Full time
Cigna
St. Louis, MO, USA
Position Overview: The Medical Economics team’s mission is to develop innovative fee-for-service and value-based care network solutions that deliver improved outcomes for patients, providers, and payer clients. This senior contributor role will collaborate with other industry professionals and lead service area research, offer guidance on setting actuarially-sound targeting criteria, model fee schedule scenario outcomes, and serve as a key contributor to market-facing presentations. Responsibilities: Oversee evaluation of current and prospective network providers as part of Evernorth’s national fee-for-service, fully-delegated network development and provider contracting efforts. Lead exploratory analytics and financial modeling to identify network structuring opportunities that drive differentiation across market competitiveness and adequacy measures. Effectively partner with actuarial, finance, provider contracting, and market teams to ensure all network...