Provider Contracting Manager – Cigna Healthcare
Job Description:
• Manages complex contracting and negotiations for fee for service and value-based reimbursements
• Builds relationships with provider partnerships
• Initiates and maintains communication with matrix partners
• Contributes to the development of alternative network initiatives
• Supports network analytics for network solution
• Implements initiatives that improve medical cost and quality
• Prepares and analyzes financial impact of provider contracts
• Ensures accurate implementation and administration of agreements
• Resolves elevated provider service complaints and issues
Requirements:
• Bachelor’s degree; preferably in Finance, Economics, Healthcare or Business related
• 3+ years Managed Care contracting and negotiating experience
• Experience in developing and managing key provider relationships
• Knowledge of complex reimbursement methodologies
• Demonstrated experience in building strong external relationships
• Team player with strong working relationship skills
• Ability to influence through written and verbal communication
• Experience with presentations
• Customer centric and interpersonal skills
• Strong problem solving and decision-making skills
• Knowledge and use of Microsoft Office tools
Benefits:
• Health insurance
• Flexible work arrangements
• Professional development
• Paid time off
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