![The Cigna Group](https://media.trabajo.org/img/noimg.jpg)
National Provider Contract Advisor
1 month ago
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply
Our people make all the difference in our success.
Work Location: Remote or Hybrid
[If live close to a Cigna Office the position would be Hybrid and require 3 days in the office]
National Contracting plays a significant role in Cigna's Enterprise Affordability strategy. Direct Provider Agreements managed by National Contracting are a key growth opportunity for Cigna and play a critical role in delivering affordability and network access for our Customers and Clients These agreements currently represent roughly $2B in annual medical spend across US Commercial and US Government and growing. Heavy focus on controlling unit costs and trends in these contracts is critical for Cigna to achieve Affordability goals.
The National Provider Contracting Advisor is a key role in supporting Cigna's overall affordability programs, which directly address customer and client demands for lower cost and higher quality of care. This role will report to the Provider Contracting Sr Director focusing on national direct provider agreements and will be supporting that team's contracting strategy.
Key Responsibilities:
- Lead and/or advise on complex national provider agreements, negotiations, legal review and signature processes
- Manage and/or support the agreement and amendment request and preparation processes, as assigned
- Responsible for accurate and timely contract loading including effective interfacing with matrix partners for network implementation and maintenance
- Coordinate appropriate business and legal review/response of negotiated documents
- Mange key national contracted providers and be accountable for critical interface with providers and their business staff
- Builds and maintains internal/external partner relationships to ensure optimal outcomes
- Contribute to National contracting strategy and partner with other team members and matrix partners to implement assigned strategies
- Incorporate Industry/Competitive trends in programs/contracts
- Partner with local markets to drive network adequacy and membership growth/persistency strategies
- Initiate and maintain 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
- Initiate and maintain effective channels of communication with providers and be accountable for critical interface with providers and business staff
- Assist with communication of contract processes and procedures
Qualifications:
- Bachelor's Degree or higher required
- 4+ years of experience in Provider, Client and Customer Relations, Provider Contracting or National Ancillary Service within a Healthcare environment
- Detailed knowledge of Cigna Affordability initiatives and medical spend categories
- Working knowledge of Cigna operations, markets and contracts
- Knowledge of US Government operations and Medicare is preferred
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.
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.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
-
Contract Advisor
4 weeks ago
Remote, Oregon, United States The Cigna Group Full timeThe job profile for this position is Contract Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you,...
-
Remote, Oregon, United States The Cigna Group Full timeThis is a Medicare Advantage position. Work Location: This is a Remote positionThe National Ancillary Senior Advisor is a key role that supports Cigna's Medicare Advantage line of business, directly addressing customer and client demands for higher quality of care and greater affordability for the senior population. The primary focus for this role includes...
-
ONPT Provider Contracting Director
4 weeks ago
Remote, Oregon, United States The Cigna Group Full timeENCORE POSITION Provider Contracting Director The role manages a team that executes on sustained growth, revenue and earnings strategy while ensuring compliance with State and Federal regulations. This role has responsibility to grow operational excellence across several teams within the Out of Network Protection Team (ONPT). They include Voluntary...
-
Remote, Oregon, United States The Cigna Group Full timeThe Regional Medicare Provider Contracting Senior Manager serves as an integral member of the Network Development and Solutions Team for the Pacific Northwest and Mountain States Region and reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor to the development of the strategic direction of assigned markets and...
-
Contract Lead Analyst
1 month ago
Remote, Oregon, United States The Cigna Group Full timeThe job profile for this position is Contract Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for...
-
Category Advisor
2 months ago
Remote, Oregon, United States GHX Full timeAs a Category Advisor, you will serve as part of the Value Analysis & Strategic Sourcing advisory services team, where you will pair your subject-matter expertise with evidence and customer data to formulate and deliver actionable recommendations for medical device use in health systems. You will develop a comprehensive perspective on Cardiovascular, IR and...
-
Financial Advisor
2 months ago
Remote, Oregon, United States Ellevest Full timeWho We AreEllevest is an investing and wealth management company built by women, for women. In a sea of financial services, we stand apart with our mission to get more money in the hands of women, no matter where they're starting or how far they've come. We started by building the only gender-aware online investing platform that takes totally un-ignorable...
-
Industry Analyst and Advisor Relations Manager
1 month ago
Remote, Oregon, United States Conduent Business Services, LLC Full timeIndustry Analyst and Advisor Relations Manager The Industry Analyst and Advisor Relations Manager at Conduent has a key role within the Communications team, reporting directly to the VP of External Communications. This position fosters a collaborative work environment, engaging with internal stakeholders and external analysts to enhance corporate visibility...
-
Clinical Program Advisor
1 month ago
Remote, Oregon, United States The Cigna Group Full timeThe job profile for this position is Clinical Program Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...
-
Clinical Program Advisor
4 weeks ago
Remote, Oregon, United States The Cigna Group Full timeThe job profile for this position is Clinical Program Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...
-
Remote, Oregon, United States The Cigna Group Full timeThe job profile for this position is Clinical Program Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...
-
1st VP, Business Development, National Accounts
3 weeks ago
Remote, Oregon, United States CIM Group Full timeAbout CIM GroupCIM is a community-focused real estate and infrastructure owner, operator, lender, and developer. Our team of experts works together to identify and create value in real assets, benefiting the communities in which we invest. Back in 1994, our three founders focused on projects in Southern California neighborhoods. Today, we are a diverse team...
-
People Success Advisor
1 month ago
Remote, Oregon, United States BlackLine Full timeGet to Know Us:It's fun to work in a company where people truly believe in what they're doingAt BlackLine, we're committed to bringing passion and customer focus to the business of enterprise applications.Since being founded in 2001, BlackLine has become a leading provider of cloud software that automates and controls the entire financial close process. Our...
-
National Sales VP
2 months ago
Remote, Oregon, United States F&G Full timeF&G is looking to hire for a National Sales VPThe National Sales VP will promote the sale of annuity products (traditional fixed, FIAs and Immediate Annuities) through leading and management of group of Regional Directors. This position will work with many long-established agent relationships. This position is responsible for achieving sales targets...
-
Supplemental Health Solutions Project Advisor
1 month ago
Remote, Oregon, United States The Cigna Group Full timeThe job profile for this position is Encore, which is a Band 1 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you...
-
Product Advisor III
2 months ago
Remote, Oregon, United States The PNC Financial Services Group Full timeJob ProfilePosition OverviewAt PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued and have an opportunity to contribute to...
-
Solution Advisor
4 weeks ago
Remote, Oregon, United States RegScale Full timeRegScale is a continuous controls monitoring (CCM) platform that enables GRC outcomes faster and at a lower cost than legacy programs currently deliver. These efficiency gains are achieved through extreme automation powered by CCM engines to bridge security, risk, and compliance activities. Our CCM automation engines and AI tools operate independently but...
-
Digital Partner Marketing Advisor
2 months ago
Remote, Oregon, United States Indigo Slate Full timeDigital Partner Marketing Advisor (DPMA) Indigo Slate, a Zensar company, is looking for a Digital Partner Marketing Advisor (DPMA) to manage the relationship with a series of technology companies to drive high level marketing planning & campaign management. This individual should be passionate about the power of technology to solve business challenges and be...
-
National Account Manager
2 months ago
Remote, Oregon, United States 100 Thieves Full timeAbout 100 Thieves100 Thieves ("Hundred Thieves") is the premier lifestyle brand and gaming organization. Based in Los Angeles, the company was founded in 2017 by former Call of Duty World Champion and YouTube sensation Matthew "Nadeshot" Haag. 100 Thieves has leading esports teams competing in League of Legends, Call of Duty, and VALORANT. The brand is...
-
National Accounts
3 months ago
Remote, Oregon, United States The Cigna Group Full timeThe job profile for this position is Proposal Support Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is...