Provider Contracting Lead Analyst

🔥 6 minutes 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

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • 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

• Lead contract negotiations with providers, ancillary providers, and health systems, with guidance from the manager and senior teammates • Build financial models and analyze provider contract terms to support timely decisions and performance expectations • Use internal contracting systems and processes to support contract administration and implementation • Build and maintain relationships with current and prospective providers • Monitor provider relationships and the competitive landscape within the assigned market to identify risks, gaps, and opportunities • Apply provider network knowledge 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 • Communicate analyses, recommendations, progress, and risks 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 • For home-based work, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical insurance • Vision insurance • Dental insurance • 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 • Remote work/home-based work arrangement • Tobacco-free policy