Provider Engagement Sr. Analyst: CareAllies -Birmingham, AL
Posted on: January 25, 2023
Job Location: 2 Chase Corporate Dr, Hoover, AL 35244
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.
+ 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
+ Provide tactical operations support to assigned groups, including
contracting, data integrity, communications, and relationship
+ 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
+ Understands, develops, tracks, monitors and reports on key
program performance metrics, such as utilization, coding, and
+ 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
+ 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
+ **Requires 50%** **local** **travel to providers in Birmingham,
Montgomery, and Selma**
+ 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,
+ 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
+ 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
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.
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
_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
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