National Contracting Medicare Senior Advisor

The National Ancillary & Non-par Management (NANPM) Senior Advisor role is a critical in driving Cigna's affordability programs.  Cigna contracts with over 150 national ancillary relationships representing over 40% of Cigna's total medical cost savings.  The NANPM Medicare Senior Advisor is responsible for negotiating Medicare Supplemental contracts, drive operational efficiencies by designing a commercial /senior segment engagement model, establish NANPM Management Process, supports implementation of strategic priorities, and provides data and information to maximize value.

This role collaborates with Vendor Segment Leads, Service & Operations, Compliance, Legal, etc. to develop Corrective Action Plans, Business Continuity Plan, Annual Bid process planning and participation.  This position is internally and externally facing and will directly oversee relationships between the Commercial and Medicare Advantage Segment encompassing Supplemental vendor relationships including but not limited to Vision, Hearing, Transportation, Dental, Fitness, and Over the Counter supplemental programs.  This is a critical position on the NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial Alignment.  Experience with Medicare Advantage and /or the Government Business is required for success. 

This is a high functioning leadership role encompassing matrix management, account team engagement, relationship management, strategic planning, corrective action planning, project management, contracting and service delivery, overall service quality (STARS), and business project management responsibilities. 

DUTIES AND RESPONSIBILITIES

• Works directly with Medicare Supplemental partners to negotiate, manage, retain cost effective and quality programs.
• Accountable for negotiation and financial performance of contracted vendor relationships
• Engages Markets, Product and Clinical partners to understand business needs, drive improvements and create win-win scenarios in new and existing spend categories
• Responsible for advocating for external partnerships within Cigna MA
• Accountable for conveying Cigna MA, regulatory and other compliance standards and ensuring effective implementation
• Collaborates with National Contracting Service & Operations team to mitigate Corrective Action Plan (CAPs) and create when needed.
• Leads strategy development, improve operational performance, internal/external relationships across assigned national ancillary segment.  Anticipates and mitigates downstream impacts to HCPs, Customers, and Clients. Removes barriers for service operations and improve vendor performance within assigned segments.  
• Serves as the Executive Liaison and single point of accountability for the programs impacting both the commercial and senior segments
• Leads quarterly strategic business review meetings to include vendors and internal business partners and to review vendor / program performance
• Monitors and understand Cigna HealthSpring programs, policies, procedures, products, and strategies and how those impact or are impacted by national ancillary partners
• Understands and mitigates Supplemental program impacts to the providers, client, and customers in balance with overall program requirements. Responsible for on-going identification of improvement opportunities to the provider and customer experience. 
• Works closely with National Contracting to understand and contribute towards overall affordability program strategy specific to each segment. 
• Responsible for ensuring Supplemental Programs are in compliance with CMS guidelines in partnership with FDR Operations and Cigna-HealthSpring matrix partners.  
• Contributes to national contracting strategy and collaborates with senior leadership both internally and externally to achieve total medical cost savings.
• Advocate and educate on Medicare Supplemental Programs and ensure alignment with broader team strategy and goals.
• Responsible for collecting, documenting, and sharing market intelligence relative to their national ancillary segment; use market intelligence to inform strategy.
• Provides oversight to Supplemental Program implementation or re-implementation within required timelines and in accordance with regulatory requirements.
• Supports the project prioritization process, MOR and service reporting processes with a focus on successful delivery of the highest value projects.  Engages key leadership both internally and externally to drive both short and longer term, sustainable solutions

  POSITION REQUIREMENTS

• Bachelor’s degree or equivalent work experience; Master’s degree preferred. 
• 8-10 years of experience in provider, client and customer relations, contr