Network Operations Representative
Cigna - Philadelphia, PA

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Job Description Responsibilities
* Educating providers and office staff on contracts, policies, and procedures
* Managing the contracting process, root cause analysis and resolution of problems and issues
* Managing monthly provider visits and calendar of events
* Participating in monthly financial review with senior management
* Building and communicating with internal relationships
* Preparing material and participating in meetings with providers, provider staff, and/or IPA leadership
* Planning, creating, and delivering presentations
* Requires at least 70% external travel to network providers
* May supervise or provide guidance to others in the department.
* Responsible for lead generation for enrollment of new members
* Working with assigned Sales Agent to facilitate appointments, presentations, and enrollments.

Qualifications
* Bachelor’s degree preferred
* Proficient at Microsoft Office products and learning reporting applications
* Excellent communication skills.
* Must have and maintain a valid insurance license for the appropriate market.
* At least three years experience related experience
* Demonstrated knowledge of contracting process, Medicare fee schedules, financial terms, and metrics.

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CIGNA - 18 months ago - save job - block
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With a significant position in the US health insurance market, CIGNA covers some 11.5 million Americans with its various medical plans. The...