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 ...
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 ...
They support follow-up, finalist, and contracting activities, as needed. The RFP process includes ... provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and ...
They support follow-up, finalist, and contracting activities, as needed. The RFP process includes ... provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and ...
... providing insight that materially influences short- and long-term business direction. Contracting ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... providing insight that materially influences short- and long-term business direction. Contracting ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
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 Laborie provides equal employment ...
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 Laborie provides equal employment ...
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 Laborie provides equal employment ...
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 Laborie provides equal employment ...
Manufacturing Engineer
$88K - $95K/yr
... and external contractors * 5% domestic and/or international travel potential Why Laborie: Our ... Awarded 2024 Cigna Healthy Workforce Designation Gold Level Laborie provides equal employment ...
Quick apply
Manufacturing Engineer
$88K - $95K/yr
... and external contractors * 5% domestic and/or international travel potential Why Laborie: Our ... Awarded 2024 Cigna Healthy Workforce Designation Gold Level Laborie provides equal employment ...
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 ...
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?
What is the difference between Cigna Provider Contracting vs Cigna Network Analyst?
| Aspect | Cigna Provider Contracting | Cigna Network Analyst |
|---|---|---|
| Primary Role | Negotiates and manages provider agreements with healthcare providers | Analyzes network data to optimize provider networks and performance |
| Required Credentials | Healthcare administration, business, or related degree; experience in contracting | Data analysis, healthcare informatics, or related degree; analytical skills |
| Work Environment | Office-based, provider meetings, contract negotiations | Office-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?
What is Cigna Provider Contracting?
Provider Contracting Advisor - Hospital & Physician Negotiations - Hybrid - Pittsburgh, PA
On-site, Remote
Full-time
Re-posted 22 hours ago
Cigna Healthcare rating
8.4
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