Job description

Remote, Work from Home, United States

This position will be responsible for ensuring a smooth onboarding experience for Providers by successfully getting Provider contracted, credentialed and demographically loaded into Cigna-HealthSpring’s multiple systems. This will be accomplished through providing support to Network Operations staff to ensure best in class loading of contract data and acting as a subject matter expert of Provider onboarding, by providing excellent customer service and training.

Duties and Responsibilities

Responsible for the creation of Provider contracts.
Responsible for the coordination and tracking of Provider credentialing.
Responsible for the loading of Provider data into multiple systems – i.e. claims, directory.
Act as a SME (subject matter expert) for HCP demographic loading into all Cigna-HealthSpring systems.
Provide support for questions and issues raised by staff and provide answers as quickly as possible - supporting the timeliness of the review or outreach.
Provide one-on-one training to individuals to drive performance and quality improvement.
Track issues and opportunities from matrix partners and provide feedback to those respective teams.

Qualifications
Bachelor’s degree or equivalent experience
Strong knowledge of healthcare provider networks, contracting and credentialing requirements, contracts, and terminology.
Experience with the Provider onboarding process, system applications, and procedures.
Ability and willingness to share knowledge and coach individuals w/ varying levels of experience.
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 the team. Identify the right parties or resources to resolve these issues. Follow up with these parties to drive resolution and provide on-going feedback to individual(s) who raised the question or issue.
Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.
Strong analytical and problem-solving skills.
Excellent communication skills – verbal, written and presentation.
Working knowledge of Microsoft Word, Excel & Access.

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 19 - 29 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.

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 .

About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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.

Cigna 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.

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