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Provider Contracting Senior Analyst
hace 2 semanas
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:
- Manages the relations with the top medical facilities based on medical spend and
financial impact for the organization.
- Provides coaching and support to the Jr. Provider Negotiators in the market cost
analysis development and negotiations within the designated territory.
- Identifies growth opportunities for expanding the network of providers in the
regions and/ or countries you are responsible for.
- Performs service area analysis and cost analysis to identify network expansion,
development and network renegotiation opportunities.
- Reviews, negotiates and discusses existing agreements and contracts with regards
to the content (direct payment agreements, fees, pricing and procedures)
- Identifies cost containment opportunities and (re)negotiate favorable conditions
with Health care providers.
- Manages 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
- Acts as the expert for the providers with regards to the agreements, fees and
pricing in the region for which you are responsible.
- Acts as an expert with regards to the medical landscape in the countries within
your region and continuously monitor evolutions in that respect. Key Challenges /
Anticipated Changes in Environment
- Effectively communicates and interacts 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
Proficiency with MS Office programs including: Word, PowerPoint, Excel, Project, and
Visio required.
Experience/Knowledge Requirements:
- 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.
Personal Competencies Required:
- 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 the 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%)
**About Cigna Healthcare**
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._
