Urgent! Provider Relations Associate Analyst - EviCore - Remote Job Opening In Bloomfield – Now Hiring The Cigna Group
**Provider Relations Associate Analyst**
**Summary:**
The Provider Relations Associate Analyst acts as a key liaison between EviCore’s contracted provider network and internal teams.
This role serves as the primary point of contact for provider and health plan inquiries, escalations, and operational issues.
Success in this role requires a strong understanding of claims processing, contracting, credentialing, prior authorization workflows, and client-specific requirements.
**Key Responsibilities:**
• Serve as the first line of support for contracted providers and health plans, addressing inquiries and resolving escalated issues.
• Facilitate communication between providers, health plans, and internal departments including operations, technology, and client services.
• Investigate and resolve operational issues related to claims, contracting, credentialing, eligibility, and complaints using defined processes and independent judgment.
• Ensure timely follow-up and resolution of provider concerns, maintaining clear documentation and communication throughout.
• Deliver high-quality service and ensure providers fully understand resolution outcomes and next steps.
• Navigate multiple internal platforms to access provider data, member information, authorizations, and claims.
• Support special projects through research, analysis, and ongoing maintenance to ensure operational efficiency and alignment with business and department goals.
**Qualifications:**
• Associate’s degree or equivalent work experience required.
• Minimum of 2 years of experience in provider relations, client services, or healthcare operations.
• Strong working knowledge of claims processes is required.
• Proficiency in Microsoft Word and Excel (e.g., documentation, mail merges, data entry, spreadsheet creation).
• Experience with EMOS a plus
• Experience with ticketing or case management systems preferred.
• Must be able to work a full-time schedule (40 hours/week) within operating hours of 7:00 AM – 7:00 PM EST.
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 hourly rate of 20 - 30 USD / hourly, 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 Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
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._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
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Unlock Your Provider Relations Potential: Insight & Career Growth Guide
Real-time Provider Relations Jobs Trends in Bloomfield, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Provider Relations in Bloomfield, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 32359 jobs in United States and 24 jobs in Bloomfield. This comprehensive analysis highlights market share and opportunities for professionals in Provider Relations roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! The Cigna Group is currently hiring and seeking a Provider Relations Associate Analyst EviCore Remote to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Provider Relations Associate Analyst EviCore Remote Jobs Bloomfield.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at The Cigna Group adheres to the cultural norms as outlined by Expertini.
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Key qualifications for Provider Relations Associate Analyst EviCore Remote typically include Other General and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
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Before the Interview:To prepare for your Provider Relations Associate Analyst EviCore Remote interview at The Cigna Group, research the company, understand the job requirements, and practice common interview questions.
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