Manager, Provider Contracting - Oklahoma market - Cigna Healthcare

Cigna Healthcare; Oklahoma; On-site; USD 90,000 - 120,000; Full time

Job summary

A leading healthcare company seeks a Manager for Provider Contracting in Oklahoma. This strategic role will oversee contracting and network management, aiming to enhance provider relationships and achieve cost efficiencies. Candidates should possess a strong background in healthcare contracting and effective negotiation skills.

Qualifications

• 3+ years of healthcare provider contracting and negotiating experience.
• Experience in developing provider relationships and understanding complex reimbursement models.

Responsibilities

• Manage complex contracting and negotiations for fee-for-service and value-based reimbursements.
• Build and nurture provider relationships and seek value-based business opportunities.
• Analyze and project financial impacts of provider contracts and terms.

Skills

Communication

Negotiation

Problem Solving

Education

Bachelor's degree in Finance, Economics, Healthcare, or Business

Tools

Microsoft Office

Job description

Manager, Provider Contracting - Oklahoma market - Cigna Healthcare

Join to apply for the Manager, Provider Contracting - Oklahoma market - Cigna Healthcare role at Cigna Healthcare.

WORK LOCATION: Must live in Oklahoma

This Manager, Provider Contracting serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management of the day-to-day contracting and network management activities for a local territory.

Duties and Responsibilities

• Manage complex contracting and negotiations for fee-for-service and value-based reimbursements with hospitals and providers.
• Build and nurture provider relationships and seek value-based business opportunities.
• Communicate effectively with matrix partners including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, Marketing, and Service.
• Develop strategic positioning for provider contracting, networks, and risk arrangements.
• Contribute to alternative network initiatives and develop network analytics.
• Meet cost targets while maintaining an adequate network to ensure competitiveness.
• Implement initiatives to improve total medical costs and quality.
• Assess clinical informatics and provide consultative expertise to external provider partners.
• Analyze and project financial impacts of provider contracts and terms.
• Create HCP agreements aligning with operational standards and provider expectations.
• Resolve complex provider service complaints through research and negotiation.
• Manage key provider relationships and interface with business staff.
• Understand the provider landscape in the assigned geographic area.
• Ensure accurate contract loading, implementation, and maintenance.
• Provide guidance or expertise to less experienced team members.

Position Requirements

• Bachelor's degree preferred in Finance, Economics, Healthcare, or Business; significant industry experience may substitute.
• 3+ years of healthcare provider contracting and negotiating experience.
• Experience in developing provider relationships and understanding complex reimbursement models.
• Strong communication, negotiation, and problem-solving skills.
• Proficiency in Microsoft Office tools.
• Reliable internet connection if working remotely (minimum 10Mbps download/5Mbps upload).

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, advocates for better health at every life stage. We empower our customers with information to make health decisions. Join us to drive growth and improve lives.

We are an equal opportunity employer and consider all qualified applicants without regard to race, color, age, disability, sex, and other protected characteristics. Reasonable accommodations are available upon request.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Sales and Business Development
• Industries: Hospitals and Healthcare