Remote (with a requirement to live in pennsylvania)
Managed care contracting experience
Complex provider negotiations
Fee for service and value-based reimbursement
Cigna Healthcare is seeking a Provider Contracting Advisor to manage complex provider contracts and negotiations in Pennsylvania. The ideal candidate will have strong experience in managed care contracting, relationship building, and a deep understanding of healthcare systems
Job Summary
The Provider Contracting Advisor serves as an integral member of the team managing strategic direction and day-to-day contracting activities for a local territory.
This role involves negotiating complex contracts for fee-for-service and value-based reimbursements with hospitals, ancillaries, and large physician groups.
The position requires building strong external relationships while collaborating with matrix partners including Claims Operations, Legal, and Medical Economics.
Matching Summary
Match Score: 85
Cigna Healthcare is seeking a Provider Contracting Advisor to manage complex provider contracts and negotiations in Pennsylvania. The ideal candidate will have strong experience in managed care contracting, relationship building, and a deep understanding of healthcare systems.
Skills & Requirements
Must-have
Managed Care contracting experience
Complex provider negotiations
Fee for service and value-based reimbursement
Hospital and physician group relationships
Network analytics support
Nice-to-have
Consultative expertise in clinical informatics
Strong written and verbal communication skills
Experience with formal presentations
Customer centric interpersonal skills
Ability to influence sales audiences
Key Requirements
Bachelor's degree in Finance, Economics, Healthcare, or Business
3+ years Managed Care contracting experience
MBA or MHA preferred
Knowledge of complex reimbursement methodologies
Intimate understanding of hospital and managed care business models