  • Participation in coordination sessions with Network and Operations teams seeking for better practices in order to prevent service differences and assure 5 star experience to health care providers;
  • Prompt follow up on potential risks in the region and proactive prevention of complaints related to reconciliation of the accounts coordinating the enhanced workflow with Global provider Reconciliation management team;
  • Support the Global Provider Reconciliations management team to determine short-, middle- and long-term solutions for smooth reconciliation process with Providers by continously analysing the intake of queries and complaints, as well as conducting reviews of the current processes for potential improvements;
  • Being a person of contact for Provider Network team in terms of escalations, complaints and any reported operational issues related to reconciliation process;
  • Deliver on operational KPI’s within the Global Provider reconciliation team in terms of production, quality, TAT, amongst others;
  • Standard working hours 9.00 to 18 : 00 ( Flextime ) & 1 hour lunch break- Flexibility to adapt to your region timezoneYOUR PROFILEAt least 2 years of experience in Marketing / Communications or Relationship Management, with operational and customer / provider-facing experience profile.

  • Proficient in English, additional language is a plus;Strong knowledge of healthcare insurance industry, terminology and provider networks;
  • International mind-set able to work remotely with colleagues, partners and providers across the globe;Striving for excellent service to our members, clients and providers is part of your DNA;
  • Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines / standards);
  • Act with a sense of urgency to research questions or issues brought by different teams. Identify the right parties or resources to resolve these issues;
  • Strong analytical and problem-solving skills.Desire experience in complaint management with a proven track record in improving customer service standards;
  • Ability to assess the situation / issue, cause / effect impact, carry out appropriate research, gather the relevant data and provide constructive feedback / solution on the outcome.

    Excellent communication skills verbal, written and presentation. Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.

    A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.

  • Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues;Assume ownership for achieving personal results and to contribute for collective team goals;
  • Working knowledge of SharePoint, Microsoft office & Access;This role is reporting directly to the Global Provider Reconciliation Senior Supervisor, based in Madrid, Europe.

    About CignaCigna Corporation (NYSE : CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.

    We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products.

    Together, with our 74,000 employees worldwide, 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 Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world healthier place.

    What difference will you make? To see our culture in action, search #TeamCigna on Instagram.Want to have your account deleted?

    Email Seeyourself cigna.comFull time

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