As a member of the Provider Strategy & Consultation team, you’re an integral part of optimizing the Supply Chain for both providers and our clients. Our team is responsible for optimizing networks, meeting client custom requests and partnering with our Sales & Account Management partners to provide potential network solutions to win new business and retain clients. We are the preferred partners to educate clients on unique provider network solutions to help them achieve their business goals and best serve their members.
This position will be a key resource for supporting the execution of initiatives impacting Supply Chain and Organizational Client Network Strategy. This position is responsible for consulting with cross-functional partners on pharmacy network contracting initiatives in order to drive contract creation, execution, and system setup. They will be responsible for supporting Senior Advisors in the development and maintenance of initiative-specific project plans, quantifying the risks and impact, and executing towards solutions.
Essential Functions
· Initiates and maintains effective channels of communication with matrix partners including but not limited to, Credentialing, Legal, Compliance, Pricing and Finance and external Independent Providers.
· Manages strategic positioning for provider contracting and assists with development of networks.
· Contributes to the development of alternative network initiatives. Supports the Senior Advisor with tracking and processing pharmacy contracts tied to contracting initiatives.
· Works with internal partners to analyze, review impact, and address pharmacy contracting questions through the Team’s provider facing Mailboxes.
· Assists in resolving elevated and complex Pharmacy contract complaints. Research problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
· Handles a high-pressure environment with multiple competing priorities. Synthesizes complex concepts into a digestible pharmacy-facing message. Stays abreast of the changing healthcare landscape in order to provide relevant network strategy guidance.
· Synthesizes complex concepts into a digestible pharmacy-facing message.
· Stays abreast of the changing healthcare landscape in order to provide relevant network strategy guidance.
Qualifications
· Bachelor’s degree in relevant discipline or equivalent work experience, preferred. Master’s degree with 3+ years relevant experience, highly desired.
· 5+ years relevant work experience with proven track record of success or
· Demonstrated leadership capabilities with the ability to motivate and indirectly lead others effectively (e.g. leading without direct authority).
· Negotiating and contract management skills preferred, however not required
· Strong analytical, problem identification, and resolution skills required
· Strong working knowledge of Microsoft Office applications
· Excellent verbal and written communication and cross-functional interaction skills, including presentation.
· Demonstrated ability to prioritize and manage specific deliverables and workload within an environment of tight deadlines.
· Ability to manage complex analysis from issue identification to proposal of potential solutions and work collaboratively with other departments and/or providers to resolve complex issues with innovative solutions.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.