Related keywords: customer care remote jobremote job in healthcarehealthcare remote job
The Provider Contracting Advisor position at Cigna Healthcare, a division of The Cigna Group, presents an exciting opportunity for professionals skilled in the healthcare sector, particularly in provider contracting and network management. The company is on the lookout for a candidate who can help shape their provider network, making significant contributions to the healthcare community.
In this role, you will have several key responsibilities aimed at managing and improving healthcare contracts. These include:
Managing complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems.
Leading key market contracting strategy projects and overseeing direct reports to streamline operations.
Building and maintaining strong provider relationships to ensure network growth and foster value-based business opportunities.
Collaborating closely with various departments, such as Claims, Medical Management, and Credentialing, to ensure successful execution of contracts.
Developing strategic network positions that identify both value-oriented and risk-based opportunities. Your contributions will also play a role in alternative network initiatives and analyses.
Preparing, reviewing, and projecting the financial impacts of large or complex provider contracts and alternative terms.
Ensuring operational accuracy in Health Care Provider (HCP) agreements through effective cross-functional collaboration.
Resolving escalated provider issues and managing important provider relationships, drawing from a deep understanding of the local market landscape.
Candidates interested in this position should have a strong background and a set of skills that align with the healthcare contracting field. The following are the essential qualifications:
3-5+ years of healthcare provider contracting and negotiating experience, particularly in settings involving complex physician groups and ancillary services.
A background in managed care, healthcare, or health insurance is critical, especially in regard to commercial contracting.
Proven leadership experience that demonstrates your ability to mentor and guide others.
Strong skills in managing provider relationships and developing long-term partnerships.
Knowledge of complex reimbursement methodologies, particularly incentive-based models, is strongly preferred.
A deep understanding of hospital, managed care, and provider business models, with the capability to influence diverse stakeholders like sales and provider audiences.
Exceptional presentation and communication skills that allow you to build relationships effectively within a fast-paced, matrixed organization.
A customer-centric approach, along with strong interpersonal skills, will help you navigate changes effectively.
Solid problem-solving, decision-making, negotiation skills, and proficiency in contract interpretation and financial analysis.
Proficiency in tools such as Microsoft Office is also required for this role.
While not mandatory, the following qualifications may enhance your application:
A Bachelor's degree in a related field is preferred; however, relevant industry experience may substitute for this educational requirement. An MBA or MHA is also desirable.
As this position may include remote work, a reliable internet connection is necessary (minimum speeds of at least 10Mbps download and 5Mbps upload).
The role primarily operates within Cigna Healthcare, which values health and wellness, aiming to advocate for better health at every stage of life. The position is designed to guide customers through the healthcare system and empower them with the insights needed to make informed health decisions.
Cigna promotes an inclusive workplace, ensuring that qualified applicants are considered for employment without regard to race, color, age, disability, gender identity or expression, nationality, and several other characteristics protected by law. They also have provisions for reasonable accommodations during the application process and a strict tobacco-free policy in states where this is legally permissible.
If you are driven, knowledgeable, and eager to enhance your career in healthcare contracting and management, the Provider Contracting Advisor position at Cigna Healthcare could potentially be a perfect fit for you, provided you meet the required qualifications. This role not only offers a chance to influence the healthcare field significantly but also promises professional growth in a supportive work environment.
This job offer was originally published on himalayas.app
This job offer summary has been generated using automated technology. While we strive for accuracy, it may not always fully capture the nuances and details of the original job posting. We recommend reviewing the complete job listing before making any decisions or applications.
