Top 166 Advisor application develop Jobs in Richmond, Va

Provider Contracting Advisor - Cigna Healthcare
The Cigna Group —Richmond, VA
- $92,000 - $153,300 a year
- Online Application
- Research
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Enterprise IT Communications Advisor, Senior or Advanced
Federal Reserve Bank of Richmond —Richmond, VA
- $121,000 - $191,000 a year
- Full-time
- 6 years
- Office
- Organizational skills
- Health insurance
- Tuition reimbursement
10d
Insurance Policy Analyst (2 positions)
State Corporation Commission —Richmond, VA
- $60,500 - $110,000 a year
- Multiple hires
- Hybrid work
- Mid-level
- Office
Part Time Advisor - Business Analytics
Spinnaker Consulting Group, LLC —Henrico, VA
- Part-time
- Hybrid work
- 5 years
- Research
- Mid-level
Account Executive
Pavion Corp. —Ashland, VA
- $87,000 - $122,000 a year
- 6 years
- Bachelor's degree
- Contracts
Quick Apply
Financial Services Professional - Hybrid Remote (VA)
Bankers Life —Richmond, VA
- $50,000 - $80,000 a year
- Full-time
- Hybrid work
- Office
- Communication skills
- Entry level
Quick Apply
Program Manager, Senior Living (RN / PT / OT / SLP)
BAYADA Home Health Care —Richmond, VA
- $90,000 - $95,000 a year
- Nursing
- Doctoral degree
- RN License
- Paid holidays
- Health insurance
Quick Apply
11d
Automotive Technician
Loyalty Automotive —Chester, VA
- $25 - $45 an hour
- Full-time
- ASE Certification
- Clean driving record
- Dealership
- Profit sharing
- Health savings account
Quick Apply
Part Time Advisor - Data Analytics
Spinnaker Consulting Group, LLC —Henrico, VA
- Part-time
- Hybrid work
- 5 years
- Research
- Mid-level
Compliance Tester III
Capital One —Richmond, VA
- Email
- Mid-level
- Office
- 3 years
- Health insurance
Compliance Tester II
Capital One —Richmond, VA
- Email
- Mid-level
- Office
- High school diploma or GED
- Health insurance
Part Time Advisor - Banking Specialist
Spinnaker Consulting Group, LLC —Henrico, VA
- Part-time
- Hybrid work
- 5 years
- Research
- Mid-level
Provider Network Operations Advisor - Cigna Healthcare - Hybrid
The Cigna Group —Richmond, VA
- Online Application
- 5 years
- Research
- Analysis skills
Middle Market Client Experience Consultant: Richmond/McLean, VA or Baltimore, MD - Cigna Healthcare - Hybrid
The Cigna Group —Richmond, VA
- $66,100 - $110,100 a year
- Online Application
- Microsoft Outlook
- Mid-level
- Office
- Paid holidays
- Health insurance
Compliance Advisor Manager
Capital One —Richmond, VA
- Email
- 5 years
- Military
- Office
- Health insurance
Class and Compensation Administrator
City of Richmond, VA —Richmond, VA
- $108,672 - $186,016 a year
- Full-time
- Office
- Finance
- Analysis skills
- Tuition reimbursement
- Referral program
Part Time Advisor - Risk Management & Regulatory Compliance
Spinnaker Consulting Group, LLC —Henrico, VA
- Part-time
- Hybrid work
- 7 years
- Research
- Mid-level
H&M Sales Advisor- Chesterfield Town Center
H&M —Richmond, VA
- $15.50 an hour
- Part-time
- Merchandising
- Entry level
- Commercial
- Health insurance
- Paid time off
Quick Apply
Senior Associate - Finance Data and Technology Risk Advisor
Capital One —Richmond, VA
- Email
- Military
- Mid-level
- Office
- Health insurance
4d
EHS Specialist
Amazon.com Services LLC —Rockville, VA
- $27 - $33 an hour
- Weekends as needed
- Microsoft Word
- CPR Certification
- Microsoft Excel
- AD&D insurance
- Health insurance
9d

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Provider Contracting Advisor - Cigna Healthcare

The Cigna Group -
Richmond, VA

Apply Now

Job Details

Full-time
$92,000 - $153,300 a year

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

Presentations for conferences or internal meetings
Research
Contract management experience in healthcare
Sales presentations
Direct contracting
Productivity software
Financial acumen

Full Job Description

WORK LOCATION: will need to live within the defined territory: Maryland, Virginia or DC

The Provider Contracting Advisor serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in managing commercial contract negotiations and activities for a local given territory.

DUTIES AND RESPONSIBILITIES

Manages complex contracting and negotiations for fee for service and value-based reimbursements (e.g., Hospital systems, Ancillaries, and physician groups).
Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
Creates and manages initiatives that improve total medical cost and quality.
Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
Manages key provider relationships and is accountable for critical interface with providers and business staff.
Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
May provide guidance or expertise to less experienced specialists.

POSITION REQUIREMENTS

Bachelor's Degree Preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Industry experience will be considered in lieu of a bachelor’s degree. MBA or MHA preferred.
3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations strongly preferred.
Experience in developing and managing key provider relationships
Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
Intimate understanding and experience with hospital, managed care, and provider business models.
Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
Customer centric and interpersonal skills are required.
Demonstrates an ability to maneuver effectively in a changing environment.
Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
Knowledge and use of Microsoft Office tools.

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.

For this position, we anticipate offering an annual salary of 92,000 - 153,300 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

Apply Now

Refine Your Search

advisor application develop jobs in richmond, va

Provider Contracting Advisor - Cigna Healthcare

Enterprise IT Communications Advisor, Senior or Advanced

Insurance Policy Analyst (2 positions)

Part Time Advisor - Business Analytics

Account Executive

Financial Services Professional - Hybrid Remote (VA)

Program Manager, Senior Living (RN / PT / OT / SLP)

Automotive Technician

Part Time Advisor - Data Analytics

Compliance Tester III

Compliance Tester II

Part Time Advisor - Banking Specialist

Provider Network Operations Advisor - Cigna Healthcare - Hybrid

Middle Market Client Experience Consultant: Richmond/McLean, VA or Baltimore, MD - Cigna Healthcare - Hybrid

Compliance Advisor Manager

Class and Compensation Administrator

Part Time Advisor - Risk Management & Regulatory Compliance

H&M Sales Advisor- Chesterfield Town Center

Senior Associate - Finance Data and Technology Risk Advisor

EHS Specialist

I want to receive the latest job alert for advisor application develop in richmond, va

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