Strategic Healthcare Contract Analyst

3 weeks ago


Tucson, Arizona, United States The Cigna Group Full time

Job Summary

We are seeking an experienced and analytical professional to join our Digital & Analytics team as a Provider Contract & Network Underwriting Lead Analyst. In this role, you will be responsible for conducting hospital and professional provider contract underwriting/analysis, partnering with Contracting to deliver unit cost results in line with trend/cost expectations.

About the Role

  • Analyze the impact of proposed terms on profitability, trend, and other metrics.
  • Leverage competitor data and insights in contract negotiation modeling.
  • Effectively influence contracting in a strategic fashion and offer meaningful options during negotiations with providers.
  • Provide ad hoc analysis and deep dives into data as appropriate to support negotiation and provide value to contracting partners.
  • Summarize and explain findings and recommendations.
  • Proactively identify opportunities for trend reduction and engage contracting to build these into plans where appropriate.
  • Maintain accurate records and communicate progress to management.
  • Collaborate with matrix partners to validate and adopt new tools and models.

Requirements

  • 3+ years' experience in analyzing medical claims experience in TMC and/or Contract Underwriting for Fee for Service and Fee for Value contracts.
  • Knowledge of standard medical coding: CPT, ICD10, HCPC ideal.
  • Proficiency with Excel to perform data mining and reporting functions; familiarity with Access is preferred.
  • Strong analytical and problem-solving skills with ability to independently perform analyses and apply statistical models.
  • Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management.
  • Excellent communication skills to include written, oral, and group presentation.
  • Able to work independently while managing multiple tasks and meeting deadlines.
  • Bachelor's degree in Finance, Economics, Business, Health Policy Analysis, Healthcare Administration, Mathematics, or Statistics preferred.

Estimated Salary

$120,000 - $150,000 per year, based on location and experience.



  • Tucson, Arizona, United States Alpha Executive Search Full time

    Job SummaryWe are seeking a seasoned Strategic Commodities Risk Manager to lead our commodity risk management efforts and drive business value through strategic sourcing, risk mitigation, and supply market analysis.About the RoleThis critical position is responsible for managing all aspects of spend related to key commodities, including beef, soybean oil,...

  • Contract Pharmacist

    3 weeks ago


    Tucson, Arizona, United States Jackson PharmacyPros Full time

    OverviewJackson Pharmacy Professionals is a pharmacy-exclusive staffing agency connecting skilled candidates to contract, temp-to-hire, and direct hire positions nationwide. As an award-winning team, we value commitment to patient care and offer comprehensive benefits.Job SummaryWe are seeking an experienced Pharmacist for a contract position at a reputable...


  • Tucson, Arizona, United States TEKsystems Full time

    At TEKsystems, we're seeking a highly skilled Senior Financial Analyst to join our team. This is a professional-level position responsible for providing guidance and direction of the research, planning, analysis, and reporting of the organization's financial operations.Job SummaryThis role requires a Senior Financial Analyst with an advanced and...


  • Tucson, Arizona, United States Geost Full time

    About GeostGeost is a leading provider of innovative space-based solutions for the DOD, IC, and commercial customers. Our commitment to excellence has been unwavering since our inception in 2004, and we continue to revolutionize the space-based payload market with cutting-edge designs for space, terrestrial, and airborne environments.Job SummaryWe are...

  • Business Analyst

    3 weeks ago


    Tucson, Arizona, United States Raytheon Technologies Full time

    Role OverviewAs a Business Analyst - In-House Counsel Intern at Raytheon Technologies, you will be integrated with the Shared Legal Services Functional and Governance team within our Legal, Contracts, and Compliance function. You will support our business and programs in the U.S. and nearly seventy other countries.About UsRaytheon Technologies is a leading...


  • Tucson, Arizona, United States The Building People Full time

    About This RoleWe are seeking a skilled Contract Manager to oversee facilities operations support services for our client in Tucson, AZ. As a key player on our team, you will contribute to delivering exceptional facilities management services to our client.Main Responsibilities:You will be accountable for ensuring that operations align with the Facility...


  • Tucson, Arizona, United States Gifted Healthcare Full time

    Company Overview: Gifted Healthcare is a leading travel nursing agency that offers prestigious contracts at top healthcare facilities across the United States. We believe in empowering nurses to make a meaningful difference in patient care, which drives our mission to provide exceptional job opportunities, comprehensive benefits, and dedicated support.


  • Tucson, Arizona, United States Carondelet St. Josephs Hospital Full time

    OverviewCarondelet St. Joseph's Hospital seeks an exceptional Nursing Manager to lead our full-time day shift team. As a strategic healthcare leader, you will be responsible for the provision of patient care and associate performance within our dynamic environment.About the RoleWe are committed to providing a comprehensive compensation package that reflects...


  • Tucson, Arizona, United States Gifted Healthcare Full time

    Are you looking to advance your nursing career while making a difference in patient care? Gifted Healthcare offers travel nursing contracts at premier healthcare facilities across the United States. As an ER RN, you will be responsible for assessing, planning, implementing, and evaluating patient care plans in coordination with other healthcare team...


  • Tucson, Arizona, United States KA Recruiting Inc. Full time

    Are you a highly skilled Cytotechnologist seeking a new challenge? KA Recruiting Inc. is excited to offer a rewarding opportunity for a Medical Cell Analyst in Arizona.We are a leading healthcare recruitment agency dedicated to providing exceptional service and support to our clients and candidates alike. Our team of experts is passionate about connecting...


  • Tucson, Arizona, United States MGT Full time

    Job Title: Business Technology Portfolio Analyst - Financial ExpertLocation: Tucson, AZDuration: 11 months contractMission Statement:MGT is a national leader in public sector management consulting and services that delivers diverse business consulting services to a wide range of public sector groups. Our mission is to impact communities for good.About the...


  • Tucson, Arizona, United States The Finders Full time

    We are seeking a Senior Vice President of Operations and Growth to lead our team in driving revenue growth from $10 million to $20 million over the next 5 years. This is a highly visible role that requires strategic leadership and operational expertise.As a key member of our leadership team, you will be responsible for aligning our leaders and their team...


  • Tucson, Arizona, United States Aequor Healthcare Full time

    Aquor Healthcare is seeking a dedicated and compassionate travel nurse to join our team in Tucson, Arizona. This 13-week contract offers a unique opportunity for experienced Med Surg RNs to work with a premier healthcare staffing agency.About the RoleThis position requires at least two proven years of experience as a registered nurse in a Med Surg setting....


  • Tucson, Arizona, United States Genie Healthcare Full time

    We are seeking a skilled Travel Healthcare Specialist to join our team in Tucson, Arizona. As a Progressive Care Unit (PCU) professional, you will be responsible for delivering high-quality patient care and working collaboratively with healthcare professionals to ensure optimal outcomes.About the JobStart Date: 11/25/2024Duration: 13 weeksShift: 12 hours,...

  • Surgical Technician

    3 weeks ago


    Tucson, Arizona, United States Host Healthcare Full time

    Job TitleSurgical Technician - Travel Healthcare OpportunityAbout the RoleWe are seeking a highly skilled Surgical Technician to join our team on a travel healthcare opportunity in Arizona.Job SummaryThis is a 13-week contract position, working 40 hours per week with 10 hour shifts. As a Surgical Technician, you will be responsible for assisting surgeons and...


  • Tucson, Arizona, United States Genie Healthcare Full time

    About the RoleGenie Healthcare is seeking a skilled Travel Nurse RN to fill a 13-week travel nursing position in Tucson, Arizona. As a key member of our team, you will provide exceptional care and support to patients in the Progressive Care Unit (PCU).Key Responsibilities* Provide high-quality patient care in accordance with hospital policies and procedures*...


  • Tucson, Arizona, United States Planet Healthcare Full time

    Job Title: Travel Nurse RNWe are seeking a dedicated and skilled travel nurse RN for a 13-week contract in Tucson, Arizona.About the JobThis role offers an exciting opportunity to work in Telemetry with a reputable healthcare organization.As a travel nurse RN, you will be responsible for providing high-quality patient care and collaborating with the...

  • Travel Nurse RN

    2 weeks ago


    Tucson, Arizona, United States Gifted Healthcare Full time

    Job OverviewWe are seeking a skilled Travel Nurse RN to join our team at premier healthcare facilities across the United States.CompensationThe estimated salary for this position is $2,099 - $2,332 per week, with opportunities for overtime and bonuses.Job ResponsibilitiesAs a MedSurg RN, you will provide bedside care for a variety of patients and execute...


  • Tucson, Arizona, United States Genie Healthcare Full time

    About the JobWe are seeking a highly skilled Travel Nurse RN Long Term Acute Care to join our team for a 13-week travel assignment in Tucson, Arizona.Key ResponsibilitiesProvide high-quality patient care as a Registered Nurse in a Long Term Acute Care setting.Work collaboratively with the healthcare team to develop and implement individualized care...


  • Tucson, Arizona, United States Host Healthcare Full time

    Host Healthcare is seeking an experienced Surgical Technician to join our team for a travel assignment in Tucson, Arizona. As a key member of our healthcare team, you will play a vital role in ensuring the highest level of patient care and satisfaction.About the RoleThis 13-week contract offers a unique opportunity to work in a fast-paced surgical...