Cigna Healthcare

Healthcare

ProviderContractingAdvisor

$95–145k ~AI est. Raleigh, North Carolina, United States FULL TIME Remote Friendly
The Brief

“Provider Contracting Advisor at Cigna Healthcare. Skills: Provider contracting, Network management, Negotiations. Manage contracting. Manage negotiations”

Industry & Context.

Healthcare
Problems you'll solve

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

Free ATS check

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