The Head of Network Provider Contracting will be responsible for developing and implementing negotiation and provider collaboration strategies, working directly with Singapore providers, third party vendors and internal stakeholders to deliver best in class service to Cigna’s providers, customers and clients and act as the Subject Matter Expert regarding the local market’s environment, healthcare delivery practices and pricing. This position reports to Director of Provider Network for Middle East and Asia Pacific.
Key Responsibilities
Leads provider network function and execute on both strategic and tactical level actions.
Accountable for driving affordability agenda by developing and delivering on cost containment strategy including value-based contracting and management of utilization through contractual means.
Performs service area analysis and cost analysis to identify network development and network renegotiation opportunities.
Manages team of Contract negotiators ensuring a balance between access to care and affordability.
Promotes process improvement initiatives by identifying and successfully positioning service improvement opportunities and strategies within the Singapore Network Management department.
Manages key relationship with existing and potential TPAs.
Monitors the quality of the services provided by the medical providers and the correct execution of the agreements.
Manages the broad healthcare delivery systems specialties, including ancillary, telehealth, and other network/vendor related service providers.
Acts as the expert for the providers with regards to the agreements, fees and pricing in Singapore.
Effectively communicates and interacts with other business units to achieve goals, e.g. Medical Management, CIGNA Service Operations, Sales and Client Management (NA, UK, and Antwerp), and CIGNA Strategy & Operations.
Qualifications
University degree, master’s degree preferred.
10+ years of relevant experience of which 5+ years of experience in provider contracting and good acumen on value-based contracts and overall utilization management techniques preferred.
Must have deep understanding and experience (and relationship) of local providers, health systems, and key players in the market.
Personal Competencies Required
Data Driven
Strategic and critical-thinking skills.
Strong conflict resolution and people management skills.
Ability to take charge and make sound business decisions.
Ability to organize and manage complex initiatives.
Results-oriented, out-of-the-box, problem solver.
Excellent interpersonal, verbal, and written communication skills.
Good English is mandatory and other Southeast Asian languages is a plus.
Mature, with the ability to effectively communicate and influence individuals at all levels.
Comfortable working in a fast-paced environment with shifting priorities.
Energetic and enthusiastic.
Ability to flex up to strategic level and down to running everyday business tasks.
Willing to travel (up to 15%).
Data mining competency.
Proficiency with MS Office programs including Word, PowerPoint, Excel, PPT.
Strong influencing skills and ability to work in a complex, highly matrixed, environment, including balancing priorities of multiple organizations to deliver end results.
About The Cigna Group
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.