Provider Relations Lead Analyst - Cigna Healthcare - Remote

Dental Provider Recruitment And Contracting

The position is responsible for dental provider recruitment and contracting as well as managing contracted provider relationships for a specified territory. Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks. Ability and willingness to travel frequently within the US including overnight stays. Conduct quality reviews of Practitioner and / or Facility / Ancillary contracts.

Responsibilities :

• Identifying, recruiting, contracting, and retaining qualified health care professionals in geographic area within established guidelines to meet health plan needs
• Achieve competitive and cost-effective contracts in assigned areas or assigned client / customer needs
• Negotiate contracts and recruit dental providers to become a Cigna network provider
• Explain plans, policies, and procedures to potential providers
• A point of contact for Providers who are contracted within a specified target market
• Maintain positive relationships with health care professionals and their office staff extending high quality service
• Conduct negotiations and ensure the smooth operation and administration of provider agreements
• Support and retention of offices in our dental networks
• Complete onsite quality assessments
• Respond to provider inquiries, concerns, complaints, appeals and grievances
• Provide ongoing product education to dentists and their staff
• Work to achieve contract discounts with new providers and current providers through thoughtful negotiation
• Use data and facts to identify and overcome objections
• Prioritize and organize own work to meet deadlines, and reach established personal and department goals
• Conduct ongoing support to contracted providers in our networks via telephone or by personal relationship visits

Qualifications :

This position can be work at home and should be located within the territory. 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.

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.

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.