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Provider Contracting Advisor

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The Cigna Group

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Location:
United States of America , Cleveland

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Category:
-

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Contract Type:
Employment contract

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Salary:

92000.00 - 153300.00 USD / Year
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Job Responsibility:

  • Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers
  • 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
  • Contributes to the development of alternative network initiatives
  • 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
  • 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
  • Assists in resolving elevated and complex provider service complaints
  • Manages key provider relationships and is accountable for critical interface with providers and business staff
  • Demonstrates knowledge of providers in an assigned geographic area
  • Responsible for accurate and timely contract loading and submissions
  • May provide guidance or expertise to less experienced specialists.

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.
  • Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
  • Knowledge and use of Microsoft Office tools.
What we offer:
  • 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

Additional Information:

Job Posted:
May 06, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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