AVP, Provider Contracting- Cleveland and North Ohio Markets Hybrid
Share
Job Location:
Independence, MO - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Were looking for a bold compassionate leader who is ready to shape the future of our provider network across the Cleveland and Northern Ohio this role youll guide a team build strong partnerships and drive strategies that help our customers get highquality affordable care. If you thrive in a fastpaced environment enjoy solving complex problems and want to make a meaningful impact wed love to meet you.
This role supports the Cleveland and Northern Ohio market and requires a hybrid work schedule.
Responsibilities
Lead and develop a highperforming contracting team creating a culture of growth collaboration and accountability.
Drive contracting and network strategies across Commercial and other product lines to strengthen our market position.
Negotiate complex feeforservice and valuebased contracts with health systems hospitals and large provider groups to improve affordability and quality.
Champion crossmarket and crossfunctional initiatives that support broader business goals.
Build trusted longterm partnerships with providers to expand valuebased opportunities and deliver on local market strategy.
Work closely with matrix partnersincluding Claims Operations Medical Management Credentialing Legal Medical Economics Compliance Sales and Serviceto support smooth network operations.
Identify opportunities for deeper value orientation and new riskbased arrangements that improve total medical cost.
Manage financial impact analysis performance projections and scenario modeling for highvalue and complex contracts.
Oversee provider relationship management to ensure strong communication collaboration and results.
Maintain a clear understanding of the competitive landscape and provider interrelationships across assigned geographic markets.
Ensure accurate and timely contract loading submissions and network implementation activities.
Required Qualifications
Minimum 5 years of provider contracting and negotiation experience with complex delivery systems.
Experience leading or mentoring direct reports and guiding talent development.
Proven success managing seniorlevel provider relationships.
Strong knowledge of reimbursement methodologies including valuebased and incentivedriven models.
Demonstrated ability to build strong external partnerships and navigate integrated delivery systems.
Effective communication skills with the ability to influence provider and sales audiences.
Strong problemsolving decisionmaking negotiation and financial analysis skills.
Proficiency with Microsoft Office tools.
Ability to travel as needed.
Preferred Qualifications
Bachelors degree in Finance Economics Healthcare Business or a related field. Significant industry experience may be considered in place of a degree.
MBA or MHA.
Experience leading in a fastpaced matrixed organization.
Background in managed care provider business models and network strategy.
Ability to lead through change with confidence empathy and clarity.
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.For this position we anticipate offering an annual salary of 127900 - 213100 USD / yearly depending on relevant factors including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several health-related benefits including medical vision dental and well-being and behavioral health programs. We also offer 401(k) company paid life insurance tuition reimbursement a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs click here.
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.
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.
Key Skills
- Presentation Skills
- Risk Management
- Financial Services
- IFRS
- Banking
- Pricing
- Analysis Skills
- Securities Law
- Investment Banking
- Relationship Management
- Strategic Planning
- Leadership Experience
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.
