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Provider Contracting Director
The Cigna GroupProvider Contracting Director responsible for managing healthcare provider contracts in Florida. Leading strategy execution and ensuring market compliance for Cigna Healthcare services.
About the role
Key responsibilities & impact- Reporting to the Florida Market Network Leader
- Overall accountability for managing the hospital and physician provider contracting functions for assigned geographies within the Florida markets
- Executing the Regional/National Network Contracting & Affordability strategy
- Managing total medical cost for their assigned territory
- Managing the execution of a total unit cost plan, provider collaborative and value-based initiatives
- Leading the technical operations of the Contracting functions
- Contributing to and executing the markets strategic planning
- Leading and participating in market-based vendor negotiations
- Negotiating, evaluating and writing physician contracts
- Conducting market-based financial analysis
- Supporting growth and persistency through strategic collaboration with Market Medical Execs, Sales and Account Management
- Ensuring compliance with Cigna Healthcare National Contracting standards
- Managing the markets provider relationships
Requirements
What you’ll need- Bachelor’s Degree; MBA or Master’s Degree in HealthCare Administration or health-related field preferred
- Minimum of 10 years managed healthcare experience
- Extensive experience (10 years, preferred) in provider contracting and network development involving complex hospital systems, integrated delivery systems and large physician groups (IPAs and PPMs) etc., including risk arrangements
- Excellent knowledge of hospital and managed care finance
- Strong knowledge of managed care (e.g. network design, products, customer service, provider communities, etc.) regulatory environment and compliance issues (e.g. NCQA accreditation issues, credentialing, delegation and oversight standards, etc.)
- Excellent interpersonal and relationship management skills
- Excellent oral, written and presentation skills
- Proven ability to function in a heavily matrixed environment
- Proven ability to foster collaboration, value others perspective and gain support and buy-in for organization proposals
- Proven success in managing growth and charge of business operations.
- Proven ability to drive and lead an organization through significant change
- Strong organizational and analytical skills that result in conclusive recommendations
- Ability to drive results, think strategically and implement a national strategy
- Ability to establish community-based partnerships with providers and other stakeholders
- Proficient with Excel, Word and presentation applications
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
provider contractingnetwork developmentfinancial analysismanaged care financerisk arrangementsstrategic planningvalue-based initiativesnegotiationcompliance standardshospital systems
Soft Skills
interpersonal skillsrelationship managementoral communicationwritten communicationpresentation skillscollaborationorganizational skillsanalytical skillsstrategic thinkingchange management
Certifications
Bachelor's DegreeMBAMaster's Degree in HealthCare Administration