Provider Network Senior Analyst. will be responsible for developing and executing negotiation strategies working directly with contracted providers in order to deliver best in class service to Cignahealthcare'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:
Manages the relations with the top medical facilities based on medical spend and financial impact for the organization.
Provides coaching and support to the Jr. Provider Negotiators in the market cost analysis development and negotiations within the designated territory.
Identifies growth opportunities for expanding the network of providers in the regions and/ or countries you are responsible for.
Performs service area analysis and cost analysis to identify network expansion, development and network renegotiation opportunities.
Reviews, negotiates and discusses existing agreements and contracts with regards to the content (direct payment agreements, fees, pricing and procedures)
Identifies cost containment opportunities and (re)negotiate favorable conditions with Health care providers.
Manages 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
Acts as the expert for the providers with regards to the agreements, fees and pricing in the region for which you are responsible.
Acts as an expert with regards to the medical landscape in the countries within your region and continuously monitor evolutions in that respect. Key Challenges / Anticipated Changes in Environment
Effectively communicates and interacts with other business units to achieve goals, e.g. Medical Management, Cignahealthcare Service Operations, Sales and Client Management and Cignahealthcare Strategy & Operations.