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Provider Data Representative - Work from home

Created09/15/2021
Reference21016239
CategoryOperations
Job typeFull Time
CountryUnited States
Zip15689
SalaryCompetitive
Remote, Work from Home, United States

Maintains current provider data to ensure the quality of the network. Delivers straightforward administrative and/or other basic business services in Provider Data. Maintains current provider data for the largest, most complex account structures. Maintains provider data to ensure the quality of the network. Coordinates provider enrollment, and assists with coordination of meetings with providers for training, contracting, and reporting. May be responsible for reporting and tracking provider calls and complaints. Updates directories for all contracted organizations. Issues tend to be routine in nature. Good knowledge and understanding of Provider Data and business/operating processes and procedures. Works to clearly defined procedures under close supervision.

RESPONSIBILITIES :
  • Manages provider demographic add, changes and terms, ensuring all required information elements are obtained and proper documentation is submitted for loading.
  • Responsible for reviewing and reconciling provider data/demographics for accuracy in all QANI systems.
  • Identify the right parties or resources, across several matrixed business partners to resolve issues timely.
  • Intake provider data from multiple sources and process in appropriate computer based systems
  • Act with a sense of urgency to research questions or issues brought by the team, and identify the right parties or resources to resolve the issues
  • Ability to work independently and in conjunction with co-workers of all levels
  • Provide support for the coordination of provider contracting process and tracking of credentialing status and system load
  • Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards)


QUALIFICATIONS:
  • High School diploma or GED required
  • Working knowledge/proficiency using Microsoft Word, Excel, Outlook and Skye is required
  • Working knowledge/proficiency using WebEx highly preferred
  • 1+ years' experience using HSP (operating system) highly preferred
  • Excellent verbal and written communication skills
  • Strong analytical skills
  • Strong problem solving skills
  • Detail oriented, time management and organizational skills required


This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

This position is not eligible to be performed in Colorado.

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.
Employer091 Cigna Health & Life Ins. Co.