Provider Contracting Advisor - Hospital & Physician Negotiations - Hybrid - Pittsburgh, Pa

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Pittsburgh, Pennsylvania, US
Not specified; not specified; not specified
Hybrid
Managed care contracting experience
Hospital and physician negotiations
Value-based reimbursement models
Cigna Healthcare is seeking a Provider Contracting Advisor to manage hospital and physician negotiations in the Western PA and West Virginia markets. The role involves strategic contracting, provider relationship management, and collaboration with cross-functional teams

Job Summary

  • This role involves managing complex fee-for-service and value-based contracting with hospitals and physician groups in Western PA and West Virginia.
  • The successful candidate will partner with cross-functional teams to develop strategic network positions and drive alternative network initiatives.
  • Candidates must demonstrate deep knowledge of the local market landscape to lead contract implementation, maintenance, and issue resolution.

Matching Summary

Match Score: 85

Cigna Healthcare is seeking a Provider Contracting Advisor to manage hospital and physician negotiations in the Western PA and West Virginia markets. The role involves strategic contracting, provider relationship management, and collaboration with cross-functional teams.

Salary

Not specified; Not specified; Not specified

Skills & Requirements

Must-have

  • Managed care contracting experience
  • Hospital and physician negotiations
  • Value-based reimbursement models
  • Complex delivery system knowledge
  • Financial impact analysis of contracts

Nice-to-have

  • Strong presentation skills
  • Consultative guidance approach
  • Matrix organization navigation
  • MBA or MHA degree preferred
  • Clinical informatics knowledge

Key Requirements

  • 3+ years managed care contracting experience
  • Bachelor's degree (experience may substitute)
  • Deep understanding of hospital business models
  • Proficiency in Microsoft Office

Work Rights

Not specified

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