Cigna Provider Data Senior Associate - Nashville, TN (office based) in Nashville, Tennessee
The Network Operations Department is responsible for the financial and operational activities of the provider network. In this role, you will be exposed to all aspects of a Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution, contracting, claim payments, meetings, training, etc.). This role supports the Network Operations Administrators and Representatives.
- Researching and resolving provider issues such as authorization and claim issues
- Identify the right parties or resources, internally and externally, to resolve issues timely.
- Prepares documentation for meetings, schedules meetings, and educates providers regarding member benefits and the referral process
- Develops, maintains, and distributes reports for assigned provider groups
- Submitting change requests to update provider demographics, group information, contract changes)
Minimum - Bachelor's Degree
- Strong knowledge of healthcare insurance industry, terminology, provider networks, contracting and credentialing.
- Ability and willingness to share knowledge.
- Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards).
- Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.
- Strong analytical and problem-solving skills.
- Excellent communication skills – verbal, written and presentation.
- Working knowledge of SharePoint, Microsoft Word, Excel, & Access.
Primary Location: Nashville-Tennessee
Work Locations: 601 Mainstream Drive Nashville 37228
Job: Provider--Network/Data Mgmt
Employee Status: Individual Contributor
Job Type: Full-time
Job Level: Day Job
Job Posting: Jun 13, 2018, 11:19:00 AM
Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. Need an accommodation? Email: SeeYourself@cigna.com