Provider Contracting Advisor Job at The Cigna Group (Cleveland)

Provider Contracting Advisor

The Provider Contracting Advisor serves as an integral member of the Provider Co...

Location

United States of America , Columbus, OH

Salary:

92000.00 - 153300.00 USD / Year

The Cigna Group

Expiration Date

Until further notice

Requirements

Bachelor's Degree preferred. Industry experience will be considered in lieu of a degree. MBA or MHA preferred.
3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.
Experience in developing and managing key provider relationships
Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
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.
Demonstrates an ability to maneuver effectively in a changing environment.

Job Responsibility

Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
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.
Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
Creates and manages initiatives that improve total medical cost and quality.
Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.

What we offer

Annual bonus plan.
Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting day one.
401(k)
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays.

Contract Specialist

The selected candidate will provide acquisition and contracting support services...

Location

United States , Norfolk

Salary:

Not provided

SD Solutions, LLC

Expiration Date

Until further notice

Requirements

Minimum five (5) years of federal acquisition and contracting experience
Experience supporting FAR-based acquisitions in a GS-1102 equivalent role or comparable contractor acquisition support role
Experience supporting pre-award and post-award acquisition activities
Experience with cost and price analysis, contract negotiations, and contract administration
Strong knowledge of the Federal Acquisition Regulation (FAR)
Experience supporting best value and LPTA acquisition processes
Strong written and verbal communication skills
Ability to work onsite at the Government facility in Norfolk, Virginia
Ability to obtain and maintain required suitability/background investigation
Bachelor's degree or higher

Job Responsibility

Provide pre-award and post-award contracting support to USCG Contracting Officers
Conduct market research for assigned acquisition requirements
Develop and issue Requests for Proposals (RFPs), Requests for Quotes (RFQs), and solicitations
Support source selection activities and acquisition evaluations as a non-voting advisor
Assist with cost and price analysis and support negotiation activities
Support contract administration activities, including modifications, discrepancy reports, cure notices, and equitable adjustments
Assist with invoice processing and contract closeout activities
Track acquisition milestones and provide progress reporting
Utilize Coast Guard procurement and financial systems in performance of duties
Maintain compliance with FAR, DHS, and USCG acquisition policies and procedures

Fulltime

Contract Specialist

Corporate Overview SD Solutions, LLC is a mission-focused professional services...

Location

United States , Norfolk

Salary:

Not provided

SD Solutions, LLC

Expiration Date

Until further notice

Requirements

Minimum five (5) years of federal acquisition and contracting experience
Experience supporting FAR-based acquisitions in a GS-1102 equivalent role or comparable contractor acquisition support role
Experience supporting pre-award and post-award acquisition activities
Experience with cost and price analysis, contract negotiations, and contract administration
Strong knowledge of the Federal Acquisition Regulation (FAR)
Experience supporting best value and LPTA acquisition processes
Strong written and verbal communication skills
Ability to work onsite at the Government facility in Norfolk, Virginia
Ability to obtain and maintain required suitability/background investigation
Bachelor's degree or higher

Job Responsibility

Provide pre-award and post-award contracting support to USCG Contracting Officers
Conduct market research for assigned acquisition requirements
Develop and issue Requests for Proposals (RFPs), Requests for Quotes (RFQs), and solicitations
Support source selection activities and acquisition evaluations as a non-voting advisor
Assist with cost and price analysis and support negotiation activities
Support contract administration activities, including modifications, discrepancy reports, cure notices, and equitable adjustments
Assist with invoice processing and contract closeout activities
Track acquisition milestones and provide progress reporting
Utilize Coast Guard procurement and financial systems in performance of duties
Maintain compliance with FAR, DHS, and USCG acquisition policies and procedures

Parttime

Contract Specialist (Part-Time)

The selected candidate will provide acquisition and contracting support services...

Location

United States , Norfolk

Salary:

Not provided

SD Solutions, LLC

Expiration Date

Until further notice

Requirements

Minimum five (5) years of federal acquisition and contracting experience
Experience supporting FAR-based acquisitions in a GS-1102 equivalent role or comparable contractor acquisition support role
Experience supporting pre-award and post-award acquisition activities
Experience with cost and price analysis, contract negotiations, and contract administration
Strong knowledge of the Federal Acquisition Regulation (FAR)
Experience supporting best value and LPTA acquisition processes
Strong written and verbal communication skills
Ability to work onsite at the Government facility in Norfolk, Virginia
Ability to obtain and maintain required suitability/background investigation
Bachelor's degree or higher

Job Responsibility

Provide pre-award and post-award contracting support to USCG Contracting Officers
Conduct market research for assigned acquisition requirements
Develop and issue Requests for Proposals (RFPs), Requests for Quotes (RFQs), and solicitations
Support source selection activities and acquisition evaluations as a non-voting advisor
Assist with cost and price analysis and support negotiation activities
Support contract administration activities, including modifications, discrepancy reports, cure notices, and equitable adjustments
Assist with invoice processing and contract closeout activities
Track acquisition milestones and provide progress reporting
Utilize Coast Guard procurement and financial systems in performance of duties
Maintain compliance with FAR, DHS, and USCG acquisition policies and procedures

Parttime

New

Security Analysis Specialist Advisor

We are currently seeking a Security Analysis Specialist Advisor to join our team...

Location

India , Hyderabad

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

12+ years of relevant experience
Knowledge of standards / regulations impacting information security (e.g., PCI, HIPAA, SOX)
Applied knowledge of risk management concepts
Experience with information security internal & external audits, contract compliance, and quality initiatives

Job Responsibility

Ensure the delivery of information security services to the customer in compliance with the contract and any applicable standards and regulatory requirements (e.g., PCI, SOX)
Assist client in the definition and implementation of information security policies, strategies, procedures and settings to ensure confidentiality, integrity and availability of client’s environment and data
Participate with customer in the strategic design process to translate security and business requirements into processes and systems
evaluating new / emerging security products and technologies and making recommendations to customer leadership in regards to the security posture impact on the organization
Identify, review and recommend information security improvements as they relate to the achievement of the customer’s business goals and objectives
Participate in internal and external audits for the customer (e.g., SOX, PCI) and coordinate information security services activities
Drive remediation efforts related to information security
remediation may be from incidents, penetration tests, vulnerability scans, internal/external audits and Critical Practice assessments
Identify information security weaknesses and/or gaps in the customer’s current operations and work with the customer to bring information security operations up to standards
Participate and represent IT Security in Delivery/Operational meetings

Fulltime

New

People Operations Lead

Tripadvisor is establishing Poland as a key hub for our global engineering and t...

Location

Poland , Krakow

Salary:

Not provided

Tripadvisor

Expiration Date

Until further notice

Requirements

8+ years of progressive HR experience, including at least 3 years in a senior HR Business Partner, People Operations, or HR leadership role
Deep, practical knowledge of Polish employment law, HR compliance, and local labor practices
Experience supporting technology, engineering, e-commerce, travel, or other high-growth global organizations strongly preferred
Proven track record of equally partnering with local leadership and centralized HR teams, many of which are not based in Poland
Demonstrated ability to operate independently with remote leadership and limited day-to-day supervision
Strong generalist HR capability across employee relations, compliance, performance management, compensation partnership, employee lifecycle operations, and organizational design
Proven ability to advise senior leaders while also executing hands-on operational work
Full professional fluency in Polish and English
Strong stakeholder management skills, with the ability to influence across local and global teams
Practical experience using Workday for HR workflows, reporting, and employee data management

Job Responsibility

Serve as the senior People Operations partner for Tripadvisor’s Poland-based employees and leaders, with a particular focus on the Kraków technology hub
Act as a trusted advisor to local business leaders and global People Operations teams, balancing business priorities with enterprise-wide people strategy
Provide guidance on organizational design, workforce planning, team effectiveness, employee engagement, performance management, and talent development
Partner with leaders to identify and address people-related risks, including employee burnout, retention challenges, manager capability gaps, and organizational change impacts
Support the continued maturation of the Kraków site by strengthening local culture, operating practices, and employee experience
Serve as Tripadvisor’s primary subject matter expert on Polish employment law and HR compliance, in partnership with legal counsel
Advise managers, People Operations, Legal, Finance, and G&A stakeholders on local employment matters before decisions are made, including terminations, notice periods, disciplinary processes, non-competes, working time, leaves of absence, and employment documentation
Ensure local HR processes are compliant with the Polish Labour Code, ZUS requirements, and applicable employment regulations
Partner with Legal and external advisors to monitor legislative changes and brief global People stakeholders on relevant updates before they take effect
Proactively audit local policies, documentation, and practices to maintain readiness for Labour Inspectorate inspections and other compliance reviews

What we offer

Competitive compensation packages (routinely benchmarked against the latest industry data), including base salary and annual bonuses
Work your way with flexibility to suit your lifestyle. Tripadvisor Group takes a remote-friendly approach to collaboration across a worldwide team, with the option to join on-site as often as you’d like or as required by your team
Flexible schedule. Work-life balance is ingrained in our culture by design. Trust and accountability make it work
Donation matching. Give back? Give more! We match qualifying charitable donations annually
Tuition assistance. Want to level up your career? We love to hear it! Receive annual support for qualified programs
Lifestyle benefit. An annual benefit to spend on yourself. Use it on travel, wellness, or whatever suits you
Travel perks. We believe that travel is employee development, so we provide discounts and more
Employee assistance program. We’re here for you with resources and programs to help you through life’s challenges
Health benefits. We offer great coverage and competitive premiums
Generous referral scheme. Help us grow and be rewarded with generous awards for referring successful candidates

Fulltime

New

Legal Counsel (Nordics Qualified)

As Legal Counsel you will support Fever’s operations worldwide, with an emphasis...

Location

Spain , Madrid

Salary:

Not provided

Fever

Expiration Date

Until further notice

Requirements

Barred / practising European lawyer with 4+ years of PQE working in one or more Nordic jurisdictions
Experience working in top tier law firms, or inhouse experience at a large-scale multinational
Speak fluent English, as well as French or German
Have a keen eye for strategy and business
Possess strong technical skills
Be an effective communicator who brings emotional intelligence to work

Job Responsibility

Provide general legal support by adapting company legal strategy to regional business needs in the Nordics
Work with internal and external SMEs to provide corporate, commercial, compliance and litigation and disputes support to the region
Stay up to date on relevant legislative and jurisprudence developments in the region
Coordinate with internal stakeholders and external legal advisors to prioritise and manage complex legal matters
Draft and negotiate commercial contracts, terms and conditions in multiple jurisdictions
Contribute to company knowledge and documents, including the preparation and revision of templates and legal guides
Prioritise your work based on company strategy and objectives
Upskilling, support, and growth of other team members

What we offer

Attractive compensation package consisting of base salary and the potential to earn a significant bonus for top performance
Health insurance and other benefits, such as Flexible remuneration with a 100% tax exemption through Cobee
Opportunity to have a real impact in a high-growth global category leader
40% discount on all Fever events and experiences
Work in a location in the heart of Madrid, with possible travel across our markets
Home office friendly
Responsibility from day one, and professional and personal growth
Great work environment with a young, international team of talented people to work with
English and Spanish Lessons
Gympass Membership

Fulltime

New

Contracts Advisor III

One of our major oil and gas clients is seeking a Contracts Advisor to work on a...

Location

United States , Spring

Salary:

Not provided

Airswift Sweden

Expiration Date

Until further notice

Requirements

Experience in Contracts Engineering / Administration preferred
Previous experience in a closely related position required
Experience in commercial negotiations, contractor management and contract administration
BS in Engineering preferred
Broad understanding of project execution and contracting principles, theories, and concepts
Willing to business travel or relocate to project sites (domestic / overseas)
Owner/Operator experience in project management roles preferred
Professional qualification / certification from related professional body, (ISM – CPM / CPSM, APICS, PMP)

Job Responsibility

Manages process, produces deliverables, and updates tools to support development of project contracting strategy, contractor qualification, bid slates, tender, and evaluate proposals
Develops detailed Contracting Plan(s) consistent with overall Contracting Strategy
Develops Invitation to Tender (ITT) packages consistent with responsibility matrix
Maintains database of all correspondence to ensure all questions and clarifications have been properly documented and issues agreed to are reflected in final proposals
Leads or supports negotiations of any contested contractual terms and conditions
Conforms all contract documents consistent with selected bidder's proposal, subsequent clarifications and final negotiations
Obtains final functional review/endorsement of contract documents, as required (e.g., Law, Audit, Controllers, etc.), as well as required endorsements
Provides pricing / other commercial analysis to Project Team (PT) for development of contract award recommendation
Assists PT in obtaining contract award endorsements/approvals from Sr. Management and other stakeholders
Develops and maintains final contract files (all components), as required

Fulltime

Select Country

Provider Contracting Advisor

Job Responsibility

Requirements

What we offer

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