Job Description
Note: The job is a remote job and is open to candidates in USA. Cigna Healthcare is an advocate for better health through every stage of life. The Provider Relations Lead Analyst plays a crucial role in managing provider relations and contract management while collaborating with senior DSO leadership and internal stakeholders. Responsibilities • Engage and present to senior DSO leadership, including at times CEOs and CFOs. • Build and maintain strong relationships with day-to-day contacts within assigned DSO groups. • Demonstrate knowledge of DPPO and DHMO products, including compensation structures and administrative processes. • Respond to provider inquiries, concerns, complaints, appeals, and grievances within designated timeframes. • Collaborate with internal and external partners to resolve complex, escalated, or sensitive issues. • Provide ongoing education on dental products to assigned groups. • Promote and support enrollment in delegated credentialing, Electronic Data Interchange (EDI), and Electronic Funds Transfer (EFT) programs. • Analyze financial data and communicate practice needs to internal finance teams to develop mutually acceptable compensation arrangements. • Develop and evaluate financial proposals using strong analytical skills. • Manage budgets and monitor financial performance of contracts to ensure compliance with contracting guidelines. • Perform other duties and projects as assigned. Skills • Engage and present to senior DSO leadership, including at times CEOs and CFOs. • Build and maintain strong relationships with day-to-day contacts within assigned DSO groups. • Demonstrate knowledge of DPPO and DHMO products, including compensation structures and administrative processes. • Respond to provider inquiries, concerns, complaints, appeals, and grievances within designated timeframes. • Collaborate with internal and external partners to resolve complex, escalated, or sensitive issues. • Provide ongoing education on dental products to assigned groups. • Promote and support enrollment in delegated credentialing, Electronic Data Interchange (EDI), and Electronic Funds Transfer (EFT) programs. • Analyze financial data and communicate practice needs to internal finance teams to develop mutually acceptable compensation arrangements. • Develop and evaluate financial proposals using strong analytical skills. • Manage budgets and monitor financial performance of contracts to ensure compliance with contracting guidelines. • Perform other duties and projects as assigned. • Bachelor’s degree or equivalent experience. • 3+ years of dental industry experience required. • Background in dental insurance, with knowledge of PPO and DHMO products. • Experience in customer service or provider relations. • Self-starter with strong organizational skills. • Ability to manage multiple priorities independently. • Proficiency in Microsoft Excel and ability to learn specialized systems quickly. • Strong skills in analytics, negotiation, financial analysis, reporting, presentations, and both written and verbal communication. • Detail-oriented with a high level of accuracy. • Willingness and ability to travel is needed. • Clinical or dental office experience is a plus. Benefits • Medical • Vision • Dental • Well-being and behavioral health programs • 401(k) with company match • Company paid life insurance • Tuition reimbursement • A minimum of 18 days of paid time off per year • Paid holidays Company Overview • We are a health benefits provider that advocates for better health through every stage of life. It was founded in 1982, and is headquartered in Bloomfield, CT, US, with a workforce of 10001+ employees. Its website is Apply tot his job