Cigna

Provider Contract & Network Underwriting Specialist

Cigna

One Front Street, 1 Front St, San Francisco, CA 94111, USA
Full-TimeDepends on ExperienceSenior LevelBachelors
Job Description

Conducts hospital provider contract underwriting/analysis, partnering with Contracting to deliver unit cost results in line with trend/cost expectations to ensure competitive positioning within the marketplace. Analyze impact to trends for facility contract negotiations. Effectively influence contracting in a strategic fashion and offer meaningful options during negotiations with a provider. Provide ad hoc analysis and deep dives into data as appropriate to support negotiation and provide value to our contracting partners. Summarize and explain findings and recommendations. Independently and effectively manage the planning process for assigned markets and drive the plan to meet overall corporate planning objectives. Proactively identify opportunities for trend reduction and engage contracting to build these into plan where appropriate.

Where is this job?
This job is located at One Front Street, 1 Front St, San Francisco, CA 94111, USA
Job Qualifications
  • 5 plus years of experience in health care/managed care work experience

  • Experience in TMC and/or Contract Underwriting preferred

  • Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment

  • Familiarity various data mining and reporting tools

  • Experience working with claim data and familiarity with standard medical coding: CPT, ICD9, HCPC.

Required Skills
  • Sql

  • Time Management

  • Analytical skills

  • MS Excel

  • SAS

  • MS Access

  • Utilization management

Soft Skills
  • Adaptable

  • Process Improvement

  • Verbal communication

  • written communication

  • Detail Oriented and Organized

Compensation

According to JobzMall, the average salary range for a Provider Contract & Network Underwriting Specialist in One Front Street, 1 Front St, San Francisco, CA 94111, USA is $50,000 to $75,000 per year.

Additional Information
Cigna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedApril 17th, 2021
Apply BeforeAugust 19th, 2025
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About Cigna

Cigna Corp. provides medical, dental, disability, life and accident insurance and related products and services to businesses, governmental and non-governmental organizations and individuals. It operates through following segments: Global Health Care; Global Supplemental Benefits; Group Disability and Life; Other Operations; and Corporate.

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