Provider Contracting Associate Analyst - Evernorth Behavioral Health - Remote
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AI Summary
Role Description:
This position plays a dual role in supporting the growth and integrity of the Evernorth Behavioral Health Network. It involves recruiting and onboarding qualified behavioral health providers, maintaining accurate provider data across multiple systems, and executing provider agreements. The role requires strong communication, analytical, and relationship-building skills to ensure high-quality service and operational excellence.
Key Responsibilities:
Identify and recruit qualified behavioral health providers in targeted geographic areas.
Conduct outbound and inbound communications to build and maintain strong relationships with providers and their office staff.
Process provider screening applications and assist providers throughout the onboarding process.
Negotiate competitive and cost-effective contract terms to meet health plan needs.
Explain plan policies and procedures, resolve provider complaints, and ensure compliance with internal guidelines.
Verify and load provider data across multiple systems.
Ensure accuracy of provider demographics and fee schedules in contracts and screening forms.
Issue updated contracts when demographic changes require revisions.
Respond to internal and external inquiries via phone and email regarding provider data and contracting.
Minimum Requirements:
1+ year of experience in a medical office, insurance, or healthcare-related field.
Strong phone, communication, and analytical skills.
Self-directed with excellent problem-solving and decision-making abilities.
Proficiency in Microsoft Office and ability to navigate data entry systems and tracking tools.
Proven ability to work collaboratively in a fast-paced, matrixed environment.
Customer-centric mindset with strong interpersonal skills.
Experience in negotiating contracts and maintaining provider relationships.
Understanding of contract language and financial acumen.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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