Provider Contracting Associate Analyst

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Identify and recruit qualified behavioral health providers in targeted geographic areas. • Conduct outbound and inbound communications to build and maintain strong relationships with providers and their office staff. • Process provider screening applications and assist providers throughout the onboarding process. • Negotiate competitive and cost-effective contract terms to meet health plan needs. • Explain plan policies and procedures, resolve provider complaints, and ensure compliance with internal guidelines. • Verify and load provider data across multiple systems. • Ensure accuracy of provider demographics and fee schedules in contracts and screening forms. • Issue updated contracts when demographic changes require revisions. • Respond to internal and external inquiries via phone and email regarding provider data and contracting.

🎯 Requirements

• 1+ year of experience in a medical office, insurance, or healthcare-related field. • Strong phone, communication, and analytical skills. • Self-directed with excellent problem-solving and decision-making abilities. • Proficiency in Microsoft Office. • Ability to navigate data entry systems and tracking tools. • Proven ability to work collaboratively in a fast-paced, matrixed environment. • Customer-centric mindset with strong interpersonal skills. • Experience in negotiating contracts and maintaining provider relationships. • Understanding of contract language and financial acumen.

🏖️ Benefits

• Health-related benefits including medical, vision, dental, and well-being and behavioral health programs. • 401(k) • Company paid life insurance • Tuition reimbursement • A minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence