Director, Network Management - Central & North Fl Markets - Cigna Healthcare

Cigna

Lake Mary, FL, USA
Hybrid
Complex contracting and negotiations
Fee for service and value-based reimbursements
Provider relationship management
Cigna is seeking a Director of Network Management for the Central and North Florida markets, responsible for managing complex provider contracting and negotiations. This hybrid role involves building relationships with healthcare providers and collaborating with various internal teams to enhance contracting strategies

Job Summary

  • The Director, Network Management, is an Individual Contributor role that serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager responsible for facility & ancillary contracting in Orlando, Jacksonville and surrounding areas of Central & North Florida.
  • This role assists in developing the strategic direction and management of the day to day contracting and network management activities for areas in Central & North Florida.
  • The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.

Matching Summary

Match Score: 85

Cigna is seeking a Director of Network Management for the Central and North Florida markets, responsible for managing complex provider contracting and negotiations. This hybrid role involves building relationships with healthcare providers and collaborating with various internal teams to enhance contracting strategies.

Skills & Requirements

Must-have

  • complex contracting and negotiations
  • fee for service and value-based reimbursements
  • provider relationship management
  • knowledge of reimbursement methodologies
  • effective cross-functional communication
  • hybrid work environment
  • strong written and verbal communication skills

Nice-to-have

  • strategic direction development
  • experience with hospital and managed care models
  • customer centric interpersonal skills
  • formal presentation experience
  • team player in matrix organization
  • ability to influence sales and provider audiences

Key Requirements

  • Bachelor degree required
  • MBA or MHA preferred
  • Minimum 3 years contracting and negotiating experience
  • Experience with complex delivery systems
  • Knowledge of incentive based reimbursement models
  • Experience building provider partnerships
  • Reliable cable broadband or fiber optic internet with minimum 10Mbps download/5Mbps upload

Work Rights

Not specified

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