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Cigna Provider Contracting Jobs in Minnesota (NOW HIRING)

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network in our Western PA and West Virginia markets! As Provider Contracting Advisor , you'll serve as an important ...

Manufacturing Engineer

Plymouth, MN · On-site

$88K - $95K/yr

... and external contractors * 5% domestic and/or international travel potential Why Laborie: Our ... Awarded 2024 Cigna Healthy Workforce Designation Gold Level Laborieprovidesequal employment ...

Cigna Provider Contracting information

What are some common challenges faced in Cigna Provider Contracting roles, and how can they be effectively managed?

Professionals in Cigna Provider Contracting often encounter challenges such as negotiating mutually beneficial terms with providers, understanding complex regulatory requirements, and balancing organizational goals with provider expectations. Effective management of these challenges involves strong communication skills, a thorough knowledge of contract language and healthcare regulations, and the ability to build positive relationships with providers. Collaborating closely with legal, compliance, and network management teams also helps ensure contracts are both competitive and compliant.

What is the difference between Cigna Provider Contracting vs Cigna Network Analyst?

AspectCigna Provider ContractingCigna Network Analyst
Primary RoleNegotiates and manages provider agreements with healthcare providersAnalyzes network data to optimize provider networks and performance
Required CredentialsHealthcare administration, business, or related degree; experience in contractingData analysis, healthcare informatics, or related degree; analytical skills
Work EnvironmentOffice-based, provider meetings, contract negotiationsOffice-based, data analysis, reporting

While Cigna Provider Contracting focuses on establishing and managing provider agreements, Cigna Network Analysts analyze network data to improve provider performance and network efficiency. Both roles require healthcare or data-related credentials and operate primarily in office settings, but their core functions differ—contracting versus data analysis.

What are the key skills and qualifications needed to thrive as a Cigna Provider Contracting professional, and why are they important?

To thrive in Cigna Provider Contracting, you need a strong understanding of healthcare contracting, negotiation strategies, and knowledge of provider networks, often supported by a degree in business, healthcare administration, or a related field. Familiarity with contract management systems, data analysis tools, and regulatory compliance platforms is typically required. Excellent interpersonal, communication, and problem-solving skills help professionals build positive relationships with providers and navigate complex agreements. These skills are crucial for ensuring competitive provider networks, compliance, and mutually beneficial partnerships in a dynamic healthcare environment.

What is Cigna Provider Contracting?

Cigna Provider Contracting refers to the process by which healthcare providers, such as doctors, hospitals, and clinics, enter into agreements with Cigna, a major health insurance company. These contracts outline the terms, reimbursement rates, and requirements for providing care to Cigna’s insured members. The goal is to ensure a network of quality providers for members, while clarifying expectations and payment arrangements for both parties. Provider contracting specialists at Cigna negotiate these agreements and help maintain strong relationships with healthcare providers.
What are popular job titles related to Cigna Provider Contracting jobs in Minnesota? For Cigna Provider Contracting jobs in Minnesota, the most frequently searched job titles are:

Provider Contracting Advisor - Hospital & Physician Negotiations - Hybrid - Pittsburgh, PA

Cigna

On-site, Remote

Full-time

Re-posted 22 hours ago


Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

24th of 887 rated healthcare providers


Job description

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network in our Western PA and West Virginia markets! As Provider Contracting Advisor, you'll serve as an important part of the Provider Contracting Team and report to the AVP, Provider Contracting. In this role, you'll assist in developing our strategic direction and manage the day-to-day contracting and network management activities for the local market.

Responsibilities

  • Manage complex fee-for-service and value-based contracting, reimbursements, and negotiations with hospitals and physician groups.

  • Build and maintain strong provider relationships to support network growth and value-based business opportunities.

  • Partner closely with matrix teams (e.g., Claims, Medical Management, Credentialing) to ensure aligned execution.

  • Develop strategic network positions, identify value-based and risk-based opportunities, and contribute to alternative network initiatives and analytics.

  • Meet unit cost goals while maintaining an adequate and competitive provider network.

  • Design and manage initiatives to improve medical cost and quality, providing consultative guidance informed by clinical informatics.

  • Prepare, review, and project the financial impact of complex contracts

  • Draft and manage healthcare provider (HCP) agreements through effective cross-functional collaboration.

  • Lead the resolution of issues and manage key provider relationships, demonstrating deep knowledge of the local market landscape, including contract implementation and maintenance.

  • Research problems and negotiate with partners and customers to resolve complex and escalated issues

  • Support less experienced staff as needed.

Qualifications

  • 3+ years of managed care contracting and negotiating experience involving complex delivery systems and organizations

  • Strong provider relationship management skills, with demonstrated success building long-term external partnerships

  • Knowledge of complex reimbursement methodologies, including incentive-based models (strongly preferred)

  • Deep understanding of hospital, managed care, and provider business models

  • Strong presentation and communication skills, including the ability to build internal relationships in a fast-paced, matrixed organization

  • Customer-centric approach with strong interpersonal skills and comfort navigating change

  • Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills

  • Proficiency in Microsoft Office

Preferred Qualifications

  • Bachelor's degree in a related field (industry experience may substitute)

  • MBA or MHA


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.


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About Cigna

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Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

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