Cigna Healthcare
Healthcare
ProviderContractingAdvisor
Neural analysis suggests this role is
optimal for Mid candidates.
“Provider Contracting Advisor at Cigna Healthcare. Skills: Provider contracting, Network management, Negotiations. Manage contracting. Manage negotiations”
Industry & Context.
Problem-solving; Decision-making
What They're Looking For.
Must Have
3-5+ years healthcare provider contracting, Negotiating experience, Complex physician groups, Ancillaries experience, Managed care background, Healthcare background, Health insurance background, Commercial contracting experience, Proven leadership experience, Mentoring experience, Guiding others experience, Provider relationship management skills, Developing long-term partnerships, Deep understanding of hospital business models, Managed care business models, Provider business models, Influence sales audiences, Influence provider audiences, Exceptional presentation skills, Exceptional communication skills, Build internal relationships, Customer-centric approach, Interpersonal skills, Confidence navigating change, Problem-solving skills, Decision-making skills, Contract interpretation skills, Financial analysis skills, Proficiency in Microsoft Office
Nice to Have
Knowledge of complex reimbursement methodologies, Incentive-based models knowledge, Bachelor's degree, MBA, MHA
What You'll Do.
Lead market contracting strategy projects
Manage direct reports
Build provider relationships
Maintain provider relationships
Coordinate with matrix partners
Develop strategic network positions
Identify value-oriented opportunities
Identify risk-based opportunities
Contribute to alternative network initiatives
Contribute to analytics
Meet unit cost targets
Maintain provider network
Offer consultative guidance
Prepare financial impact
Review financial impact
Project financial impact
Create HCP agreements
Implement HCP agreements
Ensure operational accuracy
Lead resolution of escalated provider issues
Manage key provider relationships
Manage contract loading
Manage contract maintenance
How You'll Work.
Team & Collaboration
Matrix partners coordination; Cross-functional collaboration
Communication Scope
Presentation skills; Communication skills
Full Job Description
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
Applying for this Provider Contracting Advisor role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Workday
- Workday has a multi-step form — save your progress after every section.
- "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
- Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
- Job requisition numbers are useful when following up with HR by email.
ANONYMOUS · UNFILTERED
What do employees actually say about Cigna Healthcare?
Real rants from real employees. Read before you apply.