Provider Engagement Sr. Analyst: CareAllies -Birmingham, AL

Company: Cigna
Location: Birmingham
Posted on: January 25, 2023

Job Description:

Job Location: 2 Chase Corporate Dr, Hoover, AL 35244

**Summary:**

The Provider Engagement Senior Analyst role is the face of CareAllies Management Services Organization (MSO). In this role you will be responsible to provide financial, clinical and regulatory overviews to Physicians, Office Administration and/or clinical personnel in an office. This role directly interacts with matrix partners both internally and externally to influence and direct workflows for our clients.

**Responsibilities:**

+ Serves as primary contact for providers and provider staff to assist in contract management and provide supporting analyses for network and performance optimization. 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.

+ Provide tactical operations support to assigned groups, including contracting, data integrity, communications, and relationship management.

+ Create and deliver materials to educate providers and provider staff on contracts, policies and procedures, quality and service line initiatives, and financial performance

+ Prepares and delivers presentations with providers, provider staff, and/or physician leadership during monthly operational meetings.

+ Understands, develops, tracks, monitors and reports on key program performance metrics, such as utilization, coding, and STARs/quality performance.

+ Perform root cause analyses and resolution related to provider concerns, grievances, claims and care delivery.

+ Assist in the STARS and (Medicare/Medicaid rating scale for providers and health insurance companies) clinical metrics data collection, and design plans for enhanced provider engagement in quality initiatives.

+ Prepare materials and participate in monthly financial review with senior leadership.

+ Partners with other internal departments, including but not limited to Health Services, Finance, Claims, and Coding in order to develop solutions for strategic business needs.

+ Work closely with internal representative for needs and support.

+ **Requires 50%** **local** **travel to providers in Birmingham, Montgomery, and Selma**

**Qualifications:**

+ Bachelor's degree preferred.

+ 1-2 years related experience working with providers in a healthcare environment preferred.

+ Intermediate level of Excel preferred (knowledge of pivot tables, VLOOKUP, etc.)

+ Experience in financial/trend analysis preferred.

+ Experience in public speaking is a plus.

+ Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards).

+ Positive role model with the ability to work independently & in conjunction with co-workers of all levels.

+ Strong analytical and problem-solving skills.

+ Excellent communication skills - verbal, written and presentation.

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**

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._

Keywords: Cigna, Birmingham , Provider Engagement Sr. Analyst: CareAllies -Birmingham, AL, Professions , Birmingham, Alabama