27 days old

Provider Contracting Advisor

Memphis, TN 38103
  • Job Code
Job Description

Provides counsel and advice to top management on significant Provider Contracting matters, often requiring coordination between organizations. Manages contracting with hospitals and other providers for an independent or affiliated plan. Specific responsibilities include, but are not limited to: strategic positioning for contracting with new or complex providers and developing networks in outlying areas and with providers and, overseeing the functions for negotiating contracts with physicians, hospitals, and other providers to provide service. Tracks and monitors financial performance of contracts. Ensures compliance with contracting guidelines. Interprets internal or external issues and recommends solutions/best practices. Solves complex problems; takes a broad perspective to identify solutions. Leads the planning and implementation of large programs in the function, and regularly interfaces with senior management. Focuses on providing thought leadership and technical expertise across multiple disciplines. Recognized internally as "the go-to person" for the most complex Provider Contracting assignments.

  • 4 + years experience with provider contracting
  • Strong working knowledge of various reimbursement methodologies and terminology required
  • Strong negotiation skills and proficiency of contract language review required - Ability to make recommendations on various issues to senior management related to contract negotiations.
  • Team oriented to ensure departmental goals and objectives are met
  • Excellent written and verbal communication skills; presentation skills
  • Ability to work independently
  • Ability to develop and maintain effective, collaborative relationships with both internal and external customers
  • Quarterly Travel required for client visits (on-hold during Covid-19 pandemic) - Strong knowledge and experience with Advanced Microsoft Word, Advanced Excel and PowerPoint

Remote, Work from home, United States

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Posted: 2021-03-26 Expires: 2021-04-24
Sponsored by:
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Provider Contracting Advisor

Memphis, TN 38103

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