Provider Contracting Lead Analyst - Cigna Healthcare - Cleveland, OH

Cigna HealthcareCleveland, OH
$71,400 - $119,000Onsite

About The Position

The Provider Contracting Lead Analyst will be responsible for leading ancillary provider and health system contract negotiations with oversight from management and senior teammates. 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. 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 position requires establishing, developing, and maintaining relationships within an assigned market, cultivating connections with both current and prospective providers. The goal is to build and maintain relationships that nurture provider partnerships to support the local market strategy, understand the interrelationships and competitive landscape of providers in the geographic area, and grasp the dynamics of provider networks. The role also supports strategic positioning for provider contracting, assists in the development of Commercial networks, and helps identify opportunities for greater value-orientation. Collaboration with various internal and external individuals, including Manager, Provider Service, Provider Data Management, Fee Schedule Management, Regional Director, Legal, Network Analytics, Compliance, and Sales, is crucial for accomplishing goals.

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

  • 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
  • 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.

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.
  • Cultivate relationships with providers, both current and prospective, within your assigned market.
  • 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.
  • Help to identify opportunities for greater value-orientation.
  • 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.

Benefits

  • medical
  • vision
  • dental
  • well-being and behavioral health programs
  • 401(k)
  • company paid life insurance
  • tuition reimbursement
  • a minimum of 18 days of paid time off per year
  • paid holidays
  • annual bonus plan
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