UNKNOWN

ADAPTED_NOW

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._. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

WORK LOCATION: supports our Virginia market - Preferred candidate to live in either Richmond or McLean, VA area Hybrid position - will need to work in the office or visit Providers 3 days per week The Provider Contracting Lead Analyst serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting and network activities. DUTIES AND RESPONSIBILITIES + Manages submission process of contracting and negotiations for fee for service with physicians, ancillaries and hospitals. + Supports the development and management of value-based relationships. + Builds and maintains relationships that nurture provider partnerships to support the local market strategy. + Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation. + Contributes to the development of alternative network initiatives. Supports analytics required for the network solution. + Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Supports initiatives that improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost initiatives. + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. + Creates “HCP” agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. + Assists in resolving provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve escalated issues. + Manages provider relationships and is accountable for critical interface with providers and business staff. + Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + Other duties, as assigned POSITION REQUIREMENTS + Bachelor's degree strongly preferred in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. + 1+ years of Provider Contracting and Negotiating for Healthcare Hospital/Provider/Ancillary group experience required + 1+ years prior Provider Servicing/Provider Relations experience strongly preferred + Experience in developing and managing relationships + Understanding and experience with hospital, managed care, and provider business models a plus + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence audiences through strong written and verbal communication skills. Experience with formal presentations. + Customer centric and interpersonal skills are required. + Demonstrates an ability to maneuver effectively in a changing environment. + Demonstrates problem solving, decision-making, negotiating skills, contract language and financial acumen. + Proficient with Microsoft Office tools required. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. 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 require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._ _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._

The Cigna Group

Healthcare - Provider Contract Negotiator - Richmond/McLean, VA market - Hybrid

Cigna

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._. + Manage complex contracting and negotiations for fee-for-service and value-based reimbursements with hospitals and other providers (Hospital systems, Ancillaries, and large physician groups).

Are you ready to step into an exciting position that combines complex contracting and negotiation skills while working with Hospital systems, Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you’ll be an integral member of the Provider Contracting Team and report to the AVP of Provider Contracting. In this role, you will assist in developing the strategic direction and managing day-to-day contracting and network management activities for a local territory. Your work will directly contribute to helping patients access high-quality, affordable healthcare—making a meaningful difference in the lives of individuals and families in your community. Location: You must reside in the Mid-Atlantic market: Maryland, DC, or Virginia. How you’ll make a difference: + Manage complex contracting and negotiations for fee-for-service and value-based reimbursements with hospitals and other providers (Hospital systems, Ancillaries, and large physician groups). + Build relationships that nurture provider partnerships and seek broader value-based business opportunities to support the local market strategy. Manage key provider relationships and is accountable for critical interface with providers and business staff. + Manage key provider relationships, accountable for critical interface with providers and business staff. + Initiate and maintain effective channels of communication with matrix partners, including but not limited to Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing, and Service. + Manage strategic positioning for provider contracting, develop networks, and identify opportunities for greater value-orientation and risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the network solution. + Work to meet unit cost targets while preserving an adequate network to achieve and maintain Cigna's competitive position. + Create and manage initiatives that improve total medical cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. + Prepare, analyze, review, and project the financial impact of larger or complex provider contracts and alternate contract terms. + Create “HCP” agreements that meet internal operational standards and external provider expectations. Ensure the accurate implementation and administration through matrix partners. + Assist in resolving elevated and complex provider service complaints. Research problems and negotiate with internal/external partners/customers to resolve highly complex and/or escalated issues. + Demonstrate knowledge of providers in an assigned geographic area through understanding interrelationships and the competitive landscape. + Responsible for accurate and timely contract loading and submissions. Interface with matrix partners for network implementation and maintenance. + Provide guidance or expertise to less experienced specialists as needed. Qualifications: + Bachelor's degree or significant industry experience will be considered. + 3+ years of experience within a Healthcare environment required. + 3+ years of Provider Contracting and Negotiating experience involving complex delivery systems and organizations. + Strong skills in solving problems, making decisions, negotiating, and understanding contracts and financial details. + Strong analytical skills with Excel. Able to manipulate, index, and query data in multiple views and formats. + Confident communicator with experience presenting to groups and influencing others. + Skilled at building and maintaining strong partnerships with external providers. + Well-versed in complex payment models, including performance-based incentives. + Collaborative team player who thrives in fast-paced, customer-focused environments and works well across different teams. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. 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 require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._ _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._

Manager, Provider Contracting Negotiator - Mid Atlantic market

Prepare final documents for execution by a VCU Authorized Official to include to include: task orders, no-cost extensions, prior-approval extensions, administrative actions, subject injury consent form review and WIRB memorandum submission. Demonstrated experience working in and fostering anenvironment of respect, professionalism and civility with a population offaculty, staff, and students from various backgrounds and experiences, or acommitment to do so as a staff member at VCU.

HOUR

Welcometo Virginia Commonwealth University (VCU) … a world UNLIKE any other! VCU is a public research university UNLIKE any other. We're dedicated to serving the needs of students and patients and our passionate community isn't afraid to tackle difficult challenges others can't, or won't. We’re home to creativity, teaching, discovery and healing. Our location in the heart of downtown Richmond, Virginia, means the nonstop energy of our city ignites our innovation and provides unlimited opportunities. VCU'sOffice of the Vice President for Research and Innovation and it's Division of Sponsored Programs invites all interested candidates to apply forour HOURLY Contract Reviewer/Negotiator- Position ($15-$20/hr) position! Our impact ismeasured one student and patient at a time. VCU’s unequaled combination ofexcellence, research and creativity makes success possible for everyone of our 300,000+ “RAMily” members. And that makes us one of the mostinnovative universities in the country. Primary Purpose and GeneralResponsibilities:This position provides support to the Division of Sponsored Programs- Industry and Clinical Trials. Responsibilities include: Encourage and support VCU’s research activities by serving as a liaison on matters related to non-funded agreements and industry related clinical trials. Draft, review, and negotiate confidentiality agreements ensuring compliance with federal, state, and VCU laws/regulations/policies/procedures. Prepare final documents for execution by a VCU Authorized Official to include to include: task orders, no-cost extensions, prior-approval extensions, administrative actions, subject injury consent form review and WIRB memorandum submission. Ensure work is completed accurately and promptly. Independently manage workload and priorities. Track and document activities in RAMSPOT, ensuring that tasks are recorded, monitored, and completed according to current office procedures. Assist Red Team members with transactional processes and conduct follow up with internal and external entities. Coordinate with Supervisor on unusual or complex situations or contracting issues.Minimum Hiring Requirements: Experience reviewing and negotiating clinical trial Confidentiality and Non-Disclosure Agreements. Working knowledge of academic research operations and generally accepted business practices. Previous experience with Research Administration Management System Sponsored Program Possess strong organization, analytical and problem-solving skills with attention to detail Excellent written and oral communication skills are essential Strong team and collaborative skills are essential Ability to prioritize and perform multiple tasks in a dynamic and fast-paced environment is required Ability to provide excellent customer service Must demonstrate the ability to creatively resolve problems related to sponsored programs administration in negotiating and managing contracting for clinical trials research. Demonstrated experience working in and fostering anenvironment of respect, professionalism and civility with a population offaculty, staff, and students from various backgrounds and experiences, or acommitment to do so as a staff member at VCU.Preferred Hiring Requirements: Experience working in a central contracting Sponsored Programs Office in a university setting. Bachelor’s degree in a related field with progressive work experience in research administration preferred or equivalent combination of education and experience. Working knowledge of academic research operations and generally accepted business practices Online Tracking (RAMS-SPOT) or comparable sponsored program electronic database preferred Strong knowledge of federal regulations including but not limited to Uniformed Guidance and Federal Acquisition Regulations preferredSalary Range: $16-$20 Position Details:Department: Office of the Vice President for Research & Innovation Employment Type: H1 - Hourly Restricted Status: No FTE: .5 Exemption Status: Non-Exempt Contact Information:Contact Name: Contact Email: Contact Phone:

Virginia Commonwealth University

Contract Reviewer/Negotiator- Hourly Position ($15-$20/hr)

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Healthcare - Provider Contract Negotiator - Richmond/McLean, VA market - HybridThe Cigna Group

Manager, Provider Contracting Negotiator - Mid Atlantic marketThe Cigna Group

Contract Reviewer/Negotiator- Hourly Position ($15-$20/hr)Virginia Commonwealth University

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