Strategic Payer Contracting Lead

Cigna Health and Life Insurance Company

Town of Florida (NY)

Hybrid

USD 104,000 - 173,000

Full time

5 days ago
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Benefits offered by this job

Health benefits
401(k)
Tuition reimbursement
Paid time off

Job summary

The Cigna Group is seeking a Contract Senior Advisor (Payer Contracting Manager) Evernorth to lead payer contract management strategy for home infusion pharmacy partnerships. You will partner with health system clients and internal teams to optimize contracts, review terms, and ensure alignment with reimbursement benchmarks.

Ideal candidates bring 8+ years in payer/contract management, strong knowledge of health insurance plans, and the ability to translate complex contracts into actionable

Qualifications

  • 8+ years of payer or contract management experience in specialty pharmacy and/or infusion therapy.

Responsibilities

  • Develop and oversee payer contract management strategy and governance.
  • Review contracts and amendments, provide recommendations and align with benchmarks.
  • Guide health system implementation of home infusion pharmacy contracts with timelines.

Skills

Payer contracts
Health insurance knowledge
Strategic analysis
Stakeholder management

Education

Bachelor's degree
High School Diploma or GED

Tools

Microsoft Excel
Microsoft Word
PowerPoint
CareTend
HCN EMR

Job description

The Cigna Group is seeking a Contract Senior Advisor (Payer Contracting Manager) Evernorth to lead payer contract management strategy for home infusion pharmacy partnerships. You will partner with health system clients and internal teams to optimize contracts, review terms, and ensure alignment with reimbursement benchmarks.

Ideal candidates bring 8+ years in payer/contract management, strong knowledge of health insurance plans, and the ability to translate complex contracts into actionable

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