Northeast Region Network Operations Senior Analyst (Finance)
LOCATION: REMOTE position aligned to the Northeast Region States in the USA
The Northeast Region Healthcare Provider Network Senior Analyst serves as an integral member of the Network Development and Competitive Insights Team within Network Operations and Provider Contracting and reports to the Northeast Regional Network Access Lead.
This role is responsible for leading a small limited scope project or components of a larger project and directs one or more teams of business consultants involved in the evaluation of systems requirements and/or the development of new procedures/processes/policy solutions to address complex business needs. Determines requirements, plans projects, establishes priorities and monitors progress. Evaluates project status and resource utilization and implements changes to improve the teams' effectiveness. Compiles and analyzes results of services for identification of improvement opportunities. Provides benchmarking and industry comparative analysis support.
Responsibilities:
- Act as Project Management Lead for National Account Recruitment Requests, Middle Market and Local Sales recruitment; coordinating with market Contracting and Provider Services teams.
- Identify and manage the upload, maintenance and clean-up of existing/new providers in the Salesforce recruitment tracking database.
- Manage/Support Provider Termination reporting needs and workgroup calls for the Northeast Region
- Partner with Contracting and Sales/Service organizations to manage provider fallout from disruption process.
- Provide analytic and reporting support for provider access build projects.
- Act as Northeast Region Network Development and Competitive Insights lead for market research. This could entail market developments relating to competitor-provider network participation status, competitor product development, regulatory developments and other market news as appropriate.
- Maintain Northeast Region Network Development and Competitive Insights SharePoint site.
- Special projects as needed.
Preferred Qualifications:
- College degree or equivalent work experience
- 3+ years Network Operations, Provider Relations or Provider Contracting experience, required
- 3+ years' experience working in the Healthcare industry, required
- Cigna systems experience
- Detailed knowledge of provider set up in Cigna systems and tools to track provider recruitment
- Working knowledge of hospital, managed care and provider business models
- Understanding of medical insurance products
- Project management skills
- Ability to analyze large volumes of data
- Superior problem solving, decision making and critical thinking skills
- Strong interpersonal and written/oral communication skills
- Ability to work independently and with matrix partners
- Expert knowledge of Microsoft excel, access and power point
- Proficient in the use of PC software; i.e., Outlook, WebEx, One Note, Power Point
- Attention to detail
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 60,400 - 100,600 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.
