Director, Network Management - Central & North FL Markets - Cigna Healthcare

The Cigna Group • Lake Mary, FL

9d • Hybrid

About The Position

The job profile for this position is Provider Contracting Advisor, which is a Band 4 Senior Contributor Career Track Role. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for areas primarily in Central & North Florida. The preferred candidate must live within a 50-mile radius of one of the following office locations: Orlando/Lake Mary, Tampa, or Broward/Dade. This is a hybrid role, requiring working in the office and/or visiting providers three days per week.

Requirements

• Bachelor degree required. Area of focus in Finance, Economics, Healthcare or Business related strongly preferred.
• Minimum 3 years contracting and negotiating experience involving complex delivery systems and organizations required.
• Experience in developing and managing key provider relationships
• Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
• Intimate understanding and experience with hospital, managed care, and provider business models.
• Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
• The ability to influence both sales and provider audiences through strong written and verbal communication skills.
• Experience with formal presentations.
• Customer centric and interpersonal skills are required.

Nice To Haves

• MBA or MHA preferred.
• Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.

Responsibilities

• Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., health systems, hospitals, ambulatory surgery centers, and other ancillaries).
• Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
• Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior