Senior Provider Contracting Director, Transplant Network

Cigna

United States

Remote

USD 120,000 - 180,000

Full time

6 days ago
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Job summary

LifeSOURCE Transplant Network is seeking a Provider Contracting Senior Advisor to lead complex negotiations with hospitals, transplant centers, and cellular therapy providers across the Northeast. This role advances affordability, access, and network quality while managing a 40–50 facility portfolio.

You will renew, amend, and renew agreements, analyze claims and market data, and collaborate with cross-functional teams to drive strategic network initiatives.

Qualifications

  • Bachelor's degree or equivalent professional experience.
  • At least five years in commercial healthcare contracting or similar negotiations.
  • Proven ability negotiating reimbursement, financial terms, and contract language.
  • Strong understanding of hospital, managed-care, and provider business models.
  • Experience managing a substantial portfolio of active contracts and negotiations.

Responsibilities

  • Lead complex contract negotiations with hospitals, centers, and providers across the Northeast.
  • Negotiate reimbursement rates, financial terms, contract language, renewals, and amendments.
  • Develop agreements using varied reimbursement methodologies (FFS, case rates, bundled payments).
  • Manage financial and operational performance of provider agreements and affordability initiatives.
  • Evaluate claims and market data to identify contracting opportunities and strategies.
  • Collaborate with Legal, Medical Economics, Product, and local market teams to execute network strategies.

Skills

Negotiation
Financial analysis
Relationship management
Communication
Strategic thinking

Education

Bachelor's degree or equivalent professional experience

Tools

Microsoft Excel
Microsoft Word
PowerPoint

Job description

LifeSOURCE Transplant Network is seeking a Provider Contracting Senior Advisor to lead complex negotiations with hospitals, transplant centers, and cellular therapy providers across the Northeast. This role advances affordability, access, and network quality while managing a 40–50 facility portfolio.

You will renew, amend, and renew agreements, analyze claims and market data, and collaborate with cross-functional teams to drive strategic network initiatives.

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