Provider Relations Associate Analyst

  • Location

    Franklin, United States

  • Sector:

    Other Area(s)

  • Job type:


  • Contact:

    Leric Arcigal

  • Job ref:


  • Published:

    about 1 year ago

  • Expiry date:


Perform review of the transaction received for credentialing, contracting and loading based on Center for Medicare and Medicaid Centers (CMS), National Committee of Quality Assurance (NCQA), IRS TIN Matching Program and Cigna Requirement and loading standards Outreach to the providers office for discrepancy and missing information and track information on tracking tool Partner with various matrix partners for resolution of issues including, but not limited to Credentialing, Provider Support Unit, Provider Development Management, Contracting and Provider Representatives Work with provider or group by phone, email, or mail regarding Onboarding status Schedule Cigna outreach follow-up requirements Meet individual and department metrics Job involves a high degree of complexity and business logic