The Provider Relations role is responsible for building and maintaining effective relationships with healthcare providers while supporting the resolution of operational and service-related issues. The role serves as a key point of contact for assigned providers and works closely with internal stakeholders to ensure issues are understood, appropriately prioritized and driven toward resolution.

In addition to responding to provider enquiries and escalations, the role is expected to take a proactive approach to provider management, using operational insights, provider feedback and recurring issue trends to identify opportunities for service improvement and strengthen the overall provider experience.

Responsibility:

• Manage relationships with assigned healthcare providers, acting as a key point of contact for operational matters, enquiries and escalations.
• Take ownership of complex or sensitive provider issues, using sound judgement to investigate root causes, coordinate stakeholders and drive timely resolution.
• Proactively identify emerging provider concerns, recurring issues and operational risks, taking appropriate action before they develop into significant service or relationship issues.
• Partner with Operations and other internal stakeholders to resolve provider issues and improve service delivery and the overall provider experience.
• Communicate complex matters clearly to providers and maintain effective engagement through regular discussions, meetings and follow-up on agreed actions.
• Analyze provider feedback, complaints, reconciliation outcomes and operational indicators to identify trends and recommend practical improvements.
• Deliver against relevant operational KPIs, service standards and turnaround expectations while contributing to continuous improvement initiatives.

Your Profile:

• 2–4 years of relevant professional experience, preferably within healthcare, insurance, provider relations, operations, relationship management or a comparable customer/stakeholder-facing environment.
• Strong communication and relationship-management skills, with the confidence to interact professionally with both external providers and internal stakeholders.
• Demonstrated ability to manage multiple priorities and follow issues through to completion.
• Strong analytical and problem-solving capability, with the ability to gather information from different sources and make practical recommendations.
• Ability to work independently while collaborating effectively across functions and geographies.
• Strong written and spoken English.
• Good working knowledge of Microsoft Office applications, particularly Excel.

About The Cigna Group