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The Cigna Group logo
The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Provider Network Contracting Manager

ManagerManagerOtherRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

Louisiana + 1 moreAll locations: Louisiana | Texas

Posted

96 days ago

Salary

0

Seniority

Senior

Bachelor Degree3 yrs expExperience acceptedEnglish

Job Description

Provider Network Contracting Manager

The Cigna Group

• Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems. • Lead key market contracting strategy projects with responsibility for managing direct reports as assigned. • Build and maintain strong provider relationships to support network growth and value-based business opportunities. • Coordinate closely with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure aligned execution. • Develop strategic network positions, identify value-oriented and risk-based opportunities, and contribute to alternative network initiatives and analytics. • Work to meet unit cost targets while maintaining an adequate, competitive provider network. • Design and manage initiatives to improve medical cost and quality, offering consultative guidance informed by clinical informatics. • Prepare, review, and project the financial impact of large or complex provider contracts and alternative terms. • Create, implement, and ensure operational accuracy of HCP agreements through effective cross-functional collaboration. • Lead resolution of escalated provider issues and manage key provider relationships with deep knowledge of the local market landscape including contract loading and maintenance.

Job Requirements

  • 3+ years of healthcare provider contracting and negotiating experience
  • Background in managed care, healthcare, or health insurance, including commercial contracting
  • Proven leadership experience, including mentoring and guiding others
  • Strong provider relationship management skills and success developing long-term partnerships
  • Knowledge of complex reimbursement methodologies, including incentive-based models (strongly preferred)
  • Deep understanding of hospital, managed care, and provider business models with the ability to influence sales and provider audiences
  • Exceptional presentation and communication skills, including the ability to build internal relationships in a fast-paced, matrixed organization
  • Customer-centric approach, strong interpersonal skills, and confidence in navigating change
  • Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills
  • Proficiency in Microsoft Office
  • Bachelor’s degree in a related field (industry experience may substitute); MBA / MHA preferred

Benefits

  • Health insurance
  • Professional development opportunities
  • Flexible work arrangements

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