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Network Operations Advisor - Careallies at Cigna

Posted in General Business 30+ days ago.

Type: Full-Time
Location: Nashville, Tennessee





Job Description:

CareAllies Provider Engagement Advisor Band 4 Where You'll Work Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, 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 Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world healthier place. What difference will you make? This role will work with a subdivision within Cigna called CareAllies.

CareAllies is a Management Company that works side-by-side with providers and payer entities to help improve the quality, value and the experience of care for patients, to make health care better for everyone. As a part of the Provider Engagement Team, you will be working closely with providers to accelerate their transition to value-based care and to help them manage the long-term health of their patients. CareAllies' consultative approach emphasizes physician engagement, delivery system organization and culture change, actionable data and analytics, as well as patient engagement to support treatment plans. We collaborate with providers to drive change and ensure success in a value-based market. What You'll Do CareAllies Provider Engagement Lead Analyst is designed for someone to develop management skills and provide experience working in a dynamic, flexible work environment. In this role you will lead a team of Internal Representatives a crossed the CareAllies organization. You will guide and educate the team to deliver the needed support services for our clients.

The Provider Engagement Advisor role offers: Roles and Responsibilities •Develops and maintains positive relationships with physicians, providers, and practice managers within the network, including oversight and managing performance in various incentives based and/or value based programs. Including but not limited to management of provider network financials, pro-forma budget preparation and implementation, monthly action plans, reviews, and verification. • Develops and maintains positive relationships with physicians, providers and practice manager, provider office staff to research and resolve claims issues in a timely. • Prepare materials and presents materials to Board of directors of assigned IPA/VBCA.

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.

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.





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