Provider Relation Analyst
Cigna
Madrid, Madrid, Spain
hace 4 días

Provider Relation provides support to specific areas, handling day-to-day operations directly with health care providers.

Main tasks is to continuously support all types of providers( hospitals, clinics, doctors, pharmacies,dentists, etc.) all those who provide medical care to our customers.

Support includes but is not limited to managing day to day contact with providers, facilitating provider education and onboarding process and ensuring that providers escalations are resolved in a timely manner, and when required, support the Contract Negotiators and Leads in the provider contracting efforts.

  • Facilitate Provider Education sessions as needed, including but not limited to : Onboarding and overview of member recognition and eligibility processClaims submissionHow to use EnvoyPoints of contact
  • Emails management : checking e-mails and answer the most pressing questions of your key providers
  • Call management : Hold conference calls with Provider Negotiators, Regional Leads, the Clinical team and Operations about providers
  • Performs administrative tasks, including but not limited to : Problem solving in regards to agreementsHelp updating agreements
  • Update the provider data-base(PIMS)Add new providersEdit and update info of existing providersManage all related data( programs, contacts, etc.
  • Screening INBOXUpload new prices, especially for groups

  • Executes Cigna Envoy related tasks with providers ( activation, education, follow-up, consultation)
  • Procedures DPA (how to come to a DPA, documents, standard contract, provider information, follow up, reports)
  • Manage priority checklists to make sure deadlines are met
  • Co-operate internally with all business lines on escalations, financial reconciliations, provider data, quality assessments and support to Tenders / RFPs
  • Effectively communicates and interacts with other business units to provider resolution; e.g. Medical Management, CGHB Service Operations (NA, UK and Antwerp), Sales and Client Management (NA, UK, and Antwerp), and CGHB Strategy & Operations.

    About Cigna

    Cigna 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 a healthier place.

    What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

    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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