This position serves as an integral member of the Provider Contracting Team and reports to the Contracting Director.  This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a given territory within New Jersey.  

DUTIES AND RESPONSIBILITIES

- Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers. Primary scope of duties will be to manage Hospital systems.

- Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities 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.

- Manages strategic positioning for provider contracting, develops networks

- Responsible for contracting of Commercial & Medicare Advantage lines of business.

QUALIFICATIONS

- Should possess a bachelor degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.

- Three to five years contracting and negotiating experience involving complex delivery systems and organizations required.

- Experience in developing and managing key provider relationships -

Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.

- Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.

- Intimate understanding and experience with hospital, managed care, and provider business models.

- Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.

- The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.

This role requires regular travel to client & customer sites & you must be fully vaccinated OR be required to undergo regular testing. If you’re unvaccinated, you will be required to self-test (test will be provided to you) and you must obtain a negative result no greater than three (3) calendar days prior to the meeting/travel departure.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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.