Portuguese Speaking Provider Network Manager

Portuguese Speaking Provider Network Manager

Join to apply for the Portuguese Speaking Provider Network Manager role at The Cigna Group

Portuguese Speaking Provider Network Manager

3 days ago Be among the first 25 applicants

Join to apply for the Portuguese Speaking Provider Network Manager role at The Cigna Group

As a Provider Network Manager you will be part of the Provider Services Organization, being responsible for developing and managing relationships with Health Care Providers in Africa. You will work very closely with peers and stakeholders strategically positioned across the globe to deliver best in class service to CGHB’s providers, customers and clients.

Key to the role will be managing providers’ end-to-end journey, from on-boarding, enquiries, training, performance monitoring, complaints resolution and driving engagement initiatives.

Key Responsibilities

• Manages contracting and relations with healthcare providers including but not limited to Hospitals, clinics, pharmacies and physicians.
• Collaborates with respective teams in performing service area analysis and cost analysis to identify network development and renegotiation opportunities.
• Acts as an expert with regards to the medical landscape in the countries within your region and continuously monitor evolutions in that respect.
• Conducts smooth on-boarding and all aspects of health care professional education for existing and newly contracted health care professionals in the region.
• Manages day-to-day operational maintenance of provider relationships including resolution of potential complaints, escalations, suspensions or threats.
• Monitors and analyzes data such as Operations KPIs and reconciliation results to provide a comprehensive support to providers on their interpretation.
• Strive for continuous service improvement via analyses of root causes and proactive implementation of data-driven initiatives.
• Proactive communication with providers and maintenance of provider communications channels taking into consideration the local habits and practices..
• Provide consolidated feedback to PSO management team
• Conduct provider visits as applicable and regular meetings with your dedicated health care providers.

Your profile

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 require reasonable accommodation in completing the online application process, please email : for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

Seniority level

Seniority level

Mid-Senior level

Employment type

Employment type

Full-time

Job function

Job function

Information Technology

Industries

Hospitals and Health Care

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