Provider Contracting Lead Analyst - North or South Carolina

Responsibilities:

• Lead ancillary provider and health system contract negotiations with manager and senior teammate oversight.

• Perform detailed financial modeling and analysis related to provider contracts to exceed planned timing and performance expectations.

• Efficiently leverage complex internal systems and processes to support provider contract administration.

• Use strong verbal and written communication to strengthen provider relationships and contribute as a valued member of the external facing relationship management team.

• Establish, develop, and maintain relationships. Within your assigned market, you’ll be expected to cultivate relationships with providers, both current and prospective. You will build and maintain relationships that nurture provider partnerships to support the local market strategy.

• Understand the interrelationships and competitive landscape of the providers in your geographic area.

• Understand the dynamics of provider networks. Support strategic positioning for provider contracting, assist in the development of Commercial networks and help to identify opportunities for greater value-orientation.

• Be a team player. Work closely with a variety of internal and external individuals to accomplish your goals, including your Manager, Provider Service, Provider Data Management, Fee Schedule Management, Regional Director, Legal, Network Analytics, Compliance and Sales

Qualifications:

• Bachelor’s degree in Finance, Accounting, Economics, Healthcare Administration, or a related field preferred. Significant industry experience will be considered in lieu of a Bachelor degree.

• Minimum 2 years in Commercial Provider Contracting, Network Operations or Pricing Required.

• Highly motivated, confident, energetic, and positive attitude

• Strong communication and presentation skills, along with listening ability

• Strong analytic skills and financial acumen

• Willing and able to take initiative and is results-oriented

• Effective critical thinking, problem-solving and influencing skills

• Exceptional work ethic, willing and eagerness to succeed – a proven self-starter

• A high degree of honesty and integrity

• Ability to collaborate with others

• Goal-oriented and career-minded

• Exceptional customer service standards and delivery

• Ability to thrive in a fast-paced environment

• Ability to prioritize projects and to handle multiple demands simultaneously

• Proficient in Microsoft Office

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

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 need a reasonable accommodation to complete the online application process, please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Originally posted on Himalayas