Provider Contracting Lead Analyst

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $71.4k - $119k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Lead contract negotiations with providers, ancillary providers, and health systems with guidance from management and senior teammates • Build detailed financial models and analyze provider contract terms to support timely decisions and performance expectations • Use internal contracting systems and processes accurately and efficiently for contract administration and implementation • Build and maintain trusted relationships with current and prospective providers • Monitor provider relationships and the competitive landscape within the assigned market to identify risks, gaps, and opportunities • Apply knowledge of provider network dynamics to support contracting strategy, strengthen Commercial networks, and advance value-oriented arrangements • Partner with Provider Service, Provider Data Management, Fee Schedule Management, Legal, Network Analytics, Compliance, Sales, regional leadership, and other teams to advance agreements and resolve issues • Communicate analyses, recommendations, progress, and risks clearly to internal partners and provider stakeholders

🎯 Requirements

• Two or more years of experience in Commercial provider contracting, network operations, provider pricing, or a closely related area • Strong analytical skills and financial acumen, including the ability to evaluate contract terms and support data-informed decisions • Clear written, verbal, listening, presentation, and relationship-management skills • Ability to take initiative, solve problems, influence outcomes, and deliver results in a fast-paced environment • Ability to collaborate across teams, manage competing priorities, and handle multiple projects at the same time • Commitment to integrity, dependable follow-through, and strong customer service • Proficiency with Microsoft Office • Occasional travel required • Bachelor's degree in Finance, Accounting, Economics, Healthcare Administration, or a related field (preferred) • Experience negotiating contracts with ancillary providers or health systems (preferred) • Experience using provider contracting, network management, or pricing systems (preferred) • Knowledge of Commercial provider networks, local market dynamics, and value-oriented contracting (preferred) • Home internet connection obtained through a cable broadband or fiber optic internet service provider with at least 10Mbps download/5Mbps upload if working at home

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload for home workers • Tobacco-free policy