Provider Contracting Advisor - Cigna Healthcare - Hybrid/Illinois

Minimum 3 years contracting and negotiating experience involving complex delivery systems and organizations required.

Experience in developing and managing key provider relationships

Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.

Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.

Intimate understanding and experience with hospital, managed care, and provider business models.

The ability to influence both sales and provider audiences through strong written and verbal communication skills.

Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).

Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.

Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management.

Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.

Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.

Contributes to the development of alternative network initiatives.

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email

seeyourself@thecignagroup.com

for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.