Network Operations Advisor - Alabama

Network Operations Advisor

Summary/Overview of role:

The Provider Engagement Advisor- serves as an integral member of the CareAllies Provider Engagement Market Team and reports to the Senior Manager. The role manages and executes the strategic plan for Independent Physician Association (IPAs) in the Alabama market as well as supervising and partnering with a market provider engagement representative, team and CareAllies initiatives. 

Responsibilities:

• Responsible for general oversight and management of Independent Physician Associations (IPAs) relationships.  Including but not limited to management of provider network financials, pro-forma budget preparation and implementation, monthly action plans, reviews, and verification.

• Develops and provides guidance on IPA/POD strategy, vision, and action plan development for the CareAllies Managed IPAs/PODs. 

• Responsible for network development, including physician contracting, rate negotiations, network relationships, network communication, physician recruitment, and network partnerships as well as expansion of network and products offered by Health plan partners.

• Participates in network and Company meetings, including physician board of directors, quality management, financial/bonus and interdisciplinary team meetings and other committees and projects as necessary. 

• May manage a single Lead Analyst, Senior Analyst, Analysts and/or Associate Analyst position and is responsible for the career development of the person.

• Local travel in the Birmingham and Montgomery, AL area up to 40%. Travel is required for out of state conferences and meetings 3-4x a year 

Qualifications:

• Bachelor’s degree or equivalent work experience
• Five years or more work experience in health care service delivery, healthcare strategy and operations, network development/contract management role required
• Independent Physician Associations (IPAs)
• Experience in physician relations or managed care.
• Previous people management experience strongly preferred
• Experience building strong, positive relationships with providers preferred
• Comfortable presenting to executive level and provider groups
• Experience with-PowerPoint, Word, Excel- intermediate to advanced
• Excellent communication skills-verbal, written and presentation. 
• Strong analytical and problem solving skills. 
• Must be an independent thinker and time management and organizational skills are a must

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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

Cigna 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.