Client Specific Network Intake Advisor -… at The Cigna Group · Remote

Position Summary

We are looking for a new Client Specific Network Intake Advisor.  This role is

responsible for providing advanced professional input to an accounts wanting a Client Specific Network and who ultimately hope to implement a Client Specific Network.  This role is also responsible for handling updates to existing Client Specific Networks. 

Job Responsibilities

• Review requests for new Client Specific Networks, as well as requests to modify/change existing Client Specific Networks.
• Effectively manage assigned dedicated Client Specific Network accounts to provide successful resolutions to meet client needs that align with our capabilities.
• Effectively triage client requests and when appropriate work directly with downstream partners as well as Product and Benefit Advisor Board or Exception Review Committee.
• Ensuring all Client Specific Network requests have the appropriate information to move to implementation; this includes demographics, reimbursement, sign off from legal and contracting; plus ensuring the client signs all necessary documentation.
• Provide price quotes for new Client Specific Network requests.
• For new and prospective clients consult with Sales, NBM and Pre-Sale to understand client strategy and develop recommendations and sales approach in regards to Client Specific Requests.
• Advocate constantly to ensure that client, customer and Cigna needs are best met by a solution.
• Serve as general subject matter expert to Sales, Pre-Sale, Implementation, Proposal Management, Sales Effectiveness, Underwriting, and Service Operations/Claim to help assess client specific network requests.  This includes being able to communicate highly complex topics in a non complex manner.
• Influence change to simplify interactions and improve E2E processes.  Work with SME’s, functional and matrix partners to continually assess of approved requests for opportunities to implement new standards and eliminate unnecessary submissions.

• Responsible for understanding and translating requestor’s (Market/Client/Product/Sales/Vendor) need/intent using operational capabilities & guardrails
• Facilitate discussions, occasionally with external parties, to collaborate on the best solution based on requirements and system capabilities
• Educate requestors on system limitations and impacts to constituents with client solution
• Impact Assessment on client requests, including identifying and engaging matrix partners as necessary
• Maintain network artifacts that represent the approved request, including identifying / securing all required documentation and approvals
• Develop and maintain formal formalized relationships key operational areas to develop consistent support and participation

Qualifications

• Bachelors Degree preferred, but not required or health-related field preferred.
• Excellent problem solving and critical thinking skills
• Able to work with limited information and ambiguity
• Proven ability to listen, understand, and interpret information from others to combine and reconcile information from a variety of sources
• Knowledge of CPF or HCPM is valued, but not required.
• Understanding of provider data and networks is highly valued, but not required.
• Knowledge of CIGNA's product portfolio (e.g. products, benefits and programs) is helpful and preferred, but not required.
• Ability to function in a production based environment is required.
• Demonstrated project management skills and success.
• Demonstrated level of technical expertise in Excel, PowerPoint, Word, etc.  Technical expertise in Sales Force is helpful, but not required.
• Proven ability to foster collaboration, value others perspectives and gain support and buy-in for organizational proposals.
• Excellent oral, written, presentation and communication skills

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.