ProviderContractingAdvisor

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a Provider Contracting Advisor, you’ll report to the AVP, Provider Network Management. In this individual contributor role, you’ll assist in developing the strategic direction and management of day-to-day contracting and network management. This is a hybrid position based in Raleigh, NC. **Responsibilities** * Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems. * Lead key market contracting strategy projects with responsibility for managing direct reports as assigned. * Build and maintain strong provider relationships to support network growth and value-based business opportunities. * Coordinate closely with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure aligned execution. * Develop strategic network positions, identif _y_ value-oriented and risk-based opportunities, and contribute to alternative network initiatives and analytics. * Work to meet unit cost targets while maintaining an adequate, competitive provider network. * Design and manage initiatives to improve medical cost and quality, offering consultative guidance informed by clinical informatics. * Prepare, review, and project the financial impact of large or complex provider contracts and alternative terms. * Create, implement, and ensure operational accuracy of HCP agreements through effective cross-functional collaboration. * Lead resolution of escalated provider issues and manage key provider relationships with deep knowledge of the local market landscape including contract loading and maintenance. **Required Qualifications** * 3-5+ years of healthcare provider contracting and negotiating experience involving complex physician groups and ancillaries * Background in managed care, healthcare, or health insurance, including commercial contracting * Proven leadership experience, including mentoring an