Job Description
Organization Summary: Evernorth Payer Solutions is a wholesaler of various Cigna and Evernorth solutions to health benefits "payers" including Health Plans, Third Party Administrators (TPAs), as well as business process outsourcers (BPOs) and select individual and small group insurers. Products offered include medical network, medical management, LifeSOURCE transplant network, pharmacy, Out-of-Network Savings Program, dental, Embarc Benefit Protection and a host of other products. Payer Solutions is a fast-growing segment, providing various solutions to TPA and Healthplan clients and serves more than 12 million customers.
Role Summary: The Cigna Payer Solutions Contracting Manager is responsible for leading and managing the Payer Solutions Contract Department. The role will have two direct reports, the contracting advisor and contracting lead analyst. The role is responsible for drafting and preparing non-standard and standard client contracts, managing red lines and facilitating negotiations, requiring a higher degree of independence and skill. The role also serves as primary Contracting Team representation on assignments with the Business, Legal, Finance, Business Subject Matter Experts, external clients, or other third parties, as applicable. This role will help drive department quality improvement efforts and measures aimed at improving the overall contracting process quality, efficiency and internal/external client satisfaction.
Responsibilities: - Manage and lead the contracting department which includes two direct reports. The contracting advisor and contracting lead analyst
- Oversight of day-to-day work and planning
- Prioritize and balance the workload. Intake of requests for team distribution and capacity management.
- This role works closely with internal matrix partners and Senior Legal Counsel to successfully plan, draft, prepare and execute contracting assignments and special projects
- Understand Client/Payer contracting arrangements, capture input from key stakeholders, assess impacts to existing agreements when applicable, and develop recommended contractual language, securing all necessary parties' approvals
- Participate in internal and client contract strategy and negotiation calls; capture meeting notes and proposed contract changes/redlines; draft new language, maintain separate internal and client versions as needed. Follow-up with internal partners to ensure alignment with negotiated contract terms
- Write contract letters, other necessary communications and notices
- Act as Contracting team lead on assigned internal initiatives
- Partner and lead Contract Admin Team members to review and/or propose contract language changes for Senior Legal Counsel approval
- Help update and maintain agreement templates. Obtain internal approvals on template updates as needed
- Ensure that agreements meet operational standards, accurately and on time
- Follow the Contracting Team's processes, including the archiving and dissemination of executed agreements
- Support quality efforts by analyzing and creating process improvements to improve overall contracting process quality, efficiency and internal/external client satisfaction. In addition, the role will support the education and training of contracting team members.
- When needed, support additional Contracting team responsibilities such as employer agreements, quality checks of work in progress, ad hoc projects, and other items
- Manage and maintain the contracting library
Qualifications: - Bachelor's degree
- 8+ years of relevant experience including at least 5 years of drafting contractual language. Paralegal experience preferred.
- Must have leadership and people management experience.
- Experience in health insurance, healthcare, or third-party administration preferred
- Ability to adapt to a dynamic work environment, quickly grasp new concepts, solve problems and make decisions.
- Ability to work cross-functionally to mediate and resolve complex contract issues and negotiate solutions. Ability to work with internal and external partners at all levels of management.
- Strong organizational skills, including ability to manage timelines and balance multiple deadlines.
- Strong focus on customer service.
- Detail oriented, organized and critical thinking skills are essential
- Experience with Salesforce.com and/or DocuSign a plus
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.
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.
Job Tags
Permanent employment, Contract work, Local area, Work from home,