Home
/
Comprehensive
/
Senior Provider Contract Analyst - Hybrid
Senior Provider Contract Analyst - Hybrid-March 2024
Denver
Mar 29, 2026
About Senior Provider Contract Analyst - Hybrid

  ( Cigna employees: This is a Band 4, Business Analytics Advisor position)

  Job Overview:

  Supports the medical cost position of assigned markets through analysis of healthcare provider contracts, analysis of high performing network solutions, analysis of medical expense reports, data drill downs of trend drivers, and execution of key initiatives designed to address medical expense and product pricing trends. Partners with network management and pricing units to deliver medical expense results in line with trend/cost expectations to ensure strong competitive positioning within the marketplace.

  Responsibilities:

  Provide analytical and strategic support of health care provider rate negotiations.

  "Own" the Utah/New Mexico/Wyoming market.

  Identify opportunities for medical cost reduction, develop action plans, and drive execution.

  Assess the cost and quality efficiency of health care providers.

  Collaborate with local network team to develop and maintain high performing network solutions.

  Assess competitiveness of standard and high performing network products.

  Analyze reports and present findings to business partners at various levels of the organization.

  Support business partners and team members on an ad hoc basis as needed to support various integral business needs.

  Maintain strong communication with other analysts to identify new opportunities and share best practices.

  Mentor/train business partners and other analysts.

  Qualifications:

  Bachelor's degree in Statistics, Mathematics, Economics, Health Policy Analysis, Finance, or related field of study. Master's degree preferred.

  5+ years of experience with health care data analysis required. Experience with medical cost trend analysis and health care provider contract analysis preferred.

  Strong analytical and problem-solving skills with a proven track record of success.

  Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines.

  Strong ability to validate and interpret results.

  Ability to influence and drive strategic planning, action plan development, and execution of plans through engagement of business partners, education on key drivers and actionable levers, and thorough understanding of market-level dynamics.

  Strong communication skills to include written, oral, and group presentation.

  Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management.

  Technical sophistication with various data mining and business intelligence tools such as SAS, SQL, Microsoft Access, or similar.

  Advanced Microsoft Excel skills required.

  Knowledge of standard medical coding including CPT-IV, ICD-10, and HCPCS.

  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 95,200 - 158,600 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 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 The Cigna Group

  Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

  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.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Field Operations Coordinator (Remote)
Summary Field Operations Coordinator The Field Operations Coordinator will provide key operational support and offer direct project involvement and communication with several departments including, H
Quality Engineering Intern (Summer 2024) (onsite)
Date Posted: 2023-12-15 Country: United States of America Location: HMN01: S&IS (Sensors) - Burnsville 14300 Judicial Rd, Burnsville, MN, 55306 USA Position Role Type: Onsite Position overview Lo
Sign Placer Weekend Route Part-Time
Artisan Direct, a renowned company in the Weekend Directional Sign Business, is excited to offer a unique opportunity for a Sign Placer to become an integral part of our process. This role is pivotal
Landscape Laborer
We are seeking a dedicated and motivated Landscaping Crew Member to joinour team. This position is an excellent opportunity for someone who ispassionate about landscaping and committed to creating an
BBW Asst Mgr-RED MILL COMMONS
BBW Asst Mgr-RED MILL COMMONS Brand: Bath & Body Works Location: Virginia Beach, VA, US Location Type: On-site Job ID: 042SK Job Area: Store: Management Employment type: Full-time Description At
Housekeeper
Location: ANNA MARIA COLLEGE - 54789031 Working with Sodexo is more than a job; it’s a chance to be part of something greater. You’ll belong in a company and team that values you for you; you’ll act
Surgical Technician OI
Up to $2500 Sign On Bonus! Opening in Fall 2023, Ridgeview is developing the Orthopedic Institute - a premiere destination for patients to access world-class orthopedic care. The Orthopedic Institute
Data Wrangler - REMOTE
There are over 7 billion people on this planet. And by 2050, there will be 2 billion more... many moving into urban centers at an unprecedented rate. Making sure there is enough food, fiber and infra
Agile Program Manager (Remote)
Overview GovCIO is currently hiring for a Agile Program Manager (Remote). This position is fully remote. Responsibilities Organizing and facilitating daily stand-up meetings, reviews, retrospectives,
Software Engineer II
Vibrint is a trusted provider of mission-critical systems and analysis that transform our customers' capacity and capability in harvesting and harnessing data. Working alongside many of the most tale
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved