Provider Contracting Lead Analyst - Hybrid - Charlotte, NC

Cigna Healthcare

$80K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Finance, Accounting, Economics, Healthcare Administration, or related field preferred; significant industry experience may substitute for degree.
  • Minimum 2 years in Commercial Provider Contracting, Network Operations, or Pricing Required.
  • Strong communication, presentation, and listening skills.
  • Analytical skills and financial acumen are essential.
  • Proven initiative and results-oriented mindset.
  • Effective critical thinking and problem-solving abilities.
  • Exceptional work ethic with a commitment to success.

Responsibilities

  • Lead provider and health system contract negotiations with oversight from management.
  • Perform detailed financial modeling and analysis to surpass performance expectations.
  • Utilize complex internal systems for efficient contract administration.
  • Strengthen provider relationships through effective communication and teamwork.
  • Cultivate and maintain relationships with current and prospective providers in your market.
  • Analyze the competitive landscape and interrelationships among providers in the area.
  • Support strategic positioning for contracting and identify opportunities for value orientation.

Benefits

  • Flexible work arrangements, including occasional or permanent remote work.
  • Supportive team environment with collaboration across various departments.
Full Job Description
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.

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