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채용Cigna

Provider Contracting, Senior Advisor (Transplant) - Cigna Healthcare - Remote

Cigna

Provider Contracting, Senior Advisor (Transplant) - Cigna Healthcare - Remote

Cigna

United States Work at Home

·

On-site

·

Full-time

·

3d ago

Job Description:

The Provider Contracting Senior Advisor – Transplant supports affordability and growth strategies for Cigna Healthcare’s LifeSOURCE Transplant Network, which includes more than 180 contracted facilities and represents approximately $1B in annual medical spend.

In this role, you will lead provider contracting and network management activities for transplant and advanced cellular therapy providers in the Westregion. You will partner with providers and internal teams to manage complex negotiations, control costs, and maintain high‑quality network access.

This is a hybrid position, requiring time working from home and time spent in the office and/or traveling to in‑person provider meetings.

Key Responsibilities Affordability & Network Strategy

  • Drive unit cost targets while maintaining an adequate and competitive transplant network

  • Partner with Medical Economics to identify affordability opportunities using claims, financial, and market data

  • Monitor industry and competitive trends to inform contracting strategies

  • Collaborate with local market teams to support network adequacy and membership growth

  • Support innovative and alternative network initiatives

Contracting & Provider Management

  • Lead complex contract negotiations with transplant and advanced cellular therapy hospitals and physician groups

  • Negotiate rates, terms, and contract amendments for new and existing agreements

  • Develop contracts that meet operational requirements and provider expectations

  • Identify and onboard new providers to strengthen the LifeSOURCE network

  • Apply multiple reimbursement models, including case rates, DRG, fee‑for‑service, and value‑based arrangements

  • Monitor contractual and financial performance and mitigate provider risk

Cross‑Functional Partnership

  • Serve as the primary contact for internal partners across Markets, Product, Clinical, and Operations

  • Provide guidance on contract interpretation and implementation

  • Lead the resolution of escalated provider issues

  • Build strong, collaborative provider and internal relationships

Qualifications

  • 5+ years of experience in commercial provider contracting and negotiations

  • Experience working with complex hospital systems or provider organizations

  • Strong financial, analytical, and negotiating skills

  • Ability to manage senior‑level provider relationships

  • Bachelor’s degree required

  • Proficiency in Microsoft Office

Preferred

  • Experience with transplant or advanced cellular therapy (e.g., CAR‑T) contracting

  • Knowledge of managed care and payer operations

  • Familiarity with Cigna Healthcare operations

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.

For this position, we anticipate offering an annual salary of 106,400 - 177,300 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.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

총 조회수

0

총 지원 클릭 수

0

모의 지원자 수

0

스크랩

0

Cigna 소개

Cigna

Cigna

Public

The Cigna Group is an American multinational for-profit managed healthcare and insurance company based in Bloomfield, Connecticut.

10,001+

직원 수

Bloomfield

본사 위치

$54B

기업 가치

리뷰

3.7

10개 리뷰

워라밸

4.2

보상

2.8

문화

4.1

커리어

3.5

경영진

3.2

65%

친구에게 추천

장점

Supportive and encouraging management

Excellent work-life balance and flexible hours

Great health benefits and vacation time

단점

Below market compensation and low pay

Poor management and lack of transparency

High workload and stress levels

연봉 정보

38개 데이터

L2

L3

L4

L5

L6

L2 · Financial Analyst L2

0개 리포트

$74,750

총 연봉

기본급

$29,900

주식

$37,375

보너스

$7,475

$52,325

$97,175

면접 경험

4개 면접

난이도

2.8

/ 5

소요 기간

14-28주

합격률

50%

경험

긍정 50%

보통 0%

부정 50%

면접 과정

1

Application Review

2

Recruiter Screen

3

Technical Phone Screen

4

Team Member Interviews

5

Panel/Multiple Interviews

6

Offer

자주 나오는 질문

Coding/Algorithm

Technical Knowledge

Behavioral/STAR

Past Experience

Culture Fit