Provider Contracting Advisor - Cigna Healthcare - Hybrid
Hybrid · Raleigh, North Carolina, United States
Job Summary
Provider Contracting Advisor at Cigna Healthcare (hybrid, Raleigh, NC) leads complex fee-for-service and value-based contracting negotiations with large physician groups, ancillaries, and hospital systems. You will develop market contracting strategy, manage relationships with providers, coordinate with Claims, Medical Management, and Credentialing, analyze cost and value-based opportunities, project financial impact of contracts, ensure accuracy of HCP agreements, and resolve escalated provider issues while contributing to network growth in a fast-paced, matrixed organization.
Required Qualifications
- 3-5+ years of healthcare provider contracting and negotiating experience involving complex physician groups and ancillaries
- Background in managed care, healthcare, or health insurance, including commercial contracting
- Strong provider relationship management skills and success developing long-term partnerships
- Knowledge of complex reimbursement methodologies, including incentive-based models (strongly preferred)
- Deep understanding of hospital, managed care, and provider business models with ability to influence sales and provider audiences
- Exceptional presentation and communication skills, including ability to build internal relationships in a fast-paced, matrixed organization
- Customer-centric approach, strong interpersonal skills, and confidence in navigating change
- Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills
- Proficiency in Microsoft Office
- Bachelor’s degree in a related field (industry experience may substitute); MBA / MHA preferred
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