Contract Implementation Manager- Remote

• Unites States Work from Home*

POSITION OVERVIEW
The Medicare Network Operations team that ensures provider contracts are submitted and monitored through the loading process. This position is responsible for all executed contracts and functions as the liaison with the Provider Operations (data management) and Contracting teams.

RESPONSIBILITIES

Submit executed provider contracts for loading and monitor the loading process.

Interface with matrix partners for network implementation and maintenance.

Function as a liaison between internal key matrix partners (PDM, PDQ, Configuration) to ensure delivery of operational excellence.

Initiate and monitor the provider credentialing requests.

Setup delegation arrangements and data exchanges for new provider groups.

Assist in resolving elevated and complex provider service complaints, highly complex issues, and/or escalated issues.

Support provider termination process and coordination of efforts to retain members impacted by terms.

REQUIREMENTS

Knowledge of healthcare insurance industry, terminology, provider networks, contracting and credentialing preferred.

Ability to develop an understanding of market-specific nuances and network constructs.
Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards)
Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.
Strong analytical and problem-solving skills.
Ability and willingness to share knowledge.
Excellent communication skills – verbal, written and presentation.
Working knowledge of SharePoint, Microsoft Word, Excel, and Access.

KEY PERFORMANCE INDICATORS:
Success will be measured by timeliness and accuracy of contracts loaded into the provider network.

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.

For this position, we anticipate offering an hourly rate of 25 - 37 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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.