11 дней назад
Provider Contracting Director - Transplant (LifeSource) (Healthcare)
106 400 - 177 300$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Provider Contracting Director - Transplant (LifeSource) (Healthcare): Leading complex provider contract negotiations and network management for a specialized transplant network across the Northeast with an accent on reimbursement models, bundled arrangements, and network affordability. Focus on managing a portfolio of 40–50 facilities, analyzing claims and financial data, and coordinating strategic agreements with hospitals, transplant centers, and cellular therapy providers.
Location: United States Work at Home; remote work with travel within the Northeast territory as needed. Home internet must use cable broadband or fiber optic service with speeds of at least 10 Mbps download and 5 Mbps upload.
Salary: $106,400–$177,300 annually, depending on experience and geographic location. Eligible for an annual bonus plan.
Company
Cigna Healthcare, a division of , supports customers through the healthcare system and provides health and well-being services.
What you will do
- Lead complex contract negotiations with hospitals, transplant centers, physician groups, and advanced cellular therapy providers across the Northeast.
- Negotiate reimbursement rates, financial terms, contract language, renewals, amendments, and new provider agreements.
- Manage a portfolio of approximately 40–50 facilities and oversee the financial and operational performance of assigned agreements.
- Develop arrangements using fee-for-service, case rates, bundled payments, DRGs, and value-based methodologies.
- Analyze claims, medical, financial, and market data to support negotiation strategies and affordability initiatives.
- Partner with Medical Economics, Clinical, Product, Operations, Legal, Compliance, and local market teams on network strategy and contract implementation.
Requirements
- Bachelor’s degree or equivalent relevant professional experience.
- At least five years of commercial healthcare contracting and negotiation experience with hospitals, health systems, large physician groups, or other complex delivery organizations.
- Experience negotiating reimbursement, financial terms, and contractual language with sophisticated provider organizations.
- Strong understanding of hospital, managed-care, and provider business models.
- Ability to independently manage substantial contract portfolios, concurrent negotiations, shifting priorities, and senior stakeholder relationships.
- Strong financial, analytical, negotiation, communication, organization, and decision-making skills, with proficiency in Microsoft Excel, Word, PowerPoint, and related tools.
Nice to have
- Transplant, stem-cell, or advanced cellular therapy contracting experience.
- Experience with bundled or case-rate arrangements for complex episodes of care.
- Knowledge of hospital contracting, network affordability, provider incentive programs, contract modeling, redlining, and network analytics.
- Established knowledge of provider markets in the Northeast.
Culture & Benefits
- Full-time employment with health, vision, dental, well-being, and behavioral health benefits from day one.
- 401(k), company-paid life insurance, tuition reimbursement, paid holidays, and leaves of absence.
- At least 18 days of paid time off per year.
- Fast-paced, highly matrixed environment with autonomy and cross-functional collaboration.
Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →