Cigna
Payor Contracting Strategy Lead - Careallies - Remote (Finance)
This position has overall accountability for managing the CareAllies' payor contracting business advisory services related to contracting governance and payor contract negotiations. This role has accountability for executing using CareAllies' Payor Contracting Standards, compliance and oversight and results in the affordability, patient retention and growth and clinical and financial performance strategies for itself and its clients. This role partners closely with leadership from key matrix partners to develop and implement the Payor Contracting Standards to support CareAllies' clients' medical cost improvement and profitable retention and growth, while doing so within contracting standards.
This position is also responsible for ensuring that the results are delivered within CareAllies' standard contracting requirements across all payors' lines of business (Commercial, Medicare, Medicaid, ACA) and products (HMO, POS, EPO, OA, PPO etc.). This position is also responsible for creating and iterating on the standards as they support various affordability, retention, growth, and performance initiatives including working with payor contracting, operations and service line leaders to reduce exceptions to those initiatives. This position is also responsible for payor contracting.
Duties & Responsibilities
Qualifications:
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 131,400 - 219,000 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 and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That's why 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) with company match, 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, visit Life at Cigna Group .
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 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.
Qualified applicants with criminal histories will be considered for employment in a manner
consistent with all federal, state and local ordinances.
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.