Healthcare Provider Negotiation Expert

hace 3 semanas


Pozuelo de Alarcón, Madrid, España The Cigna Group A tiempo completo
About The Cigna Group

We are seeking a skilled Provider Contracting and Network Development Specialist to join our team. As a key member of our healthcare network management team, you will be responsible for developing and executing negotiation strategies working directly with contracted providers.

This role requires strong analytical and critical thinking skills, as well as excellent data mining competency. The ideal candidate will have a university degree and 3-4 years of relevant experience.

Key Responsibilities

  • Manage relations with top medical facilities based on medical spend and financial impact.
  • Provide coaching and support to Jr. Provider Negotiators in 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 with regards to 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 with regards to the agreements, fees, and pricing in the region for which you are responsible.
  • Act as an expert with regards to 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.

The estimated salary for this role is $120,000 per year, considering the location and industry standards.



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