Provider Contracting Lead Analyst - Cigna Healthcare - Cleveland, OH

The Cigna Group•Cleveland, OH

7d•$71,400 - $119,000•Remote

About The Position

The Provider Contracting Lead Analyst is a Band 3 Senior Contributor Career Track Role. This position involves leading ancillary provider and health system contract negotiations with manager and senior teammate oversight. The role requires performing detailed financial modeling and analysis related to provider contracts to exceed planned timing and performance expectations. The analyst will efficiently leverage complex internal systems and processes to support provider contract administration. Strong verbal and written communication skills are essential for strengthening provider relationships and contributing as a valued member of the external facing relationship management team. The role also involves establishing, developing, and maintaining relationships with providers in an assigned market, cultivating relationships with both current and prospective providers, and building and maintaining relationships that nurture provider 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 analyst will support strategic positioning for provider contracting, assist in the development of Commercial networks, and help identify opportunities for greater value-orientation. Collaboration with a variety of internal and external individuals is expected, including Manager, 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
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.

Nice To Haves

Bachelor’s degree in Finance, Accounting, Economics, Healthcare Administration, or a related field preferred. Significant industry experience will be considered in lieu of a Bachelor degree.
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.