Job Description
This role will be work at home and will support our national dental networks and Client Management teams.
- Provides advanced professional input to complex Provider Network Strategy assignments/projects for existing and prospective clients.
- Analyzes and reviews reporting and projects impact of network recruitment and retention strategies.
- Develops and monitors dental and vision network performance guarantees. Coordinates with Provider Contracting, Provider Relations and Provider Service areas to drive execution on performance guarantees (PG). Monitor and track progress of PGs, including report outs to account and sales teams.
- Prepares responses for Network RFP questions.Prepare materials and make presentations to existing and prospective clients and or market sales teams.
- Responds to the complex service issues and inquiries, identifying resources for resolution of client network issues. Handle non-routine problems ensuring client satisfaction with products and service.
- Support provider recruitment or retention nationally via field work as needed.
- Support and provide direction to more junior professionals.
- Works autonomously, only requiring "expert" level technical support from others. Exercises judgment in the evaluation, selection , and adaptation of both standard and complex techniques and procedures.
Responsibilities: - Manage a territory acting as a liaison between account management teams and provider network teams.
- Ability to gather critical information, swiftly assess type of inquiry and the level of complexity and determine to process or direct the work to the appropriate teams for resolution for escalated issues.
- Interact professionally with clear, effective communication and set the appropriate expectations on timeline of deliverables. Provide updates to clients, matrix partners, and/or contracted providers on status and resolution.
- Leverage internal resources and use independent judgement and discretion to resolve complex client inquiries and solve non-routine problems, which ensure client satisfaction with products and services.
- Develop and maintain effective business partnerships to ensure service issues are managed proactively; communicated clearly, accurately, and effectively with all business partners.
- Coordinate with internal business partners to ensure provider and member needs are met and potential problems are averted.
- Effectively drive teams for improved provider experience, both for contracted and prospective dentists.
- Support teams to meet overall dental earnings targets.
Qualifications: - 5+ years of experience with dental DHMO and PPO provider facing roles required. Working knowledge of dental insurance products.
- 5+ years of experience in provider/client/customer service insurance environment strongly preferred
- Self-motivated individual with the ability to multi-task, manage and resolve issues with a take charge attitude to support operational needs
- Ability to navigate and develop relationships with all internal business partners and contracted providers
- Demonstrate active listening, written, and verbal communication and presentation skills
- Excellent organizational and time management skills with a strong attention to detail
- Effective collaboration and problem-solving skills required
- Working knowledge of Verint phone systems and monitoring requirements preferred
- Strong working knowledge of Microsoft Outlook, Word, Excel, PowerPoint, & Internet Explorer are required
- Ability to travel nationally within US 20-30% of the time
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 69,800 - 116,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
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.
If you require reasonable accommodation in completing the online application process, please email:
[email protected] for support. Do not email
[email protected] 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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Job Tags
Holiday work, Permanent employment, Local area, Remote job,