Provider Contracting Administrator (Provider Contracting Advisor) - Work from Home (must be located in Birmingham, Huntsville or Mobile, AL)

POSTED ON 1/13/2021 AVAILABLE BEFORE 7/12/2021
Cigna Hired Organization Address Birmingham, AL Remote Full Time

Job Posting for Provider Contracting Administrator (Provider Contracting Advisor) - Work from Home (must be located in Birmingham, Huntsville or Mobile, AL) at Cigna

SUMMARY

This position serves as an integral member on the Alabama Contracting Team by managing, evaluating, and/or negotiating contracts for medical providers, hospitals, pharmacy and/or ancillary providers in the Alabama market. 

RESPONSIBILITIES

  • Negotiates provider contracts with providers in Alabama, Mississippi, and North Florida, including large complex health systems.
  • Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms.
  • Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups) for one or more geographies.
  • Responsible for developing unit-cost management strategies across provider network and accountable for executing those strategies through tactful negotiation with providers.
  • Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements.
  • 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.
  • Assists in resolving provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve escalated issues.
  • Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
  • Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance

QUALIFICATIONS

  • Bachelor Degree or equivalent, relevant work experience, required; Master’s Degree preferred.
  • Three or more years of relevant experience preferred.  
  • Hospital Contracting and Negotiating experience preferred
  • Experience in developing and managing relationships
  • Understanding of Medicare Reimbursement Methodologies
  • Understanding and experience with hospital, managed care, and provider business models a plus
  • Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
  • Must be effective managing and working with others in a fast paced environment with the ability to multi-task and manage a large volume of concurrent priorities.
  • The ability to influence audiences through strong written and verbal communication skills. Experience with formal presentations.
  • Customer centric and interpersonal skills are required.
  • Demonstrates an ability to maneuver effectively in a changing environment.
  • Demonstrates problem solving, decision-making, negotiating skills, contract language and financial acumen.
  • Knowledge and use of Microsoft Office tools.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make?  To see our culture in action, search #TeamCigna on Instagram.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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Salary.com Estimation for Provider Contracting Administrator (Provider Contracting Advisor) - Work from Home (must be located in Birmingham, Huntsville or Mobile, AL)
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