Cigna Health and Life Insurance Company
Provider Contracting Director - Kansas City, KS market
Cigna Health and Life Insurance Company, Overland Park, Kansas, United States, 66213
Provider Contracting Director - Kansas City, KS
Provider Contracting Director - Kansas City, KS
Apply | Remote type: Hybrid | Locations: Overland Park, KS; St. Louis, MO; Kansas City, KS | Full-time | Posted 2 Days Ago | Job Requisition ID: 25010249 Work Location: Kansas City, KS The
Provider Contracting Director
serves as an integral member of the Provider Contracting Team, reporting to the Provider Contracting Senior Manager or VP of Contracting. This role involves developing strategic direction and managing daily contracting and network activities within a specific territory. Responsibilities include: Managing complex contracting negotiations for fee-for-service and value-based reimbursements with hospitals and providers. Leading a team of direct reports (if applicable). Leading projects related to contracting strategy in the market. Building and nurturing provider partnerships and exploring broader value-based opportunities. Communicating effectively with internal partners such as Claims, Medical Management, Legal, Compliance, Sales, and Marketing. Developing provider networks and identifying value-oriented and risk-sharing opportunities. Supporting alternative network initiatives and network analytics development. Meeting cost targets while maintaining adequate networks to stay competitive. Implementing initiatives to improve medical costs and quality. Providing consultative support for total medical cost initiatives based on clinical informatics. Analyzing and projecting financial impacts of provider contracts. Creating compliant provider agreements and ensuring proper administration. Resolving escalated provider service issues through negotiation and problem-solving. Managing key provider relationships and understanding the local healthcare landscape. Ensuring accurate contract loading and network maintenance. Position Requirements: Bachelor’s degree in Finance, Economics, Healthcare, Business, or related fields; significant industry experience may substitute. 5+ years of experience in contracting and negotiations involving complex delivery systems. Experience with Commercial Health Insurance. Proven leadership and mentorship skills. Strong relationship management with providers. Knowledge of reimbursement methodologies, including incentive-based models. Excellent communication, negotiation, and problem-solving skills. Proficiency in Microsoft Office tools. Note: For remote work, internet must be broadband or fiber optic with at least 10 Mbps download/5 Mbps upload speeds. About Cigna Healthcare: Cigna Healthcare, a division of The Cigna Group, advocates for better health at every life stage, guiding customers through the healthcare system to make informed health decisions. Join us in driving growth and improving lives. We consider all qualified applicants regardless of race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran status, religion, national origin, or other protected characteristics. For accommodations during the application process, email SeeYourself@cigna.com. Do not send resumes to this email. The Cigna Group maintains a tobacco-free policy where legally permissible and considers criminal histories in accordance with laws. About The Cigna Group
We are dedicated to improving health and vitality through our divisions Cigna Healthcare and Evernorth Health Services, committed to enhancing lives and driving growth.
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Apply | Remote type: Hybrid | Locations: Overland Park, KS; St. Louis, MO; Kansas City, KS | Full-time | Posted 2 Days Ago | Job Requisition ID: 25010249 Work Location: Kansas City, KS The
Provider Contracting Director
serves as an integral member of the Provider Contracting Team, reporting to the Provider Contracting Senior Manager or VP of Contracting. This role involves developing strategic direction and managing daily contracting and network activities within a specific territory. Responsibilities include: Managing complex contracting negotiations for fee-for-service and value-based reimbursements with hospitals and providers. Leading a team of direct reports (if applicable). Leading projects related to contracting strategy in the market. Building and nurturing provider partnerships and exploring broader value-based opportunities. Communicating effectively with internal partners such as Claims, Medical Management, Legal, Compliance, Sales, and Marketing. Developing provider networks and identifying value-oriented and risk-sharing opportunities. Supporting alternative network initiatives and network analytics development. Meeting cost targets while maintaining adequate networks to stay competitive. Implementing initiatives to improve medical costs and quality. Providing consultative support for total medical cost initiatives based on clinical informatics. Analyzing and projecting financial impacts of provider contracts. Creating compliant provider agreements and ensuring proper administration. Resolving escalated provider service issues through negotiation and problem-solving. Managing key provider relationships and understanding the local healthcare landscape. Ensuring accurate contract loading and network maintenance. Position Requirements: Bachelor’s degree in Finance, Economics, Healthcare, Business, or related fields; significant industry experience may substitute. 5+ years of experience in contracting and negotiations involving complex delivery systems. Experience with Commercial Health Insurance. Proven leadership and mentorship skills. Strong relationship management with providers. Knowledge of reimbursement methodologies, including incentive-based models. Excellent communication, negotiation, and problem-solving skills. Proficiency in Microsoft Office tools. Note: For remote work, internet must be broadband or fiber optic with at least 10 Mbps download/5 Mbps upload speeds. About Cigna Healthcare: Cigna Healthcare, a division of The Cigna Group, advocates for better health at every life stage, guiding customers through the healthcare system to make informed health decisions. Join us in driving growth and improving lives. We consider all qualified applicants regardless of race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran status, religion, national origin, or other protected characteristics. For accommodations during the application process, email SeeYourself@cigna.com. Do not send resumes to this email. The Cigna Group maintains a tobacco-free policy where legally permissible and considers criminal histories in accordance with laws. About The Cigna Group
We are dedicated to improving health and vitality through our divisions Cigna Healthcare and Evernorth Health Services, committed to enhancing lives and driving growth.
#J-18808-Ljbffr