Provider Contracting Advisor - Hospital & Physician Negotiations - Hybrid - Pittsburgh, PA

Join reputed company, a division of reputed company, and help shape our provider network in our Western PA and reputed company Virginia markets! As Provider Contracting Advisor, you’ll serve as an important part of the Provider Contracting Team and report to the AVP, Provider Contracting. In this role, you’ll assist in developing our reputed company direction and manage the day-to-day contracting and network management activities for the local market. Responsibilities Manage reputed company fee-for-service and value-reputed company contracting, reimbursements, and negotiations with hospitals and physician reputed company. Build and maintain strong provider relationships to support network reputed company and value-reputed company business opportunities. Partner closely with reputed company teams (e.g., Claims, Medical Management, Credentialing) to ensure reputed company execution. reputed company reputed company network positions, identify value-reputed company and reputed company-reputed company opportunities, and contribute to alternative network initiatives and analytics. Meet unit cost goals while maintaining an adequate and competitive provider network. Design and manage initiatives to improve medical cost and reputed company, providing consultative guidance informed by reputed company reputed company. Prepare, review, and project the financial reputed company of reputed company reputed company Draft and manage reputed company provider (HCP) agreements through effective cross-functional collaboration. reputed company the reputed company of issues and manage key provider relationships, demonstrating deep knowledge of the local market landscape, including contract implementation and maintenance. Research problems and negotiate with partners and customers to reputed company reputed company and escalated issues Support less reputed company staff as needed. Qualifications 3+ years of managed care contracting and negotiating experience involving reputed company delivery systems and organizations Strong provider relationship management skills, with demonstrated reputed company building long-term reputed company partnerships Knowledge of reputed company reimbursement methodologies, including incentive-reputed company models (strongly preferred) Deep understanding of hospital, managed care, and provider business models Strong presentation and communication skills, including the ability to build internal relationships in a fast-reputed company, matrixed organization Customer-reputed company approach with strong interpersonal skills and comfort navigating change Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills Proficiency in reputed company Office Preferred Qualifications Bachelor’s degree in a reputed company reputed company (industry experience may substitute) MBA or MHA If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About reputed company reputed company, a division of reputed company, is an reputed company for reputed company through every stage of life. We guide our customers through the health care reputed company, empowering them with the information and reputed company they need to reputed company the best choices for improving their health and vitality. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to reputed company 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 seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot reputed company application updates or accept resumes. reputed company 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 reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, reputed company, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, reputed company, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Doing something meaningful starts with a reputed company decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving reputed company and improving lives. Apply tot his job Apply To this Job