Provider Relations Coordinator - Cigna Healthcare

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.

About Cigna Group

• The Cigna Group 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.

Responsibilities

• 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.
• 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.

Requirements

• 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.