Provider Contracting Senior Analyst

Cigna Healthcare

2d

About The Position

As an Ad Hoc Negotiator at Evernorth Behavioral Health, you will be a key member of the Network Team, reporting directly to the Ad hoc Supervisor. This role focuses on the strategic negotiation and execution of single case agreements (SCAs) for both high levels of care and outpatient services. You will collaborate cross-functionally to ensure members have timely access to high quality, cost effective behavioral services. How you’ll make a difference: Negotiate SCAs with behavioral health facilities and providers to address urgent or unique member needs. Establish and maintain provider relationships that support Evernorth’s national network strategy and fill identified network gaps. Initiate and sustain effective communication channels with matrix partners, including Claims Operations, Clinical Operations, Provider Relations, Behavioral Finance, Compliance, Sales, and Marketing. Analyze financial and operational impact of proposed agreements, ensuring alignment with organizational goals and cost containment strategies. Draft and finalize contracting agreements that align with internal operational standards and meet external provider expectations.

Requirements

• Minimum of 3 years of experience in the healthcare industry, preferably in provider contracting, network development, or behavioral health operations.
• Bachelors degree or equivalent work experience required.
• Strong analytical and problem solving skills.
• Ability to assess complex scenarios and develop strategic solutions.
• Ability to manage high volumes of requests with attention to detail and timeliness.
• Excellent communication skills- written, verbal, and presentation.
• Proven ability to work collaboratively across cross-functional teams.
• Knowledge of policy/procedures, behavioral operations and supporting operating systems.
• If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice To Haves

• Proficiency in Microsoft Excel strongly preferred.

Responsibilities

• Negotiate SCAs with behavioral health facilities and providers to address urgent or unique member needs.
• Establish and maintain provider relationships that support Evernorth’s national network strategy and fill identified network gaps.
• Initiate and sustain effective communication channels with matrix partners, including Claims Operations, Clinical Operations, Provider Relations, Behavioral Finance, Compliance, Sales, and Marketing.
• Analyze financial and operational impact of proposed agreements, ensuring alignment with organizational goals and cost containment strategies.
• Draft and finalize contracting agreements that align with internal operational standards and meet external provider expectations.

Benefits

• For this position, we anticipate offering an annual salary of 59,900 - 99,800 USD / yearly, depending on relevant factors, including experience and geographic location.
• This role is also anticipated to be eligible to participate in an annual bonus plan.
• At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
• Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
• For more details on our employee benefits programs, click here.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level