Cigna Healthcare
Healthcare
ProviderContractingAdvisor
“Provider Contracting Advisor at Cigna Healthcare. Skills: Provider contracting, Network management, Negotiations. Manage contracting and negotiations. Build relationships”
What You'll Achieve.
Meet unit cost targets; Preserve adequate network; Achieve competitive position; Improve total medical cost; Improve quality
Industry & Context.
Problem solving; Decision making; Negotiating skills
Live in Tennessee
What They're Looking For.
Must Have
3+ years Managed Care contracting, 3+ years negotiating experience, Bachelor's degree Finance, Bachelor's degree Economics, Bachelor's degree Healthcare, Bachelor's degree Business, Significant industry experience
Nice to Have
MBA preferred, MHA preferred, Knowledge of complex reimbursement methodologies, Knowledge of incentive based models
What You'll Do.
Manage contracting and negotiations
Nurture provider partnerships
Seek value-based business opportunities
Initiate communication with matrix partners
Maintain communication with matrix partners
Contribute to alternative network initiatives
Support network analytics development
Provide direction for network analytics
Meet unit cost targets
Preserve adequate network
Achieve competitive position
Improve total medical cost
Drive change with providers
Assess clinical informatics
Offer consultative expertise
Assist with total medical cost
Prepare financial impact
Analyze financial impact
Review financial impact
Project financial impact
Create healthcare provider agreements
Meet internal operational standards
Meet external provider expectations
Ensure accurate implementation
Ensure accurate administration
Resolve elevated provider complaints
Resolve complex provider complaints
Negotiate with partners
Negotiate with customers
Resolve escalated issues
Manage key provider relationships
Interface with providers
Interface with business staff
Demonstrate knowledge of providers
Understand provider interrelationships
Understand competitive landscape
Ensure timely contract loading
Ensure timely contract submissions
Interface with matrix partners
Provide guidance to specialists
Provide expertise to specialists
How You'll Work.
Team & Collaboration
Communication with matrix partners; Interface with matrix partners
Communication Scope
Verbal communication; Written communication; Formal presentations
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