Senior Provider Contracting Lead Analyst, Remote
The Cigna GroupSupport Cigna Healthcare’s ancillary and health system contract negotiations across the Carolinas. Develop financial models and strengthen Commercial provider networks.
Open
Blue Cross NC is a health insurance company that provides health plans and related services for individuals and groups. Its work centers on helping members access healthcare coverage, supporting improved health outcomes through health programs and services, and contributing to the wellbeing of the communities it serves.
Senior Strategic Provider Relationship Analyst
Lead strategic provider relationships, contracting, and performance initiatives for Blue Cross NC. Help shape healthcare network strategy, resolve complex issues, and manage medical expenses.
Description
- Lead strategic initiatives with professional, institutional, and ancillary providers across assigned regions.
- Advance enterprise stakeholder strategy and oversee complex provider relationship initiatives.
- Ensure providers across all types comply with contractual agreements for BCNC products.
- Act as the primary strategic contact for high-value and complex provider organizations.
- Help develop and deliver Network Management’s multi-year strategic plan.
- Represent BCNC in key stakeholder meetings and uphold contractual compliance.
- Support negotiations with statewide and other high-impact providers.
- Lead resolution of complex, high-cost issues involving hospitals, ASCs, and ancillary providers.
- Advance efforts to lower administrative costs and improve provider satisfaction.
- Provide subject matter expertise on provider trends and innovations.
- Contribute to the enterprise provider education strategy.
- Support action plans to achieve medical expense targets.
- Oversee analysis of provider agreements and performance.
Requirements
- Bachelor’s or advanced degree, where required.
- At least 5 years of experience in healthcare strategy.
- Seven or more years of experience may substitute for a degree.
- Experience in healthcare financial management, managed care, process improvement, provider relations, provider services, and service provider management.
Benefits
- Work-life balance, flexibility, and autonomy.
- Medical, dental, and vision coverage.
- Health and wellness programs.
- Parental leave and support.
- Adoption and surrogacy assistance.
- Career development programs.
- Tuition reimbursement for continuing education.
- 401(k) matching with an annual company contribution.
- Paid time off.
- Annual incentive bonus based on corporate goal achievement and individual performance.
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