LOCATION REQUIREMENTS

• Desired work location: Denver, CO and surrounding area

• Field work – approximately 3 days weekly, local travel (Position requires that the time be spent primarily externally with administrative support).

• Reliable transportation and valid driver’s license

• Mileage reimbursement provided

Job Summary:

The Provider Performance External Representative is a key member of the market that assists in the growth and development of the provider network. The External Representative is the primary conduit to the providers and the individual that represents Cigna Medicare Advantage.

The Provider Performance External Representative’s responsibilities include:

• Supporting the development, management and oversight of the physician/ provider network in his/her assigned territories.

• Establishing and managing strong, solid relationships with assigned provider groups and their staff (e.g. physicians, practice managers, care coordination teams), as well as executingwithprovidergrouponinitiatives thatbenefitthecustomer,provider,andhealth plan.

• Educating providers on the performance requirements associated with value-based contracts.

• Conducting regular provider visits to educate providers and office staff on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment, medical cost management, etc.

• Schedules, prepares for and participates in meetings with providers, provider staff, and/or physician leadership including creating and delivering presentations.

• Collaborating with Provider Performance Senior Manager/Manager on strategic plans on growth, development, and vision for assigned territory. Participating with the Senior Manager/Manager in monthly financial review.

• Assisting in initiatives and performing special projects and other duties as assigned by leadership

• Developing time and cost-effective territory management in compliance with department and enterprise goals.

• Understanding,developing,tracking,monitoringandreportingonkeyprogramperformance metrics, such as utilization, coding, and Stars/quality performance.

• Partnering with other internal departments, including but not limited to Health Services, Medical Economics, Sales, and Stars & Risk Adjustment in order to develop solutions for strategic business needs

• May provide guidance to others in the department

Core Responsibilities:

All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects:

Growing the Medicare Advantage Business

The Provider Performance External Representative is accountable for the growth of the assigned sub-market in terms of financial profitability, engagement of provider network and membership growth.

Delivering our Services

The Provider Performance External Representative is accountable for the exceptional delivery of services in the assigned sub-market as evidenced by physician and member satisfaction, improvements on Stars and NPS score.

Managing our Costs

The Provider Performance External Representative assists in ensuring the affordability of services in the assigned sub-market by applying his/her influence, where applicable, to various cost levers within his/her control.

Developing our People

The Provider Performance External Representative provides leadership and management across team/s in the assigned sub-market if applicable, or informally mentors team members as appropriate.

Collaborating with our Partners

The Provider Performance External Representatives seamlessly collaborates with all applicable partners to ‘solve for Cigna’, and may lead initiatives within his/her area that improve service delivery within the business or assist in other special projects.

Qualifications:

• Bachelor’s degree or equivalent direct experience with health plan operations, preferably specific to government sponsored health plans.

• Ability to apply an enterprise mindset with business acumen resulting in meeting goals ingrowthandprofitability

• Shows ability to think strategically, customer focus and ability to develop strong, lasting relationships with providers resulting in deeper collaboration and satisfaction

• Capacity for leading initiatives and influencing people on teams

• Abilitytodevelopstrongrelationshipsacrossmultiplelevelsoftheorganization

• Effective communicator

• Technology Proficient –MicrosoftOutlook,PowerPoint,Excel, andWord

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 annual salary of 67,400 - 112,400 USD / yearly, 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.