CGHB Provider Network Manager The CGHB Provider Network Manager will be responsible for developing and executing negotiation strategies working directly with contracted providers in order to deliver best-in-class service to Cigna's providers, customers, and clients and act as the Subject Matter Expert regarding the local market's environment, healthcare delivery practices, and pricing.
Key Responsibilities:Manage the relations with the top medical facilities based on medical spend and financial impact for the organization.Provide coaching and support to the Jr.
Provider Negotiators in the market cost analysis development and negotiations within the designated territory.Identify growth opportunities for expanding the network of providers in the regions and/or countries you are responsible for.Perform service area analysis and cost analysis to identify network expansion, development, and network renegotiation opportunities.Review, negotiate, and discuss existing agreements and contracts regarding the content (direct payment agreements, fees, pricing, and procedures).Identify cost containment opportunities and (re)negotiate favorable conditions with healthcare providers.Manage the relationship with existing and new Third Party Vendors.Monitor the quality of the services provided by the medical providers and the correct execution of the agreements.Act as the expert for the providers regarding the agreements, fees, and pricing in the region for which you are responsible.Act as an expert regarding the medical landscape in the countries within your region and continuously monitor evolutions in that respect.Key Challenges / Anticipated Changes in Environment:Effectively communicate and interact with other business units to achieve goals, e.g., Medical Management, Sales, and Client Management.
Qualifications:University degree3 to 4 years of relevant experienceGood communication skillsExcellent negotiation and influencing skillsAnalytical and critical mindData mining competencyExperience/Knowledge Requirements:Knowledge of high priority healthcare providers, third party administratorsExcellent interpersonal, communication, and motivational skills, including negotiation and presentation skillsStrong influencing skills and ability to work in a complex, highly matrixed environment, including balancing priorities of multiple organizations to deliver end resultsPersonal Competencies Required:Thorough knowledge of German; any other language skills are a plusResults orientation – ability to define goals, establish plans, and manage work to achieve desired outcomes
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