Evernorth Health Services, a division of The Cigna Group, is hiring a Provider Relations Senior Manager for Cigna Healthcare. In this high-functioning role, you will lead with management and strategic planning responsibilities for provider services, including medical US Commercial and IFP. You will be accountable for the overall provider service model and experience, developing strategic planning solutions, and participating in local market planning to strengthen our strategic positioning.
What You'll Do
- Provide direct supervision of a diverse team of external facing team members supporting commercial healthcare and IFP.
- Be accountable for the end-to-end Provider experience across all products in your assigned market.
- Work closely with Contracting Leads, Network Operation Leads, Market Medical Executives, and Sales to build the local market provider relations strategy.
- Identify and recommend opportunities for Provider engagement enhancements.
- Create and manage local market action plans to increase provider satisfaction.
- Ensure your team creates, executes, and manages strategic and corrective action plans for their aligned book of business.
- Proactively identify new opportunities and risks for Providers at the local market level and drive resolution.
- Coordinate all budget and expense management activities through effective planning, monitoring, and forecasting.
- Develop and participate in presentations to existing and prospective providers and/or clients.
- Serve as a healthcare provider advocate internally with matrix partners as well as with external provider associations.
- Be responsible for the ongoing development of staff including providing feedback, coaching, and ongoing development.
- Collaborate with the Communications Team on internal and external communication needs.
- Leverage provider relationships to execute market strategies.
- Be responsible for ongoing Provider orientation and training.
- Convene the local market Office Manager Advisory Council (OMAC).
- Deliver on regulatory and compliance timelines.
- Be responsible for capturing, documenting, and sharing local market competitive intelligence.
What We're Looking For
- A Bachelor’s degree or higher strongly preferred, or equivalent work experience required in business, health care management, or a related field.
- Strong leadership skills with a proven successful track record in managing and developing people in a matrixed organization.
- Extensive knowledge of health plan administrative and operational requirements.
- Problem solving skills including the ability to systematically analyze complex problems.
- Ability to work in a highly matrixed environment, multi-task, and shift effectively among multiple activities.
- Excellent written and verbal communication skills; ability to speak clearly and concisely, conveying complex or technical information.
- Excellent presentation skills, proficient in speaking in both individual and group settings.
- Experience building strong, positive relationships with providers.
- Strong influencing and negotiation skills.
- A history of understanding reimbursement strategies from both the health system/provider and Payor perspectives.
- Ability to travel up to 25% as required.
Nice to Have
- 5+ years in health care service delivery, network development, or contract management role.
Team & Environment
You will manage a team of external facing team members and work within a matrixed organization.
Benefits & Compensation
- Annual salary range: $112,000 - $186,600 USD
- Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
- 401(k), company paid life insurance, tuition reimbursement.
- A minimum of 18 days of paid time off per year and paid holidays.
- Eligibility to participate in an annual bonus plan.
Work Mode
This is a hybrid role open to candidates in Chattanooga, TN; Denver, CO; St Louis, MO; or Scottsdale, AZ.
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.






