Provider Contracting Lead Analyst - Cigna Healthcare - Cleveland, OH

Cigna Healthcare•Cleveland, OH

1d•$71,400 - $119,000•Remote

About The Position

The Provider Contracting Lead Analyst will be responsible for leading ancillary provider and health system contract negotiations with oversight from a manager and senior teammate. This role involves performing detailed financial modeling and analysis related to provider contracts to meet or exceed planned timing and performance expectations. The analyst will efficiently leverage complex internal systems and processes to support provider contract administration. A key aspect of the role is using strong verbal and written communication to strengthen provider relationships and contribute as a valued member of the external facing relationship management team. The position requires establishing, developing, and maintaining relationships within an assigned market, cultivating relationships with both current and prospective providers, and building partnerships to support the local market strategy. Understanding the interrelationships and competitive landscape of providers in the geographic area, as well as the dynamics of provider networks, is crucial. The role supports strategic positioning for provider contracting, assists in the development of Commercial networks, and helps identify opportunities for greater value-orientation. Collaboration is essential, requiring close work with various internal teams including Provider Service, Provider Data Management, Fee Schedule Management, Regional Director, Legal, Network Analytics, Compliance, and Sales.

Requirements

1-3 years in Provider Contracting, Network Operations or Pricing Required.
Highly motivated, confident, energetic, and positive attitude
Strong communication and presentation skills, along with listening ability
Strong analytic skills and financial acumen
Willing and able to take initiative and is results-oriented
Effective critical thinking, problem-solving and influencing skills
Exceptional work ethic, willing and eagerness to succeed – a proven self-starter
A high degree of honesty and integrity
Ability to collaborate with others
Goal-oriented and career-minded
Exceptional customer service standards and delivery
Ability to thrive in a fast-paced environment
Ability to prioritize projects and to handle multiple demands simultaneously
Proficient in Microsoft Office

Nice To Haves

Multilingual language skills are highly desired

Responsibilities

Lead ancillary provider and health system contract negotiations with manager and senior teammate oversight.
Perform detailed financial modeling and analysis related to provider contracts to exceed planned timing and performance expectations.
Efficiently leverage complex internal systems and processes to support provider contract administration.
Use strong verbal and written communication to strengthen provider relationships and contribute as a valued member of the external facing relationship management team.
Establish, develop, and maintain relationships. Within your assigned market, you’ll be expected to cultivate relationships with providers, both current and prospective.
Build and maintain relationships that nurture provider partnerships to support the local market strategy.
Understand the interrelationships and competitive landscape of the providers in your geographic area.
Understand the dynamics of provider networks.
Support strategic positioning for provider contracting, assist in the development of Commercial networks and help to identify opportunities for greater value-orientation.
Be a team player. Work closely with a variety of internal and external individuals to accomplish your goals, including your Manager, Provider Service, Provider Data Management, Fee Schedule Management, Regional Director, Legal, Network Analytics, Compliance and Sales.