Provider Inquiry Coordinator - French Speaking at Cigna

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit - headquartered in Belgium - focuses on the needs of International...

 

Provider Inquiry Coordinator - French Speaking

  • Job TypeFull Time
  • QualificationBA/BSc/HND
  • Experience2 years
  • LocationNairobi
  • Job FieldData, Business Analysis and AI 

Job Description Summary

Delivers best in class service to HCP by handling daily queries, escalations, complaints, reconciliations and suspensions. Analyses root causes in order to correct deviations and implement initiatives to improve service delivery. Closely collaborates with provider network team and other key stakeholders to coordinate actions, projects and improvement plans aimed to improve member and provider experience.

Job Description

As a Provider Inquiry Coordinator (PIC) you will be part of Provider Relations Team embedded into the Provider Services Organization, being responsible for escalation, reconciliation, relationship, and suspension management with Health Care Providers. 

You will be in charge of the communication of the outcome to the facilities, support them in interpreting the feedback received from Cigna and close follow up on the further actions needed.  You will work very closely with your peers and the rest of Provider Services Organization across the globe. 

Your role includes:

  • Responsible to enable an effective and efficient collaboration with health providers through monitoring and analysing the results of the reconciliation of the accounts fulfilled by the Provider Reconciliation team and other Operational KPIs;  
  • Comprehensive support on their interpretation and assurance of further follow up if needed. 
  • Conduct regular root cause analysis and consolidated feedback of the data obtained out of the Reconciliation outcome or other sources, striving for continuous service delivery improvement through BAU collaboration with different teams;
  • Active communication and prompt follow up combined with regular meetings with your dedicated health care providers.
  • Participation in coordination sessions with Network and Operations teams seeking for better practices in order to prevent service deficiencies and assure 5 star experience to health care providers;
  • Being a person of contact for providers and stakeholders in regards of Operational issues / queries within the IHDS organization
  • Support the PR Team to determine short and middle term solutions for smooth reconciliation process with Providers by continuously analysing the intake of queries and complaints, as well as conducting reviews of the current processes for potential improvements.
  • Consolidated feedback to PR Team striving for continuous service delivery improvement through BAU collaboration with different teams.
  • Deliver on operational KPI’s within the PR team in terms of production, quality, TAT, suspensions and provider NPS.

Your Profile

  • Internal Candidates: 2 years of Cigna experience, relevant experience in other functions/companies, and a strong performance track record.
  • External Candidates: At least 2 years of experience in Operations, Data analysis, Marketing/Communications or Relationship Management, with operational and customer/provider-facing experience profile.
  • Proficient in English, additional language required (French is a must)
  • Strong analytical and problem-solving skills.
  • International mind-set able to work remotely with colleagues, partners and providers across the globe.
  • Striving for excellent service to our members, clients and providers is part of your DNA.
  • Detail oriented
  • Ability to engage in multiple tasks and meet deadlines.
  • Act with a sense of urgency to research questions or issues brought by different teams. Identify the right parties or resources to resolve these issues.
  • Ability to assess the situation/issue, carry out appropriate research, gather the relevant data and provide constructive feedback on the outcome.
  • Excellent communication skills – verbal, written and presentation. 
  • Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.
  • Strong practical knowledge of MS Office applications (Advanced Excel Skills preferred).

Method of Application

Interested and qualified? Go to Cigna on cigna.wd5.myworkdayjobs.com to apply

Comments

Post a Comment

Popular posts from this blog

Project Director at LVCT Health

LVCT Health is an indigenous Kenyan non-governmental and not-for-profit organization established in 2001. We are driving Kenya towards HIV prevention, with an ultimate goal of reducing HIV infections to zero. We offer integrated HIV services through development of models that are scaled up to the national models. We also carry out sexual and reproductive ...   Project Director Job Type Full Time Qualification MBA/MSc/MA Experience 7 - 10 years Location Kiambu Job Field Medical / Healthcare  Job purpose The Project Director will be responsible for providing overall strategic and technical oversight to the Dhibiti Project in Central region. This includes responsibility for the technical, monitoring and evaluation and financial and operations components of the project. S/he will work closely with the Program Director and other directors/managers to ensure adherence to technical and contractual requirements of the grant, achievement of targets and project alignment to institutional vision
Read more

Information Communication Technology - 12 Posts at Judiciary of Kenya

The Judiciary is one of the three State organs established under Chapter 10, Article 159 of the Constitution of Kenya. It establishes the Judiciary as an independent custodian of justice in Kenya. Its primary role is to exercise judicial authority given to it, by the people of Kenya. The institution is mandated to deliver justice in line with the Constitut...   Information Communication Technology - 12 Posts Job Type Contract Qualification Diploma Experience Location Nairobi Job Field ICT / Computer  , Internships / Volunteering  Job Description For appointment to an internship position in ICT, a candidate must:  Have a Diploma in any of the following fields: Computer Science, Information Technology, Information and Communication Technology or its equivalent from a recognized institution. Have graduated not earlier than the  year 2022;  Method of Application Interested and qualified? Go to Judiciary of Kenya on jobs.court.go.ke to apply
Read more

School Office Administrative Officer (a female preferred) at Tamkeen Integrated Schools

School Office Administrative Officer (a female preferred) Job Type Full Time Qualification BA/BSc/HND , Diploma Experience 3 - 5 years Location Nairobi Job Field Administration / Secretarial  Tamkeen Integrated Schools (TIS), is a private school in Kileleshwa providing the revered Cambridge System from Kindergarten to A-levels with a strong emphasis on STEM, Islamic Education, and Coding Programs. Our holistic approach integrates spiritual enrichment, recreation, and specialized teaching in Islamic Values, Arabic, and Quran memorization, fostering student ownership of learning in a modern Islamic education system. Tamkeen Integrated Schools is actively seeking a highly skilled Administrative Officer to join our team. The ideal candidate will bring a wealth of experience in school office administration, with a specific focus on the Cambridge system and academic matters. Exceptional organizational skills and a strong commitment to customer service and problem solving are essential. Key R
Read more