Provider Contracting Senior Analyst

3 weeks ago

Remote, Oregon, United States The Cigna Group Full time
The job profile for this position is Provider Contracting Senior 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 you, we encourage you to apply

Our people make all the difference in our success.

This production role delivers professional activities in the Provider Contracting job family. The position is responsible for dental provider recruitment and contracting. Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks. Ability and willingness to travel frequently within the US including overnight stays. Conduct quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and reimbursement data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented and standard operating policies and procedures. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in Provider Contracting.

Responsibilities include:

  • Identifying, recruiting, contracting, and retaining qualified health care professionals in geographic area within established guidelines to meet health plan needs
  • Achieve competitive and cost effective contracts in assigned areas or assigned client/customer needs
  • Maintain positive relationships with health care professionals and their office staff extending high quality service
  • Conduct negotiations and ensure the smooth operation and administration of provider agreements
  • Explain plans, policies and procedures
  • Resolve complaints and disputes, ensure compliance
  • Negotiate contracts and recruit dental providers to become a Cigna network provider
  • Work to achieve contract discounts with new providers
  • Use data and facts to identify and overcome objections
  • Prioritize and organize own work to meet deadlines, and reach established personal and department goals
  • Provide explanations and information to others within area of specialty

Requirements:

  • High School Diploma or equivalent required
  • 1-3 year experience in healthcare administration or provider relationship management
  • Strong analytical and problem solving skills
  • Strong negotiation and communication skills
  • Basic to Intermediate proficiency in Microsoft Office products required
  • Valid drivers license
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.For this position, we anticipate offering an annual salary of 56, ,400 USD / yearly, depending on relevant factors, including experience and geographic location.

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.

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