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Director, Network Management (Advisor) -North Florida at Cigna in MAITLAND, Florida

Posted in General Business 30+ days ago.

Type: Full-Time





Job Description:

This position serves as an integral member of the Provider Contracting Team and reports totheContracting Manager for Central and portions of North Florida. This role, based inthe Orlando/Central Florida or Jacksonville areas, assists in developing the strategic direction and management of the day to day contracting and network management activities for areas in North Florida.

Work at home if located in the North Florida market.


    - Manages complex contracting and negotiations for fee for service and value-based reimbursements withproviders, primarily large physician groups, CAC's andancillaries, but some hospitals.

    - 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.

    Qualifications

    - Bachelor degree required. Area of focus in Finance, Economics, Healthcare or Business related strongly preferred. 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.

    - Customer centric and interpersonal skills are required.

    About Cigna

    Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, 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 Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

    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.





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