Provider Contracting Lead Analyst, Carolinas - Cigna Healthcare - Remote
$71.4k - $119kCigna Healthcare
Help build provider partnerships that make high-quality, affordable care more accessible. In this role, you will support contract negotiations with ancillary providers and health systems, turn financial insights into informed decisions, and strengthen provider relationships across an assigned market. You will work alongside experienced partners while building the contracting, analytical, and market knowledge needed to grow your career and create greater value for customers and providers.
Responsibilities
- Lead contract negotiations with providers, ancillary providers and health systems, with guidance from your manager and senior teammates, to support market, network, and affordability goals.
- Build detailed financial models and analyze provider contract terms to support timely decisions and achieve performance expectations.
- Use internal contracting systems and processes accurately and efficiently to support contract administration and implementation.
- Build and maintain trusted relationships with current and prospective providers, using clear communication and responsive service to strengthen long-term partnerships.
- Monitor provider relationships and the competitive landscape within the assigned market to identify risks, gaps, and opportunities.
- Apply knowledge of provider network dynamics to support contracting strategy, strengthen Commercial networks, and advance value-oriented arrangements.
- Partner with Provider Service, Provider Data Management, Fee Schedule Management, Legal, Network Analytics, Compliance, Sales, regional leadership, and other teams to move agreements forward and resolve issues.
- Communicate analyses, recommendations, progress, and risks in a clear way to internal partners and provider stakeholders.
Required Qualifications
- Two or more years of experience in Commercial provider contracting, network operations, provider pricing, or a closely related area.
- Strong analytical skills and financial acumen, including the ability to evaluate contract terms and support data-informed decisions.
- Clear written, verbal, listening, presentation, and relationship-management skills.
- Ability to take initiative, solve problems, influence outcomes, and deliver results in a fast-paced environment.
- Ability to collaborate across teams, manage competing priorities, and handle multiple projects at the same time.
- Commitment to integrity, dependable follow-through, and strong customer service.
- Proficiency with Microsoft Office.
- Occasional travel required
Preferred Qualifications
- Bachelor's degree in Finance, Accounting, Economics, Healthcare Administration, or a related field.
- Experience negotiating contracts with ancillary providers or health systems.
- Experience using provider contracting, network management, or pricing systems.
- Knowledge of Commercial provider networks, local market dynamics, and value-oriented contracting.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here .
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.
If you need a reasonable accommodation to complete the online application process, please email View email address on aiapply.co for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
$89.17k - $142.68k
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