This job is available in 4 locations Category Operations Posted
Date: 08/21/2020 Job Id 20012556
This position serves as an integral member of the Network
Operations Team and reports to the N etwork Operations Manager .
This role assists and supports the day to day contracting and
network activities and expansion into new markets.
Manages contracting and negotiations for fee for service with
Supports the development and management of value-based
Builds and maintains relationships that nurture provider
partnerships 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.
Supports strategic positioning for provider contracting, assists
in the development of networks and helps identify opportunities for
Contributes to the development of alternative network
initiatives. Supports analytics required for the network
Works to meet unit cost targets, while preserving an adequate
network, to achieve and maintain Cigna's competitive position.
Supports initiatives that improve total medical cost and
Drives change with external provider partners by offering
consultative expertise to assist with total medical cost
Prepares, analyzes, reviews, and projects financial impact of
provider contracts and alternate contract terms.
Creates “HCP” agreements that meet internal operational
standards and external provider expectations. Ensures the accurate
implementation, and administration through matrix partners.
Assists in resolving provider service complaints. Researches
problems and negotiates with internal/external partners/customers
to resolve escalated issues.
Manages provider relationships and is accountable for critical
interface with providers and business staff.
Demonstrates knowledge of providers in an assigned geographic
area through understanding the interrelationships as well as the
Responsible for accurate and timely contract loading and
submissions and interface with matrix partners for network
implementation and maintenance.
Bachelor’s degree strongly preferred; preferably in the areas of
Finance, Economics, Healthcare or Business related. Significant
industry experience will be considered in lieu of a Bachelor
One to two years prior provider servicing experience strongly
Medicare Advantage experience required.
Contracting and negotiating experience preferred.
Experience in developing and managing relationships.
Understanding and experience with hospital, managed care, and
provider business models a plus.
Team player with proven ability to develop strong working
relationships within a fast-paced, matrix organization.
The ability to influence audiences through strong written and
verbal communication skills. Experience with formal
Customer centric and interpersonal skills are required.
Demonstrates an ability to maneuver effectively in a changing
Demonstrates problem solving, decision-making, negotiating
skills, contract language and financial acumen.
Knowledge and use of Microsoft Office tools.
Cigna Corporation (NYSE: CI) is a global health service company
dedicated to improving the health, well-being and peace of mind of
those we serve. We offer an integrated suite of health services
through Cigna, Express Scripts, and our affiliates including
medical, dental, behavioral health, pharmacy, vision, supplemental
benefits, and other related products. Together, with our 74,000
employees worldwide, we aspire to transform health services, making
them more affordable and accessible to millions. Through our
unmatched expertise, bold action, fresh ideas and an unwavering
commitment to patient-centered care, we are a force of health
When you work with Cigna, you’ll enjoy meaningful career
experiences that enrich people’s lives while working together to
make the world a healthier place. What difference will you make? To
see our culture in action, search #TeamCigna on Instagram.
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 require reasonable accommodation in completing the online
application process, please email: SeeYourself@cigna.com for
support. Do not email SeeYourself@cigna.com for an update on your
application or to provide your resume as you will not receive a
About Cigna Location St. Louis, Missouri, United States of
America Category Operations Posted Date 07/30/2020
Employment with Cigna, including employment within the LDP
program, is at-will; that is, it is not for a specified period of
time and can be terminated at any time for any reason, with or
without cause or notice, by me or by Cigna. LDP programs, policies
and processes may be changed by Cigna at any time.