Provider Contracting Senior Analyst
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Job Location:
Monthly Salary:
Posted on:
15 hours ago
Vacancies:
1 Vacancy
Job Summary
Provider Network Senior Analyst. will be responsible for developing and executing negotiation strategies working directly with contracted providers in order to deliver best in class service to Cignahealthcares providers customers and clients and act as the Subject Matter Expert regarding the local markets environment healthcare delivery practices and pricing.
Key Responsibilities:
- Manages the relations with the top medical facilities based on medical spend and financial impact for the organization.
- Provides coaching and support to the Jr. Provider Negotiators in the market cost analysis development and negotiations within the designated territory.
- Identifies growth opportunities for expanding the network of providers in the regions and/ or countries you are responsible for.
- Performs service area analysis and cost analysis to identify network expansion development and network renegotiation opportunities.
- Reviews negotiates and discusses existing agreements and contracts with regards to the content (direct payment agreements fees pricing and procedures)
- Identifies cost containment opportunities and (re)negotiate favorable conditions with Health care providers.
- Manages the relationship with existing and new Third Party Vendors
- Monitor the quality of the services provided by the medical providers and the correct execution of the agreements
- Acts as the expert for the providers with regards to the agreements fees and pricing in the region for which you are responsible.
- Acts as an expert with regards to the medical landscape in the countries within your region and continuously monitor evolutions in that respect. Key Challenges / Anticipated Changes in Environment
- Effectively communicates and interacts with other business units to achieve goals e.g. Medical Management Cignahealthcare Service Operations Sales and Client Management and Cignahealthcare Strategy & Operations.
Qualifications:
University degree
3 to 4 years of relevant experience
Good communication skills.
Excellent negotiation and influencing skills.
Analytical and critical mind.
Data mining competency
Proficiency with MS Office programs including: Word PowerPoint Excel Project and Visio required.
Experience/Knowledge Requirements:
Knowledge of high priority healthcare providers third party administrators Cignahealthcare competitor capabilities within the region of responsibility.
Excellent interpersonal communication and motivational skills including negotiation and presentation skills
Strong influencing skills and ability to work in a complex highly matrixed environment including balancing priorities of multiple organizations to deliver end results.
Personal Competencies Required:
Thorough knowledge of Italian Spanish and English. Any other language skills are a plus
Results orientation ability to define goals establish plans and manage work to achieve desired outcomes. Creates meaningful business related metrics and tracks progress/results.
Ability to work closely with the other department members matrix partners and various Cignahealthcare departments with a time and distance disadvantage.
Excellent interpersonal verbal and written communication skills
Mature with the ability to effectively communicate and influence individuals at different levels
Comfortable working in a fast paced environment with shifting priorities
Energetic and enthusiastic
A team player
Willing to travel regularly (up to 20%)
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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
Required Experience:
Senior IC
Key Skills
- Splunk
- IDS
- Microsoft Access
- SQL
- Cybersecurity
- Intelligence Experience
- Malware Analysis
- Tableau
- Analysis Skills
- SAS
- Data Analysis Skills
- Analytics
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.
