Role Summary:

The successful candidate will be responsible for oversight of credentialing and recredentialing for the Cigna enterprise credentialing organization, records management in accordance to state and federal regulations as well as supervision of credentialing team members. The candidate will also ensure compliance within job aids to Cigna's policies, as well as NCQA and CMS Standards.

Responsibilities:

Leads Provider Credentialing team with full technical responsibility for team output.

Oversees and monitors the procedures for the credentialing or re-credentialing of physicians and/or providers.

Oversees the processing of provider applications and re-applications including the initial mailing, review, and loading.

Manages data preparation and assists with development of recommendations for credentialing committee review and approval.

Adapts departmental plans and priorities to address resource and operational challenges.

Focuses on ensuring short-term outputs and the effectiveness of team integration with other work areas.

Provides input into workforce planning and recruitment activities.

Qualifications/Skills

Bachelor's degree or higher strongly preferred or equivalent work experience required.

2+ years of management experience preferred.

2+ years of credentialing experience highly preferred.

Microsoft Excel, Word, and Adobe knowledge preferred.

Deadline oriented and accountable for production.

Excellent time management and organizational skills.

Excellent critical thinking and problem solving skills.

Strong attention to detail and quality results.

Effective oral and written communication skills.

Ability to quickly grasp new concepts.

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 58,000 - 96,600 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 The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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: [email protected] for support. Do not email [email protected] 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.