Crystal Cathey
Cordova
Summary
Experienced Provider Relations Professional with over 7 years of expertise in enhancing provider engagement and service efficiency at Cigna Healthcare. Recognized for strong adaptability and critical thinking skills, with expertise in leveraging tools such as Tableau and Arcadia to drive data informed improvements. Known for fostering cross-functioning collaboration and upholding high standards of service excellence, with a consistent commitment to innovation and delivering impactful healthcare solutions.
Overview
7
7
years of professional experience
Work History
Provider Network Consultant
Health Care Service Corporation, HCSC
03.2025 - Current
- Troubleshoot complex network/contract issues, working closely with colleagues across multiple departments as needed for resolution.
- Collaborated with cross-functional teams to enhance operational efficiency and streamline workflows.
- Mentor new analysts on data analysis methods, ensuring consistent interpretation and successful task completion.
- Nurture strong working relationships with my aligned clients, ensuring their needs were met while exceeding expectations on deliverables.
- Analyze data to identify root causes of problems and recommend corrective actions.
- Establish a foundation for long term growth and adaptability in a changing healthcare landscape.
Medicare Provider Relations Senior Analyst
Cigna Healthcare
04.2023 - 03.2025
- Resolve provider inquiries efficiently, enhancing service efficiency and compliance.
- Educate providers to align with Cigna's strategic goals, improving relations.
- Collaborate with teams to refine provider relations strategies, ensuring service excellence.
- Manage escalated issues, maintaining compliance with service levels and standards.
- Track service metrics, contributing to measurable improvements and timely resolutions.
Provider Data Senior Representative
Cigna Healthcare
05.2021 - 04.2023
- Managed provider data updates, ensuring audit readiness within 48 hours.
- Resolved provider loading issues, improving data accuracy.
- Collaborated with teams to maintain positive provider relations.
- Executed outreach calls for data verification, enhancing accuracy.
- Processed check requests for timely financial operations.
Intake Care Senior Representative
Cigna Healthcare
07.2018 - 05.2021
- Managed authorizations, improved team efficiency, boosted compliance by 20%.
- Led weekly huddles, trained 15 specialists, enhanced platform knowledge.
- Maintained physician relationships, ensured guideline adherence, improved engagement.
- Streamlined outreach processes, ensured CMS compliance, increased member satisfaction.
Education
Medical Office Professional Diploma -
Concorde Career College
Memphis, TN11.2014
High School Diploma - undefined
Melrose High School
Memphis, TN05.2002
Skills
- Time Management
- Client relationship management
- Unified communication
- Adaptability
- Problem-Solving
- Client management
- Critical Thinking
- Performance monitoring
- Tableau software
- Data analysis
- Network management
- MS Excel
Accomplishments
- 2018 Cigna Champion
- 2019 Nominated for Customer-Centricity Ambassador Program
Timeline
Provider Network Consultant
Health Care Service Corporation, HCSC
03.2025 - Current
Medicare Provider Relations Senior Analyst
Cigna Healthcare
04.2023 - 03.2025
Provider Data Senior Representative
Cigna Healthcare
05.2021 - 04.2023
Intake Care Senior Representative
Cigna Healthcare
07.2018 - 05.2021
High School Diploma - undefined
Melrose High School
Medical Office Professional Diploma -
Concorde Career College
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