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Cigna Provider Contracting Jobs in Washington (NOW HIRING)

Trademasters Services I

ELECTRICIAN-Full Time

Lorton, VA · On-site

$18 - $48/hr

We provide quality and efficient services for all the following systems or needs: HVAC, plumbing ... Cigna Health, Cigna Dental and EyeMed Vision coverage on your first day * Company paid Life ...

Trademasters Services I

PLUMBER-Full Time

Lorton, VA · On-site

$18 - $48/hr

We provide quality and efficient services for all the following systems or needs: HVAC, plumbing ... Cigna Health, Cigna Dental and EyeMed Vision coverage on your first day * Company paid Life ...

Johnson Technology Systems Inc

Be Seen First

Human Resources Operations Manager

Reston, VA · On-site

$100K - $110K/yr

Serve as liaison with benefit providers including Hub International, Cigna, HealthEquity, Merrill ... Experience supporting a government contractor preferred. Strong knowledge of federal and state ...

Laborie

Associate Territory Manager

Washington, DC

This role serves as a deliberate development pathway, providing exposure to hospital selling ... Foundational understanding of hospital value analysis processes, contracting workflows, and ...

ZP Group

Technical Recruiter

Columbia, MD · On-site

Piper Compan ies provides staffing and professional services in Enterprise IT, Cyber Security, and ... fulfillment, contractor redeployment, as well as account breaking & saturation. The Delivery ...

Fusion Technology

Program Manager

Chantilly, VA · On-site

... Contractor support allocated to the contract, providing management oversight of all contract ... Cigna, a competitive employer contribution to a health savings account, vision and dental plans ...

Fusion Technology

Program Manager

Chantilly, VA · On-site

... Contractor support allocated to the contract, providing management oversight of all contract ... Cigna, a competitive employer contribution to a health savings account, vision and dental plans ...

Fusion Technology LLC

Program Manager

Chantilly, VA

... Contractor support allocated to the contract, providing management oversight of all contract ... Cigna, a competitive employer contribution to a health savings account, vision and dental plans ...

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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 Washington? For Cigna Provider Contracting jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Cigna Provider Contracting jobs in Washington look for? The top searched job categories for Cigna Provider Contracting jobs in Washington are:
What cities in Washington are hiring for Cigna Provider Contracting jobs? Cities in Washington with the most Cigna Provider Contracting job openings:
Cigna Provider Contracting jobs near you

Enrollment Provider & Credentialing Consultant

Solutions Technology, Inc / STI Health & Wellness

Odenton, MD • On-site

Contractor

Re-posted 8 days ago

Job description

Job Summary
This is an independent contractor role.  The Insurance Provider Enrollment and Credentialing Specialist manages the administrative process of enrolling healthcare providers into commercial and government health insurance networks. This role conducts comprehensive background verifications to ensure all clinical staff meet regulatory, licensing, and accreditation standards. This vital role ensures clinicians are legally permitted to practice, properly affiliated with commercial and governmental payers, and authorized to submit claims for patient care. The Specialist acts as the primary liaison between clinicians, medical billing teams, and health insurance payers to ensure uninterrupted reimbursement for patient care.
Salary Requirements
$49,700 - $59,300 ($23.89 - $28.51 per hour)
Contract Part-Time, Onsite
Core Responsibilities
  • Credential Verification: Verify provider medical licenses, board certifications, DEA registrations, education, and malpractice insurance.
  • ​​​​​Network Enrollment: Compile, complete, and submit detailed payer applications, track them to ensure completion, and resolve issues that prevent a provider from gaining "in-network" status with commercial insurance plans. Obtain and manage practice locations and provider rosters. Enroll individual clinicians and group practice in:
    • Tricare, BCBS CareFirst, AETNA, CIGNA, United Healthcare, and other commercial payers as needed
  • Database Maintenance: Update and maintain accurate provider profiles in national databases and registries including CAQH and NPPES.
  • Tracking & Follow-up: Monitor the status of pending applications with payers to ensure timely network approval and prevent credentialing gaps.  Respond to payer request for additional information.
  • Compliance Management: Ensure compliance with payer and regulatory requirements. Track expiration dates for provider licenses, certificates, and insurances to ensure continuous compliance. Maintain enrollment records and approval dates.
  • Re-Credentialing & Revalidation Cycle: Proactively update files and renew applications to maintain compliance with changing state, federal (CMS), and accrediting (NCQA/TJC) regulations.  Manage the routine re-credentialing and revalidation processes mandated by insurers and regulatory bodies.
  • Issue Resolution: Investigate and resolve enrollment delays, provider data errors, and credentialing-related billing rejections.
  • Cross-Department Collaboration: Partner with HR, legal, clinicians, and billing/coding to streamline provider onboarding.
  • Contract Coordination
    • Work with payer representatives during the contracting process
    • Ensure contracts are executed and effective dates are recorded
    • Track reimbursement schedules and network participation status
Key Qualifications:
  • Education: High school diploma or GED required; bachelor’s degree in healthcare administration or a related field preferred.
  • Experience: Minimum of 2–4 years of direct experience in medical credentialing and payer enrollment.
  • Systems Proficiency: Hands-on experience using CAQH ProView, NPPES, and electronic medical record (EMR) software.
  • Regulatory Knowledge: Deep understanding of NCQA and Joint Commission credentialing guidelines and compliance standards.
  • Skill Set: Exceptional attention to detail, strong organizational skills, and excellent written and verbal communication abilities.
Preferred Qualifications
  • Certification: Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) designation.
  • Payer Network: Established relationships or familiarity with regional commercial health plan provider relations departments.

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