30 oct
|
Cigna Health And Life Insurance
|
Madrid
30 oct
Cigna Health And Life Insurance
Madrid
Role Summary
The Provider Contracting Senior Analyst is responsible for supporting the development, negotiation, implementation, and ongoing management of healthcare provider agreements across Eastern European markets. The role combines provider contracting, commercial analysis, network development, and provider relationship management. The Senior Analyst will work closely with Network management leadership and internal stakeholders to strengthen network coverage, improve commercial terms, support cashless/direct access for members, and ensure provider agreements are accurately implemented and maintained. The position requires a strong analytical mindset, commercial awareness, and the ability to work effectively across multiple countries, healthcare systems, and stakeholder groups.
Key Responsibilities
- Provider Contracting & Negotiation
- Manage provider contracting activities across assigned Eastern European markets, from initial provider engagement through negotiation, execution, and implementation.
- Support and, where appropriate, independently lead negotiations with hospitals, clinics, diagnostic centres, physician groups, and other healthcare providers.
- Review and negotiate commercial terms including tariffs, discounts, payment terms, billing arrangements, and other contractual conditions.
- Support contract renewals, renegotiations, amendments, and termination or replacement strategies.
- Partner with Legal and other stakeholders on contractual issues and ensure agreements follow internal governance and approval requirements.
- Network Development
- Analyze existing network coverage and identify geographic, specialty, or access gaps.
- Identify and prioritize providers for direct contracting based on member needs, utilization, claims spend, network requirements, and commercial opportunity.
- Support network expansion and provider replacement initiatives across the assigned region.
- Monitor market developments and provider consolidation that may affect network strategy.
- Contribute to country-level network strategies and recommendations.
- Commercial & Data Analysis
- Analyse provider claims, utilization, tariffs, cost per claim, discount performance, and other relevant commercial indicators.
- Develop business cases and financial assessments to support negotiations and contracting decisions.
- Compare provider proposals against existing arrangements, market benchmarks, and alternative network options.
- Track savings, commercial improvements, network expansion, and other contracting outcomes.
- Translate complex provider and claims data into clear recommendations for management.
- Provider Relationship Management
- Develop professional relationships with key providers and external partners across assigned markets.
- Act as a point of contact for contracting‑related provider discussions and escalations.
- Support resolution of issues relating to contractual terms, tariffs, billing arrangements, or implementation.
- Maintain regular engagement with priority providers and identify opportunities to improve collaboration and member access.
- Contract Implementation & Governance
- Coordinate implementation of newly signed or amended agreements with relevant operational teams.
- Ensure agreed tariffs, discounts, contractual terms, and provider information are accurately captured in relevant systems and processes.
- Maintain appropriate contracting documentation and records.
- Monitor upcoming renewals and contractual milestones to ensure proactive management.
- Support improvements to contracting processes, governance, reporting, and data quality.
- Cross‑functional Collaboration
- Work closely with teams including: Network / Provider Management, Claims and Operations, Clinical teams, Finance, Legal and Compliance, Data and Analytics, Customer and business teams.
- The Senior Analyst will ensure that contracting decisions balance member access, provider relationships, operational feasibility, network quality, and financial sustainability.
Required Experience & Skills
- Knowledge of high‑priority healthcare providers, third‑party administrators, and competitor capabilities within the assigned region.
- Strong interpersonal, communication, presentation, negotiation, and influencing skills, with the ability to engage effectively with stakeholders at all organizational levels.
- Full professional proficiency in English and at least one Eastern European language.
- Strong results orientation, with the ability to define objectives, establish plans, manage competing priorities, and deliver desired outcomes.
- Ability to develop meaningful business metrics and monitor progress and results.
- St
📌 Provider Contracting Senior Analyst (Madrid)
🏢 Cigna Health And Life Insurance
📍 Madrid