Provider Contracting Associate Analyst - Cigna Healthcare - Remote

The position is responsible for dental provider recruitment.

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 PPO networks .

Assists with new provider or location credentialing, contracting and recredentialing requests.  Respond to status requests and other non-routine contract questions. Assists with preparation or modification of provider compensation or contracts. Completes output in specific work area to appropriate time and quality targets. Works under own initiative, prioritizes own work, and meets agreed timescales. Work is subject to frequent review by more experienced professionals in Provider Contracting.

Responsibilities include, but not limited to:

• Identifying, recruiting, and contracting, qualified health care professionals in geographic area within established guidelines to meet health plan needs
• Handle incoming calls from dental providers, reroute misdirected calls
• Takes ownership of issues and works to resolve them over the phone with a “one and done philosophy”.
• Perform research and interpret guidelines to respond to inquiries, complaints or disputes, ensuring compliance
• Outreach to providers to obtain missing or additional information to ensure applications and contracts meet compliance
• Collaborate with internal departments as needed
• Maintain positive relationships with health care professionals and their office staff extending high quality service

Qualifications:

• High School Diploma or GED Required
• Minimum of 3 months plus experience in dental office negotiations, relations or contracting
• Ability to multi-task and priorities workload
• Strong verbal and written communication skills
• Must be a current Cigna or Express Scripts contractor
• Basic to intermediate proficiency in Microsoft Office products
• Demonstrates ability to manage multiple tasks simultaneously while maintaining quality service

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 hourly rate of 23 - 36 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

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.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.