Provider Contracting Advisor- Cigna Healthcare - Cleveland, Oh

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Cleveland, Ohio, US
Base: $92,000 - $153,300 usd yearly; bonus: eligib...
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Managed care contracting experience
Complex provider negotiation skills
Value-based reimbursement knowledge
** The Provider Contracting Advisor position at Cigna Healthcare focuses on managing complex contracting and negotiations with healthcare providers in Cleveland, Ohio. The role requires strong relationship-building skills and expertise in managed care, specifically regarding reimbursement methodologies and network management. **

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 is responsible for developing strategic direction for network management activities while ensuring unit cost targets are met to maintain competitive market positioning.
  • Candidates will receive a comprehensive benefits package including medical, vision, dental, 401(k), company-paid life insurance, and a minimum of 18 days of paid time off.

Matching Summary

Match Score: 75

** The Provider Contracting Advisor position at Cigna Healthcare focuses on managing complex contracting and negotiations with healthcare providers in Cleveland, Ohio. The role requires strong relationship-building skills and expertise in managed care, specifically regarding reimbursement methodologies and network management. **

Salary

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

Skills & Requirements

Must-have

  • Managed Care contracting experience
  • Complex provider negotiation skills
  • 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 for cost initiatives
  • Formal presentation capabilities

Key Requirements

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

Work Rights

Not specified

Tailored Resume

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