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  • Provider Contracting Lead Analyst - EviCore…

    The Cigna Group (Nashville, TN)



    Apply Now

    Position Summary

    Are you looking to flex your contracting skills with a rapidly evolving Network team and growth-oriented company? Come join our Provider Contracting team and use your negotiation skills to provide advanced professional input to complex Provider Contracting assignments.

    Responsibilities:

    + Prepare, analyze, review, and project financial impact of larger or complex provider contracts and alternate contract terms.

    + Conduct negotiations and draft individual contracts while ensuring the smooth operation and administration of provider agreements.

    + Track the financial performance of contracts and ensure compliance with contracting guidelines.

    + Exercise judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures.

    + Exercise in-depth professional knowledge to develop models and procedures, and monitor trends, within Provider Contracting.

    Qualifications:

    + High school diploma or equivalent required

    + 3+ years of experience with provider contracting required

    + Strong working knowledge of various reimbursement methodologies and terminology required

    + Strong negotiation skills and proficiency of contract language review required

    + Ability to make recommendations on various issues to senior management related to contract negotiations preferred

    + Team oriented to ensure departmental goals and objectives are met preferred

    + Excellent written and verbal communication skills; presentation skills required

    + Ability to work independently preferred

    + Ability to develop and maintain effective, collaborative relationships with both internal and external customers preferred

    + Quarterly Travel required for client visits

    + Strong knowledge and experience with Advanced Microsoft Word, Advanced Excel and PowerPoint

     

    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.

     

    For this position, we anticipate offering an annual salary of 69,800 - 116,400 USD / yearly, depending on relevant factors, including experience and geographic location.

     

    This role is also anticipated to be eligible to participate in an annual bonus plan.

     

    We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

     

    About Evernorth Health Services

     

    Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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:_ [email protected]_ _for support. Do not email_ [email protected]_ _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._

     


    Apply Now



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