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 Contracting Director – West Region
Location
United States
Posted
17 hours ago
Salary
$156.7K - $261.1K / year
Seniority
Lead
Job Description
Provider Contracting Director – West Region
The Cigna Group
• Overall accountability for ensuring that field contractors comply with contracting standards, including use of current core contracts, reimbursement standards, network and contract policy, and the provider contract escalation and review process • Provide guidance and support to field contractors on national standards and use of the Contract Management System • Support field contractors on non-standard issues and work closely with the National Contracting Standards & Policy team on policy, language, and "ability to administer" issues as well as on reporting and compliance with the exception review process • Work with contractor to develop appropriate response and/or contractual language that does not jeopardize Cigna's contracts with employers, internal policies or standards • Ensure required documentation is complete prior to signature by RVP or Market Lead • Facilitate internal and external audit requirements • Ensure members of field contracting team receive appropriate and continuous training in all aspects of contracting standards, including use of current, appropriate, core contract templates; preferred reimbursement standards; national network and contracting policy; and the standard contract process • Ensure understanding and compliance by field contractors with the standard contract process and review of all exceptions to "ability to administer", financial objectives, policies, and language • Provide consultative support to field contractors on contracting, policy and procedural issues as needed • Support field contracting in maximizing use of the system • Ensure all new employees receive the appropriate training • Monitor Contract Manager usage in accordance with the established guidelines • Develop contract language and rate exhibit options for field use • Collaborate with other RDs, Network Analytics Unit and other national functions such as claim operations, medical management, and legal to share best practices and devise creative solutions to complex problems • Work with national groups to continually review and improve the SARU (Satisfactory, Acceptable, Reviewable and Unacceptable) contract standards for all contract types • Partner closely with US Medical Network Contracting Readiness to ensure policies and standards are communicated to the field staff appropriately • Work closely with Standards & Policy Committee to identify and resolve issues requiring cross-functional solutions, policymaking and communication • Provide input and support to national projects (e.g. new product roll-outs, regulatory compliance initiatives, etc.) requiring contract content reviews, language compliance assessments and/or network participation assessments • Work with local contract teams on language remediation initiatives.
Job Requirements
- 7+ years in Medical Contracting, Negotiating and Provider Services
- Ability to foster collaboration, value others perspectives and gain support and buy-in for organizational proposals
- Matrix management skills
- Ability to drive and lead an organization through change
- Excellent interpersonal and relationship management skills
- Excellent oral, written and presentation skills required
- Strong collaboration, negotiation and leadership skills
- Strong organizational and analytical skills that result in conclusive recommendations
- Ability to think critically with respect to improvement of end-to-end business process
Benefits
- medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
- leaves of absence
Related Guides
Related Categories
Related Job Pages
More Director Jobs
Director of Digital Product
USALCOUSALCO is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. As a general policy, USALCO does not offer employment visa sponsorships upon hire or in the future.
Role Description USALCO is seeking a Director of Digital Product to lead the strategy, roadmap, prioritization, and execution of Decision Blue® as a scalable digital offering. In this role, product refers specifically to the Decision Blue software platform and related digital capabilities—not USALCO's chemical products. This individual will serve as the voice of the customer and translate USALCO's business strategy, water treatment expertise, customer needs, plant data, and field-service insights into practical digital workflows and AI-enabled decision-support tools for operators, technical teams, and commercial stakeholders. This is a highly strategic and hands-on role requiring strong SaaS product management discipline, agile development experience, customer discovery skills, and the ability to work cross-functionally with IT, services delivery, technical experts, and commercial teams to build Decision Blue into the water industry's leading operator-centric treatment intelligence platform. Essential Duties & Responsibilities - Digital Product Ownership - Own the Decision Blue digital platform roadmap. - Own the digital product backlog and prioritization process. - Write and manage epics, features, and user stories. - Lead sprint planning and Decision Blue release cycles. - Define acceptance criteria and digital release requirements. - Customer Discovery - Conduct customer interviews and market research. - Work directly with treatment operators and utility leaders. - Validate Decision Blue market fit and customer value assumptions. - Identify emerging market needs. - Translate customer and internal discovery into Decision Blue roadmap decisions. - AI-Enabled Digital Capability Development - Identify opportunities for AI-driven decision support. - Define roadmap progression from analytics to predictive and autonomous operations. - Collaborate on AI governance and model validation. - Cross Functional Leadership - Partner closely with Engineering, Services, Marketing, and Commercial teams. - Balance customer requirements against technical feasibility. - Work with Services counterparts to develop delivery approaches that balance speed to market with Decision Blue roadmap development. - Drive alignment across stakeholders. - Success Metrics - Decision Blue adoption. - User engagement. - Customer retention and expansion influenced by Decision Blue. - Decision Blue feature utilization. - Digital ARR growth contribution. - Roadmap execution performance. - Digital net revenue retention. Qualifications - 8+ years of SaaS product management experience. - Experience leading B2B software products. - Strong Agile and Scrum experience. - Proven ability to launch and scale software products. - Experience working with data platforms, analytics, AI, or operational software. - Communication and teamwork skills. Preferred Qualifications - Water, industrial, environmental, utility, or infrastructure experience preferred. Company Description USALCO is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. As a general policy, USALCO does not offer employment visa sponsorships upon hire or in the future.
Sr. Director Digital Solutions Delivery
USALCOUSALCO is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. As a general policy, USALCO does not offer employment visa sponsorships upon hire or in the future.
Role Description The Sr. Director Digital Solutions Delivery will build and lead the customer delivery organization that turns Decision Blue® into a scalable, outcome-driven service model for water treatment operators and technical teams. This leader will be responsible for customer implementation, onboarding, adoption, managed services, and measurable customer outcomes—ensuring that USALCO's digital tools, chemistry expertise, and field support come together in a repeatable model that improves treatment decisions, strengthens customer relationships, and supports commercial growth. The role sits at the intersection of software implementation, water treatment optimization, customer success, technical services, and operational consulting. It requires a leader who can translate complex plant realities into practical delivery processes that help customers make better decisions with greater confidence, consistency, and speed. Essential Duties & Responsibilities - Customer Implementation - Design and lead onboarding programs for Decision Blue® customers, including implementation planning, stakeholder alignment, user training, and go-live readiness. - Develop repeatable implementation methodologies, playbooks, templates, and quality standards that allow USALCO to scale delivery across municipal and industrial customer environments. - Manage platform deployment activities in coordination with Product, Engineering, Data, Technical Services, Commercial, and customer plant teams. - Ensure successful customer go-lives that create early value, build operator trust, and establish a clear path to adoption and measurable outcomes. - Customer Success - Establish customer health monitoring programs that track adoption, engagement, treatment objectives, service needs, and renewal or expansion risks. - Drive platform utilization by helping operators and technical teams incorporate Decision Blue® insights into day-to-day treatment decisions. - Lead customer business reviews that connect digital engagement, treatment performance, chemical efficiency, compliance confidence, and operational value. - Partner with Commercial and Technical Services teams to improve customer retention, deepen account relationships, and identify expansion opportunities tied to customer outcomes. - Managed Services - Build, implement, and measure recurring digital and technical services offerings that support customer outcomes and USALCO's core business objectives. - Develop scalable support capabilities that balance superior service, practical plant-level expertise, and cost-effective delivery models. - Establish outcome-based customer engagement models that demonstrate customer ROI, strengthen long-term account value, and reinforce USALCO's differentiated chemistry-plus-digital offering. - Leverage AI-enabled tools, automation, and delivery models where appropriate to scale human-in-the-loop decision support while preserving operator judgment and plant accountability. - Operational Excellence - Create implementation standards, service quality controls, escalation paths, and delivery governance for digital services customers. - Define customer onboarding, adoption, service, and value-realization KPIs. - Develop customer maturity frameworks that help plants progress from initial deployment to sustained operating value. - Build scalable support processes, knowledge resources, and internal feedback loops that improve delivery quality and inform the product roadmap. - Team & Cross-Functional Leadership - Build and lead customer success, implementation, support, and services delivery teams as the Digital Solutions Division scales. - Manage internal and partner delivery resources to ensure consistent, high-quality customer execution. - Work closely with Product, Engineering, and Data teams to ensure delivery experience, customer feedback, and field realities are reflected in the Decision Blue® roadmap. - Work closely with Commercial, Technical Services, and go-to-market counterparts to establish appropriate account management cadence, customer communication, and thought leadership. Qualifications - 10+ years leading customer delivery, professional services, customer success, technical services, or implementation organizations. - Experience implementing SaaS, data, analytics, AI-enabled, or decision-support platforms in operational environments. - Demonstrated success building customer success, managed services, or professional services functions that create measurable customer value. - Experience creating repeatable implementation methodologies, service playbooks, customer health processes, and value-realization frameworks. - Ability to work credibly with operators, plant leadership, technical teams, commercial leaders, and executive stakeholders. Preferred Qualifications - Utility, water treatment, industrial, infrastructure, environmental, or process-operations experience strongly preferred. Success Metrics - Time-to-value for new customer deployments. - Customer adoption, engagement, and sustained utilization of Decision Blue® capabilities. - Net revenue retention and expansion revenue tied to digital services and broader USALCO account growth. - Gross revenue retention and renewal performance. - Implementation cycle time, go-live quality, and deployment scalability. - Customer satisfaction, operator trust, and demonstrated customer value. - Services margin performance and cost-effective delivery scale. - Contribution to specialty chemical retention, conversion, and account expansion where digital services support broader customer outcomes. Company Description USALCO is a leading provider of aluminum-based component products serving industries such as water treatment, pulp and paper, oil refining catalysts, and construction materials. We are committed to safety, quality, and operational excellence across our manufacturing network.
Director, Biostatistics
Revolution MedicinesRevolution Medicines (RevMed) is committed to revolutionizing treatment for patients with RAS-addicted cancers, specializing in oncology drug discovery and development. With the mi
Role Description As a new member of the Revolution Medicines team, you will join other outstanding professionals in a tireless commitment to patients with cancers harboring mutations in the RAS signaling pathway. Playing a critical role as a lead statistician for clinical program(s) and studies in Japan and the subject matter expert (SME) in Biostatistics within Quantitative Sciences function, this position is to provide statistical leadership and support for clinical development strategy and clinical studies in Japan through product life cycle. - Provide statistical support and strategic input to clinical development plans and target product profiles, proof of concept criteria, and team’s preparation for company governance reviews. - Represent Biostatistics function on cross-function teams and serve as a lead statistician for oncology studies in Japan. - Lead statistical design and planning including protocol development, statistical analysis plan and analysis specifications. - Provide statistical support for study protocol development, analysis plan and specification through direct involvement and/or providing guidance to junior staff. - Plan and prepare independent data monitoring committee (DMC), coordinate with independent statistical data analysis center for DMC and study team for periodic DMC reviews for Japan related studies. - Collaborate with data management and clinical operations over the course of clinical studies to provide statistical input to study conducts and database development as well as data collection and cleaning activities. - Collaborate with statistical programming to ensure that appropriate programs and documentations are being developed for datasets development and outputs generation, and ensure the statistical analyses specified in scientific protocols and/or analysis plans are conducted appropriately. - Lead statistical input and leadership to the development of health authority documents, regulatory interaction and response to health authority submissions. - Guide statistical support for clinical publications, assist in data interpretation to ensure consistency and accuracy in data presentation. - Drive and lead department initiatives, best practices, and guidelines. - Keep abreast in new developments in statistics, drug development, and regulatory guidance in Japan and share knowledge with functional and cross-functional team members. Qualifications - Ph.D. or M.S. in Statistics/Biostatistics. - A minimum of 8 years (for Ph.D.) and 12 years (for M.S.) of experience in the biotech/pharma industry as a statistician. Level will be determined based on the relevance of experience. - Hands-on experience in design and analysis of oncology trials is a must. - Ability to work independently and within a team. - Solid knowledge in ICH and other regulatory requirements related to biostatistical activities and clinical trials. - Excellent verbal and written communication skills both in English and Japanese are required. - Good interpersonal and project management skills are essential. - Proficiency in SAS and/or R. Preferred Skills - Active participation in PMDA filing through label negotiations desirable. Company Description Revolution Medicines is a late-stage clinical oncology company developing novel targeted therapies for patients with RAS-addicted cancers. The company’s R&D pipeline comprises RAS(ON) inhibitors designed to suppress diverse oncogenic variants of RAS proteins. The company’s RAS(ON) inhibitors daraxonrasib (RMC-6236), elironrasib (RMC-6291), zoldonrasib (RMC-9805), and RMC-5127 are currently in clinical development.
Director of Clinical Admissions
Charlie Health ClinicalAt Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.
Role Description As Director of Clinical Admissions, you will build, grow, and lead the clinical team that serves as the front door to treatment at Charlie Health. You will hire, develop, and performance-manage a team of Clinical Admissions Managers, Leads, Therapists, and Associates—providing the clinical supervision, coaching, structure, and accountability they need to do their best work as they guide prospective clients and families into care. You will own the clinical integrity of the admissions process: - Overseeing intake and assessments for our national virtual intensive outpatient programs (IOPs) - Auditing documentation to the highest standard - Leading the change management work to design, roll out, and scale the processes, policies, and procedures that keep admissions compliant, consistent, and compassionate as both the team and client volume grow As one of two Directors of Clinical Admissions, you’ll partner closely with your counterpart and across departments—including Clinical Leadership, Admissions, Compliance, Revenue Cycle Management, and Utilization Review—to ensure clinically appropriate admissions and effective, consistent team performance. This role is ideal for an experienced, independently licensed clinician and people leader who can grow a team, grow admissions, and continuously improve how that team performs—all while keeping clients safe, seen, and supported from the very first conversation. Responsibilities - People leadership & team development - Build, grow, and lead a high-performing clinical admissions team—recruiting, hiring, and onboarding Clinical Admissions Managers, Leads, Therapists, and Associates to keep pace with admissions growth - Provide individual and group supervision to a team of masters-level clinicians, promoting growth and development - Set clear goals and expectations, monitor performance against metrics, and performance-manage the team through coaching, feedback, and accountability - Develop and coach managers and leads, strengthening their ability to lead, develop, and performance-manage their own teams - Foster a culture of engagement, retention, and sustainability across a remote team working in an emotionally demanding environment - Assign treatment team members and group schedules while informing staff of new admissions - Intake, assessment & level-of-care determination - Oversee intake and assessments of prospective clients for national virtual intensive outpatient programming - Lead and support the team of managers, therapists, and associates in converting prospective clients to care—confirming clinical fit and, when clients are appropriate, getting them scheduled into programming as quickly as possible - Ensure completion of HIPAA-compliant virtual biopsychosocial assessments for adolescents, young adults, and adults with various mental health concerns - Determine appropriateness and fit for the virtual intensive outpatient program (IOP) level of care, and equip the team to make consistent, accurate fit decisions - Drive speed to admit by minimizing the time from assessment to a scheduled start so clients can begin care without delay - Construct provisional mental health diagnoses utilizing DSM-5-TR criteria - Identify and connect with appropriate staff when crisis intervention, a safety assessment, or a higher level of care (HLOC) is needed during the intake process - Model and coach personable, competent communication that builds rapport with clients in a compassionate, inclusive, and professional manner - Ensure programming information is presented thoroughly and supportively to help clients gain access to care - Quality, documentation & compliance - Complete monthly chart audits to ensure compliance and quality assurance - Document client information in accordance with regulatory standards using the electronic medical record - Change management, process improvement & cross-functional collaboration - Lead change management initiatives, driving the smooth rollout and adoption of new processes, workflows, and policies across the admissions team - Build, refine, and scale admissions processes that improve speed, quality, consistency, and conversion as the team and client volume grow - Monitor team and funnel performance, identify bottlenecks, and implement improvements that raise both clinical quality and operational efficiency - Partner across departments to ensure clinically appropriate admissions and effective team performance, aligning closely with your fellow Director of Clinical Admissions - Collaborate with Clinical Leadership, Admissions, Compliance, Revenue Cycle Management, and Utilization Review to identify opportunities for growth while developing, enhancing, and delivering policies and procedures that improve the quality of the client experience and increase the efficacy of the admission process - Ensure the completion of projects and initiatives that better support clients in obtaining access to care - Perform other duties as assigned Qualifications - 5+ years of behavioral health experience required - Master’s degree in mental health or a related field required - If internal, 1+ year with Charlie Health - Minimum of 2+ years in supervisory position (3+ preferred) - Proven experience building, scaling, hiring for, and performance-managing teams, ideally in a high-growth or high-volume environment - Experience leading change management and process improvement initiatives, including the rollout and adoption of new workflows - Independent mental health licensure required (all disciplines welcome) - Experience working with adolescents, young adults, and adults preferred - Strong project management skills, with a demonstrable ability to assemble and manage details in a fast-paced, fluid environment - Ability to energize, motivate, communicate, and build rapport at all levels within an organization - High proficiency in navigating electronic medical record (EMR) systems, Zoom, Google Workspace, and other communication platforms - Work authorized in the United States and native or bilingual English proficiency - Access to reliable technology resources to deliver uninterrupted, confidential, and compliant telehealth services - Availability to work a varied schedule that may include days, evenings, and weekends as needed; travel is minimal Benefits - Fully paid subscription to the mindfulness, talk therapy, nutrition, or fitness app of your choice (Headspace, TalkSpace, Noom, Peloton, etc.) - Complimentary yoga sessions for you and your loved ones, twice per month, hosted by licensed instructors - Opportunity to shadow vIOP sessions once per month - Quarterly events to recognize alumni of the program and celebrate shared experiences
