Provider Contracting Manager - Cigna Healthcare - Hybrid/Illinois
Core
Develops strategic direction and manages day-to-day contracting and network management activities for a given territory within Illinois, focusing on fee-for-service and value-based reimbursements.
Role type
Provider Contracting Manager
Builds
Provider networks and contracts for Cigna Healthcare in Illinois
Domain
Healthcare / Insurance
Required skills
Contract negotiation, relationship management, financial acumen, reimbursement methodology knowledge, contract administration, problem solving, strategic positioning, network analytics support, change management, data analysis
Preferred skills
MBA or MHA, incentive-based model knowledge, clinical informatics understanding, formal presentation skills
Technologies
Microsoft Office
Responsibilities
Manage complex contracting and negotiations with hospitals and provider groups; Build and nurture provider partnerships; Initiate and maintain communication with matrix partners (Claims, Medical Management, Legal, etc.); Develop strategic positioning for provider contracting; Create and manage HCP agreements; Analyze financial impact of provider contracts; Resolve escalated provider service complaints; Guide less experienced specialists.
Seniority
Mid-level, hands-on IC with some mentorship
