Cigna Health spring Jobs – Ancillary Contracting Senior Analyst

Job Description:

  • This individual reports directly to the Ancillary Contracting Manager and will develop and maintain positive relationships with ancillary providers within the provider network. Will also support the activities of the Network Operations Contracting Department, including: negotiating contracts and single case agreements, assisting and supporting the contractual and operational relationship with providers, coordinating provider data bases, credentialing, resolution of claims and appeals; assisting with the analysis of medical cost trends for providers.

Job Responsibilities:

  • Coordinate, track and ensure credentialing process is complete for providers
  • Ensure copies of executed contracts or correspondence are returned to providers
  • Prepare contract packages, agreements and amendments for mailing to potential providers
  • Auditing of rate and demographic data to ensure system accuracy
  • Assist in coordinating provider agreements, amendments, and letters of agreement with non-contracted providers as needed by administrator and or director
  • Assist in coordination of collection, compilation, and maintenance of data for HSD tables for internal, state, and CMS audits as well as any GEO Access Mapping
  • Complete and maintain departmental activity log
  • Complete and load contract changes and rate terms for providers in Tract Manager and QNXT
  • Maintain provider file folders in master files and online databases

Qualification & Experience:

  • Bachelor’s Degree or equivalent, relevant, work experience
  • Master’s degree, preferred
  • 1 -2 years of work experience

Job Details:

Company: Cigna

Vacancy Type:  Full Time

Job Location: Houston, TX, US

Application Deadline: N/A

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