Provider Network Contracting Manager – Cigna Healthcare – Texas or Louisiana job opportunity at The Cigna Group.

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The Cigna Group Provider Network Contracting Manager – Cigna Healthcare – Texas or Louisiana
Experience: 3-years
Pattern: full-time
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degreeMBA
loacation Texas Work at Home, United States Of America
loacation Texas Work at ..........United States Of America

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a Provider Network Contracting Manager, you’ll report to the Provider Contracting Senior Manager, AVP Network Management. In this individual contributor role, you’ll assist in developing the strategic direction and management of day-to-day contracting and network management.  Responsibilities  Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems.   Lead key market contracting strategy projects with responsibility for managing direct reports as assigned.  Build and maintain strong provider relationships to support network growth and value-based business opportunities.  Coordinate closely with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure aligned execution.  Develop strategic network positions, identif y  value-oriented and risk-based opportunities, and contribute to alternative network initiatives and analytics.  Work to meet unit cost targets while maintaining an adequate, competitive provider network.  Design and manage initiatives to improve medical cost and quality, offering consultative guidance informed by clinical informatics.  Prepare, review, and project the financial impact of large or complex provider contracts and alternative terms.  Create, implement, and ensure operational accuracy of HCP agreements through effective cross-functional collaboration.  Lead resolution of escalated provider issues and manage key provider relationships with deep knowledge of the local market landscape including contract loading and maintenance.  Required Qualifications  The ideal candidate must reside in Texas or Louisiana. 3+ years of healthcare provider contracting and negotiating experience involving complex physician groups and ancillaries   Background in managed care, healthcare, or health insurance, including commercial contracting   Proven leadership experience, including mentoring and guiding others  Strong provider relationship management skills and success developing long-term - partnerships  Knowledge of complex reimbursement methodologies, including incentive-based models (strongly preferred)  Deep understanding of hospital, managed care, and provider business models with the ability to influence sales and provider audiences  Exceptional presentation and communication skills, including the ability to build internal relationships in a fast-paced, matrixed organization   Customer-centric approach, strong interpersonal skills, and confidence in navigating change  Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills  Proficiency in Microsoft Office  Preferred Qualifications  Bachelor’s degree in a related field (industry experience may substitute); MBA / MHA preferred  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. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. 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. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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