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Provider Network Senior Analyst. will be responsible for developing and executing negotiation strategies working directly with contracted providers in order to deliver best in class service to Cignahealthcare’s providers, customers and clients and act as the Subject Matter Expert regarding the local market’s environment, healthcare delivery practices and pricing.
Job Responsibility:
Manages the relations with the top medical facilities based on medical spend and financial impact for the organization
Provides coaching and support to the Jr. Provider Negotiators in the market cost analysis development and negotiations within the designated territory
Identifies growth opportunities for expanding the network of providers in the regions and/ or countries you are responsible for
Performs service area analysis and cost analysis to identify network expansion, development and network renegotiation opportunities
Reviews, negotiates and discusses existing agreements and contracts with regards to the content (direct payment agreements, fees, pricing and procedures)
Identifies cost containment opportunities and (re)negotiate favorable conditions with Health care providers
Manages the relationship with existing and new Third Party Vendors
Monitor the quality of the services provided by the medical providers and the correct execution of the agreements
Acts as the expert for the providers with regards to the agreements, fees and pricing in the region for which you are responsible
Acts as an expert with regards to the medical landscape in the countries within your region and continuously monitor evolutions in that respect
Effectively communicates and interacts with other business units to achieve goals, e.g. Medical Management, Cignahealthcare Service Operations, Sales and Client Management and Cignahealthcare Strategy & Operations
Requirements:
University degree
3 to 4 years of relevant experience
Good communication skills
Excellent negotiation and influencing skills
Analytical and critical mind
Data mining competency
Proficiency with MS Office programs including: Word, PowerPoint, Excel, Project, and Visio required
Knowledge of high priority healthcare providers, third party administrators, Cignahealthcare competitor capabilities within the region of responsibility
Excellent interpersonal, communication and motivational skills, including negotiation and presentation skills
Strong influencing skills and ability to work in a complex, highly matrixed, environment, including balancing priorities of multiple organizations to deliver end results
Thorough knowledge of Italian, Spanish and English
Results orientation – ability to define goals, establish plans and manage work to achieve desired outcomes
Ability to work closely with the other department members, matrix partners and various Cignahealthcare departments with a time and distance disadvantage
Excellent interpersonal, verbal, and written communication skills
Mature, with the ability to effectively communicate and influence individuals at different levels
Comfortable working in a fast paced environment with shifting priorities