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Business Analytics Advisor (Contract Underwriting) - Remote

Posted 2 days ago
Finance / Legal
Contract
USA
96,000 - 160,000 USD/year

Overview

Cigna is seeking a highly motivated and innovative team member to join our growing and dynamic Global Data & Analytics team as a Provider Contract & Network Underwriting Advisor for the Northeast Market's Team, concentrating on Maine, Massachusetts, New Hampshire, Rhode Island and Vermont providers.

In Short

  • Assist contractors in creating network solutions and provider contracts
  • Use financial models to evaluate the impact of proposed terms on profitability
  • Partner with network management, medical management, and sales units
  • Influence contracting in a strategic fashion during negotiations
  • Manage the planning process for assigned markets
  • Identify opportunities for trend reduction
  • Provide ad hoc analysis to support negotiation
  • Mentor junior underwriters
  • Strong analytical and problem-solving skills required
  • Work independently while managing multiple tasks

Requirements

  • 5+ years of experience in health care/managed care
  • Familiarity with data mining and reporting tools
  • Experience in TMC and/or Contract Underwriting preferred
  • Strong communication skills required
  • Understanding of managed care business processes
  • Ability to work independently

Benefits

  • Comprehensive health-related benefits starting on day one
  • 401(k) with company match
  • Company paid life insurance
  • Tuition reimbursement
  • A minimum of 18 days of paid time off per year
  • Paid holidays

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

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