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Provider Contracting Lead Analyst

Company: Cigna Health and Life Insurance Company
Location: Charlotte
Posted on: September 14, 2020

Job Description:

· Responsible for general oversight and management of ancillary contracting and relationships. Including but not limited to management of provider network financials, strategy and implementation, monthly action plans, reviews, and verification

· Develops and provides guidance on Ancillary strategy, vision, and action plan development for the Cigna Medicare book of business

· Responsible for network development, including contracting, rate negotiations, network relationships, network communication, and network partnerships as well as expansion of network and products offered by Health plan partners

· Participates in network and Company meetings

· Provides advanced professional input to complex Network Management assignments/projects

· Develops and manages the physician/provider network

· Develops programs to recruit, service, train, and reimburse physicians and providers

· Solicits participation of physicians, hospitals, ancillary, institutional, and other health service providers to establish networks

· Responsible for contracting, credentialing, relationships, and services

· Serves as a communication link between prospective providers and the organizations

· Negotiates contracts to develop networks

· Designs and implements programs to maintain positive relationships between the health plan, physician, providers, and practice managers.

· Supports and provides direction to more junior professionals

· Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures

· Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Network Operation

Qualifications:

· College degree strongly preferred, with a Master’s degree preferred

· Experience in ancillary contracting and managed care

· Knowledge of contracting process, contract management, network operations, Medicare fee schedules, financial terms, and metrics

· Excellent communication skills-verbal, written and presentation

· Strong analytical and problem solving skills

· Able to work autonomously, only requiring “expert” level technical support from others

· Must be an independent thinker and time management and organizational skills are a must

· Local Travel may be required for provider relationships. Approximately 10%

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Posted 16 Days Ago

Full time

20012569

About Us Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

Keywords: Cigna Health and Life Insurance Company, Charlotte , Provider Contracting Lead Analyst, Other , Charlotte, North Carolina

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