Cigna Healthcare

Healthcare

ProviderContractingSeniorManager

$145–215k ~AI est. Memphis, Tennessee, United States FULL TIME
The Brief

“Provider Contracting Senior Manager at Cigna Healthcare. Skills: Provider contracting, Network management, Negotiation. Manage contracts and negotiations. Build relationships that nurture provider partnerships”

What You'll Achieve.

Meet unit cost targets; Preserve adequate network; Achieve competitive position

Industry & Context.

Healthcare
Problems you'll solve

Problem solving; Decision making; Negotiating skills

What They're Looking For.

Must Have

Bachelor degree or industry experience, 5 years contracting and negotiating experience, Knowledge of complex reimbursement methodologies

Nice to Have

MBA or MHA preferred, Prior experience in network governance, Prior experience managing direct reports, Prior experience leading project teams, Experience developing and managing key provider relationships

What You'll Do.

Manage contracts and negotiations

Build relationships that nurture provider partnerships

Seek broader value-based business opportunities

Be responsible for Cigna's cost of care

Be responsible for affordability

Be responsible for network composition

Be responsible for competitive position

Be responsible for network and business strategy

nurture and maintain communication channels

Be responsible for meeting unit cost targets

Preserve an adequate network

Achieve and maintain Cigna's competitive position

value-based relationships

Assist in resolving elevated provider service complaints

Negotiate with internal/external partners/customers

Resolve highly complex issues

Manage key provider relationships

Interface with providers and business staff

Demonstrate knowledge of providers

Understand interrelationships

Understand competitive landscape

Be responsible for accurate contract loading

Be responsible for timely contract submissions

Interface with matrix partners for network implementation

Interface with matrix partners for network maintenance

How You'll Work.

Team & Collaboration

Matrix partners; Provider partnerships; Internal/external partners; Business staff

Communication Scope

Written communication; Verbal communication; Formal presentations

Free ATS check

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