Contractor, Network Management Cigna Healthcare Hybrid (Virgina)
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Job Location:
Richmond, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Location: Virginia market (preferred: Richmond or McLean VA)
Work Model: Hybrid in office or provider visits 3 days per week
The Provider Contracting Lead Analyst supports daytoday provider contracting and network activities. This role partners closely with internal teams and external providers to manage contracts support valuebased arrangements and maintain a competitive highquality provider network.
Key Responsibilities
- Manage submissions for provider contracting and feeforservice negotiations
- Support development and management of valuebased provider relationships
- Build and maintain strong provider partnerships aligned to market strategy
- Serve as a key liaison between providers and internal partners (Claims Medical Management Credentialing Legal Compliance Sales Service etc.)
- Support network development initiatives and identify opportunities to improve value and cost performance
- Prepare and analyze the financial impact of provider contracts and alternative terms
- Draft and manage Healthcare Professional (HCP) agreements and ensure accurate implementation
- Support contract loading submissions and network maintenance activities
- Assist with provider service issue resolution and escalations
- Maintain knowledge of local provider markets competition and dynamics
- Support initiatives focused on total medical cost reduction and quality outcomes
- Perform additional duties as assigned
Position Requirements
- Bachelors degree preferred (Finance Economics Healthcare or related field); equivalent experience considered
- 1 year provider contracting and negotiation experience required
- 1 year provider servicing or provider relations experience preferred
- Understanding of hospital managed care and provider business models preferred
- Strong relationshipbuilding communication and presentation skills
- Proven ability to work in a fastpaced matrix environment
- Demonstrated financial negotiation and problemsolving skills
- Proficiency in Microsoft Office
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: 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.
Required Experience:
Contract
Key Skills
- Network security
- SQL
- Active Directory
- Information Technology
- Protocols
- Tcp/IP
- BGP
- Routers
- Infrastructure
- Linux
- Internet
- Juniper
- DoD
- hardware
- Technical Support
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.
