Provider contracting senior analyst
hace 1 semana
CGHB Provider Network Manager
The CGHB Provider Network Manager will be responsible for developing and executing negotiation strategies working directly with contracted providers in order to deliver best-in-class service to Cigna’s providers, customers, and clients and act as the Subject Matter Expert regarding the local market’s environment, healthcare delivery practices, and pricing.
Key Responsibilities:- Manage the relations with the top medical facilities based on medical spend and financial impact for the organization.
- Provide coaching and support to the Jr. Provider Negotiators in the market cost analysis development and negotiations within the designated territory.
- Identify growth opportunities for expanding the network of providers in the regions and/or countries you are responsible for.
- Perform service area analysis and cost analysis to identify network expansion, development, and network renegotiation opportunities.
- Review, negotiate, and discuss existing agreements and contracts regarding the content (direct payment agreements, fees, pricing, and procedures).
- Identify cost containment opportunities and (re)negotiate favorable conditions with healthcare providers.
- Manage the relationship with existing and new Third Party Vendors.
- Monitor the quality of the services provided by the medical providers and the correct execution of the agreements.
- Act as the expert for the providers regarding the agreements, fees, and pricing in the region for which you are responsible.
- Act as an expert regarding the medical landscape in the countries within your region and continuously monitor evolutions in that respect.
Effectively communicate and interact with other business units to achieve goals, e.g. Medical Management, Sales, and Client Management.
Qualifications:- University degree
- 3 to 4 years of relevant experience
- Good communication skills
- Excellent negotiation and influencing skills
- Analytical and critical mind
- Data mining competency
- Knowledge of high priority healthcare providers, third party administrators
- Excellent interpersonal, communication, and motivational skills, including negotiation and presentation skills
- Strong influencing skills and ability to work in a complex, highly matrixed environment, including balancing priorities of multiple organizations to deliver end results
- Thorough knowledge of German; any other language skills are a plus
- Results orientation – ability to define goals, establish plans, and manage work to achieve desired outcomes. Creates meaningful business-related metrics and tracks progress/results
- Ability to work closely with other department members, matrix partners, and various departments with a time and distance disadvantage
- Excellent interpersonal, verbal, and written communication skills
- Mature, with the ability to effectively communicate and influence individuals at different levels
- Comfortable working in a fast-paced environment with shifting priorities
- Energetic and enthusiastic
- A team player
- Willing to travel regularly (up to 20%)
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 require reasonable accommodation in completing the online application process, please email: SeeYourselfEMEA@cigna.com for support. Do not email SeeYourselfEMEA@cigna.com for an update on your application or to provide your resume as you will not receive a response.
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