Provider Contracting Lead Analyst - Cigna Healthcare - Cleveland, OH

$71K — $119K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree preferred; MBA or MHA is a plus.
  • 3+ years of managed care contracting and negotiating experience required.
  • Experience developing and managing key provider relationships.
  • Knowledge of complex reimbursement methodologies, especially incentive-based models.
  • Strong experience in building relationships with external provider partners.
  • Intimate understanding of hospital, managed care, and provider business models.
  • Exceptional written and verbal communication skills.

Responsibilities

  • Manage complex contracting and negotiations for various reimbursement models with providers.
  • Build relationships to enhance provider partnerships and identify value-based business opportunities.
  • Initiate communication with cross-functional teams involved in provider contracting.
  • Contribute to alternative network initiatives and develop necessary analytics.
  • Achieve unit cost targets while maintaining a competitive network.
  • Create initiatives aimed at improving medical costs and care quality.
  • Prepare and analyze financial impacts of complex provider contracts.

Benefits

  • Comprehensive health benefits including medical, vision, dental, and wellness programs.
  • 401(k) plan and company-paid life insurance.
  • Tuition reimbursement for continued education.
  • A minimum of 18 days paid time off per year and paid holidays.
  • Access to behavioral health programs starting on day one of employment.
Full Job Description

The Provider Contracting Lead Analyst will have the following 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.

  • 1-3 years in 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

  • Multilingual language skills are highly desired

  • 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.

For this position, we anticipate offering an annual salary of 71,400 - 119,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.


At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, .



Similar Jobs

More Jobs at

More Healthcare Jobs

Find similar Provider Contracting Lead Analyst - Cigna Healthcare - Cleveland, OH jobs: