Jennifer Ketner
Swansboro,NC
Summary
Dynamic Provider Contracting Advisor at Cigna HealthCare, adept at managing complex negotiations and fostering strong provider relationships. Leveraged healthcare data experience to enhance contract terms, achieving significant cost savings. Skilled in financial modeling and network development, with a proven track record of aligning benefits with organizational goals.
Overview
16
16
years of professional experience
Work History
Provider Contracting Advisor
Cigna HealthCare of North Carolina, Inc.
03.2011 - Current
- Manage complex contracting negotiations with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
- Builds relationships that nurture provider partnerships and value-based opportunities to support local market strategy.
- Works to meet unit cost targets, while preserving an adequate network.
- 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.
- Responsible for accurate and timely contract loading and submissions and interface with matrix partners.
- Creates and nurtures strong external relationships with provider partners.
- Presents and designs formal presentations, both written and verbal.
Group Benefits Specialist
North Carolina Association of County Commissioners
06.2009 - 03.2011
- Managed employee benefits enrollment and communicated changes to the North Carolina Association of County Commissioners (NCACC) board of trustees.
- Developed comprehensive benefit plans aligned with organizational goals and employee needs.
- Conducted open enrollment meetings for employees on benefits options and enrollment processes.
- Analyzed benefits utilization data to recommend enhancements and cost-saving measures with various county managers and their HR staff.
- Sold and managed the medical benefit policies for 43 counties across the state of North Carolina.
Education
Associate of Science - Business Administration
Montreat
Charlotte, NC12-2004
Skills
- Customer Experience
- Financial Modeling
- Healthcare Data Experience
- Managed Care Negotiation
- Network Development
- Provider Contracting
Timeline
Provider Contracting Advisor
Cigna HealthCare of North Carolina, Inc.
03.2011 - Current
Group Benefits Specialist
North Carolina Association of County Commissioners
06.2009 - 03.2011
Associate of Science - Business Administration
Montreat
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