Provider Contracting Advisor - Cigna Healthcare - Columbus, Oh

Cigna Healthcare

Columbus, Oh, USA
Base: 92,000 - 153,300 usd / yearly; bonus/equity:...
Managed care contracting and negotiating
Develop and manage provider relationships
Negotiate fee for service and value-based reimbursements
The Provider Contracting Advisor manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers, building relationships that nurture provider partnerships

Job Summary

  • The Provider Contracting Advisor manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers, building relationships that nurture provider partnerships.
  • This role initiates and maintains effective channels of communication with matrix partners including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing, and Service.
  • The Cigna Group offers a comprehensive range of benefits including medical, vision, dental, well-being and behavioral health programs, 401(k), company paid life insurance, tuition reimbursement, and a minimum of 18 days of paid time off per year plus paid holidays.

Matching Summary

The Provider Contracting Advisor manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers, building relationships that nurture provider partnerships.

Salary

Base: 92,000 - 153,300 USD / yearly; Bonus/Equity: eligible to participate in an annual bonus plan; Benefits: comprehensive range of benefits including medical, vision, dental, well-being and behavioral health programs, 401(k), company paid life insurance, tuition reimbursement, 18+ days PTO, paid holidays

Skills & Requirements

Must-have

  • Managed Care contracting and negotiating
  • Develop and manage provider relationships
  • Negotiate fee for service and value-based reimbursements
  • Analyze financial impact of contracts
  • Communicate with matrix partners

Nice-to-have

  • Customer centric and interpersonal skills
  • Maneuver effectively in a changing environment
  • Consultative expertise
  • Team player
  • Strong written and verbal communication skills

Key Requirements

  • 3+ years Managed Care contracting experience
  • Bachelor's Degree preferred
  • MBA or MHA preferred
  • Knowledge of complex reimbursement methodologies
  • Experience with formal presentations

Work Rights

Not specified

Tailored Resume

Cover Letter