Provider Relations Analyst- Accredo at Cigna

Posted in General Business 12 days ago.

Type: Full-Time
Location: Tempe, Arizona





Job Description:

Oversees the completion of intake processes for Advanced Therapy referrals with their assigned clients, provide physician office regular status updates, report creation, and acts as a high touch physician liaison. Works under the direction of the Supervisor and/or Manager, and serves to support staff in attainment of turnaround time expectations for high touch medical centers. Conducts morning meetings to ensure other Advanced Therapy departments are compliant with their responsibilities during the intake process. Assist with efficient resolution of member and client related issues. Act as liaison services to other Express Scripts Departments. Recognizes and recommends improvements to processes and procedures.

ESSENTIAL FUNCTIONS


  • Serves as the main point of contact to targeted physician offices, intake of new patients, and other patient referrals sources.

  • Monitors and drives, under the supervision of the Supervisor and/or Manager, the intake process from the receipt of referral stage through the shipment completion stage. Functions as a "hands on" subject matter expert for the Department.

  • Leads the development and creation of customized scheduled reports for key referral sources. Act as liaison for other operational departments to research and resolve member and client issues.

  • Maintain service levels and performance guarantees. Maintain accurate and complete documentation of all inquiries.

  • Upon request, will travel to assigned territory and collaborate with field sales force to provide general program information, concierge service, and various stakeholders.

  • Special projects as assigned.

QUALIFICATIONS


  • High School/GED or equivalent work experience.

  • 3 to 5 years of similar work experience preferred

  • 0 - 2 years of health care experience with medical insurance knowledge and terminology.

  • Working knowledge of Microsoft Office.

  • Extensive knowledge of ESI products and services a must; experience training and coaching less experienced staff - patience to explain details and processes repeatedly, excellent phone presentation and communication skills.

  • Demonstrated ability to handle challenging customers in a professional manner, ability to adapt in a dynamic work environment and make decisions with minimal supervisor.

  • Advance problem solving skills and the ability to work collaboratively with other departments to resolve complex issues with innovative solutions.

ABOUT THE DEPARTMENT

Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency. In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients' lives.

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.