Provider Contracting Advisor- Cigna Healthcare - Cleveland, Oh

TheCignaGroup LLC

Cleveland, Ohio, US
Base: $92,000 - $153,300 usd yearly; bonus: eligib...
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Managed care contracting experience
Complex provider negotiations
Value-based reimbursement knowledge
** The Provider Contracting Advisor position at Cigna Healthcare in Cleveland, Ohio, involves managing complex provider contracts and negotiations while fostering strong partnerships with healthcare providers. Ideal candidates should possess experience in managed care contracting, strong relationship-building skills, and a comprehensive understanding of reimbursement methodologies. **

Job Summary

  • The Provider Contracting Advisor manages complex contracting and negotiations for fee-for-service and value-based reimbursements with hospitals and large physician groups.
  • This role builds strategic relationships with internal matrix partners including Claims Operations, Legal, and Medical Economics to support local market strategies.
  • Candidates are offered a comprehensive benefits package starting on day one, including medical, vision, dental, 401(k), and paid time off.

Matching Summary

Match Score: 75

** The Provider Contracting Advisor position at Cigna Healthcare in Cleveland, Ohio, involves managing complex provider contracts and negotiations while fostering strong partnerships with healthcare providers. Ideal candidates should possess experience in managed care contracting, strong relationship-building skills, and a comprehensive understanding of reimbursement methodologies. **

Salary

Base: $92,000 - $153,300 USD yearly; Bonus: Eligible for annual bonus plan; Benefits: Comprehensive health, 401(k), PTO, tuition reimbursement

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

  • Strong written and verbal communication skills
  • Experience with formal presentations
  • Consultative expertise in clinical informatics
  • Ability to influence sales audiences
  • Customer centric interpersonal skills

Key Requirements

  • Bachelor's degree preferred or equivalent industry experience
  • 3+ years Managed Care contracting experience
  • MBA or MHA preferred
  • Knowledge of incentive based reimbursement models

Work Rights

Not specified

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