Provider Contracting Advisor - Cigna Healthcare - Columbus, Oh

Express Scripts / Cigna Healthcare

Columbus, OH, US
Base: $92,000 - $153,300 usd yearly; bonus: eligib...
Managed care contracting experience
Complex provider negotiations
Value-based reimbursement knowledge
The role manages complex contracting and negotiations for fee-for-service and value-based reimbursements with hospitals and large physician groups

Job Summary

  • The role manages complex contracting and negotiations for fee-for-service and value-based reimbursements with hospitals and large physician groups.
  • Candidates will drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
  • The position offers a comprehensive benefits package including medical, vision, dental, 401(k), and a minimum of 18 days of paid time off per year.

Matching Summary

The role manages complex contracting and negotiations for fee-for-service and value-based reimbursements with hospitals and large physician groups.

Salary

Base: $92,000 - $153,300 USD yearly; Bonus: Eligible for annual bonus plan; Benefits: Medical, vision, dental, 401(k), life insurance, tuition reimbursement, 18+ days PTO

Skills & Requirements

Must-have

  • Managed Care contracting experience
  • Complex provider negotiations
  • Value-based reimbursement knowledge
  • Hospital system relationship management
  • Financial impact analysis of contracts

Nice-to-have

  • MBA or MHA degree preferred
  • Experience with clinical informatics
  • Strong matrix organization collaboration
  • Consultative expertise delivery
  • Formal presentation skills

Key Requirements

  • Bachelor's Degree preferred (or equivalent industry experience)
  • 3+ years Managed Care contracting experience
  • Knowledge of complex reimbursement methodologies
  • Intimate understanding of hospital business models

Work Rights

Not specified

Tailored Resume

Cover Letter