Provider Contract Negotiator – Cigna Healthcare – Lake Mary, Sunrise, Orlando, Tampa, FL (Open)

We value our talented employees and whenever possible strive to support internal career growth before recruiting external talent. If this opportunity aligns with your experience and career goals we encourage you to apply.

Our people make all the difference in our success.

Work Location

• Florida Market Support
• Preferred candidate must live within a 50mile radius of one of the following office locations:
  • Broward/Dade
  • Orlando/Lake Mary
  • Tampa
• Hybrid role: requires working in the office and/or visiting providers three days per week

The Provider Contracting Lead Analyst is an integral member of the Provider Contracting team and reports to the Contracting Manager. This role supports daytoday provider contracting and network activities across the Florida market.

Duties and Responsibilities

• Manage the submission process for feeforservice contracting and negotiations with physicians and ancillary providers.
• Support the development and management of valuebased provider relationships.
• Build and maintain strong provider partnerships aligned with local market strategy.
• Initiate and maintain effective communication with matrix partners including Claims Operations Medical Management Credentialing Legal Medical Economics Compliance Sales Marketing and Service.
• Support strategic provider contracting initiatives and assist in network development identifying opportunities to enhance value.
• Contribute to alternative network initiatives and support associated analytics.
• Work to meet unit cost targets while maintaining an adequate provider network to support Cignas competitive position.
• Support initiatives that improve total medical cost and quality outcomes.
• Drive change with external provider partners through consultative expertise focused on total medical cost initiatives.
• Prepare analyze review and project the financial impact of provider contracts and alternative contract terms.
• Create Healthcare Provider (HCP) agreements that meet internal operational standards and provider expectations; ensure accurate implementation and administration through matrix partners.
• Assist in resolving provider service complaints by researching issues and coordinating with internal and external partners to resolve escalations.
• Manage provider relationships and serve as a key point of contact for providers and internal business partners.
• Maintain knowledge of providers within the assigned geographic area including competitive and market dynamics.
• Ensure accurate and timely contract loading submissions and coordination with matrix partners for network implementation and maintenance.
• Perform other duties as assigned.

Position Requirements

• Bachelors degree strongly preferred in Finance Economics Healthcare or a related business field; equivalent industry experience may be considered in lieu of a degree.
• 1 years of healthcare provider contracting and negotiation experience (physician and/or ancillary groups) required.
• 1 years of provider servicing or provider relations experience strongly preferred.
• Proven experience developing and managing professional relationships.
• Understanding of managed care and provider business models preferred.
• Strong team player with the ability to work effectively in a fastpaced matrix environment.
• Excellent written and verbal communication skills with experience delivering formal presentations.
• Customerfocused with strong interpersonal skills.
• Demonstrated ability to adapt in a changing environment.
• Strong problemsolving decisionmaking negotiation contract interpretation and financial analysis skills.
• Proficiency with Microsoft Office tools required.