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
Location
United States
Posted
12 hours ago
Salary
$156.7K - $261.1K / year
Seniority
Lead
No structured requirement data.
Job Description
Provider Contracting Director
The Cigna Group
Role Description The job profile for this position is Provider Contracting Director, which is a Band 5 Management Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Position Overview: - 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. - Supports field contractors on non-standard issues and works 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. Contract Review and Escalation 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. Training/Contract Standards: - Ensures 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. - Ensures 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. - Provides consultative support to field contractors on contracting, policy and procedural issues as needed. Contract Management System: - Supports field contracting in maximizing use of system. - Ensure all new employees receive the appropriate training. - Monitors Contract Manager usage in accordance with the established guidelines. - Develop contract language and rate exhibit options for field use. Administration: - Collaborates 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. - Works with national groups to continually review and improve the SARU (Satisfactory, Acceptable, Review-able and Unacceptable) contract standards for all contract types. - Partners closely with US Medical Network Contracting Readiness to ensure policies and standards are communicated to the field staff appropriately. Policy: - Works closely with Standards & Policy Committee to identify and resolve issues requiring cross-functional solutions, policymaking and communication. - Provides 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. - Works with local contract teams on language remediation initiatives. Qualifications - 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. Requirements - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Benefits - For this position, we anticipate offering an annual salary of 156,700 - 261,100 USD / yearly, depending on relevant factors, including experience and geographic location. - This role is also anticipated to be eligible to participate in an annual bonus plan and long term incentive plan. - At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. - Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. - We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. Company Description Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Related Guides
Related Categories
Related Job Pages
More Director Jobs
Role Description The Great State Team is seeking a Director of Information Technology to join our fast-growing team! As the Director of Information Technology, you would provide operational leadership for the organization's Information Technology department. This role oversees the daily operations of the File Processing, Application Development, and IT Help Desk teams while serving as the primary technology liaison for internal departments, clients, and vendors. Working closely with the Director of Infrastructure and Chief Security Officer, the Director of IT ensures technology initiatives, operational priorities, security requirements, and client needs are aligned with organizational objectives. This position is responsible for delivering reliable technology services, leading client implementations and audits, managing IT priorities, and driving continuous improvement across the department. Veterans and Military Spouses Encouraged to Apply - Lead the day-to-day operations of the IT department. - Manage the File Processing, FACS Development, Artiva Development, and IT Help Desk teams. - Serve as the primary point of contact for technology-related requests from internal departments and clients. - Collaborate with the Director of Infrastructure and Chief Security Officer to coordinate infrastructure, security, and operational initiatives. - Prioritize IT projects, production support, development requests, and operational improvements. - Oversee client technology implementations, file integrations, and ongoing technical relationships. - Lead client technology meetings, security reviews, audits, HITRUST, SOC 2, and compliance initiatives. - Ensure IT service levels, issue resolution, and customer satisfaction meet organizational expectations. - Assist with technology budgeting, vendor management, staffing, and resource planning. - Promote automation, process improvement, and adoption of new technologies. - Develop departmental procedures, documentation, and operational standards. - Perform other duties as assigned. Qualifications - 7+ years of Information Technology experience. - 5+ years of experience leading IT teams. - Experience managing application development, IT operations, or technical support organizations. - Experience working directly with clients, vendors, and executive leadership. - Healthcare revenue cycle, collections, or financial services experience preferred. Requirements - Strong leadership and team management skills. - Excellent communication and relationship-building abilities. - Ability to manage multiple priorities in a fast-paced environment. - Strong understanding of IT operations, software development, infrastructure, and cybersecurity. - Excellent analytical, organizational, and problem-solving skills. - Ability to communicate effectively with technical and non-technical audiences. - Commitment to customer service, continuous improvement, and operational excellence. Benefits - Competitive benefits include Health, Dental, Vision, Life and Disability Insurance, 401K w/employer match, and HSA/Flexible spending accounts. - Paid time off and annual profit sharing. - 7 Paid Holidays – Thanksgiving, Christmas Day, Christmas Eve, New Year’s Day, Memorial Day, Fourth of July, and Labor Day. - Family Friendly Events. - Wellness Programs/Gym Reimbursement. - All necessary equipment and technical support provided. - * Benefits eligibility is dependent upon FTE Status and Position. - * All offers of employment are contingent upon successful completion of all post offer processing.
Senior Director of Construction – Data Center
Iron MountainWe protect, unlock, and extend the value of your information and assets throughout the entire lifecycle.
• Supervise an inter-disciplinary project team of construction managers and contractors while facilitating critical design and construction meetings with external professionals and enterprise clients. • Develop and manage detailed capital budgets and project schedules in cooperation with corporate finance, while deploying procurement strategies to manage bid processes, general contractors, and change orders. • Oversee the integrated testing and commissioning of complex mechanical, electrical, and IT systems, ensuring all workflows have rigorously reviewed Methods of Procedures (MOPs) and Standard Operating Procedures (SOPs). • Review building codes and NFPA standards to ensure a safe work environment, while auditing installed components to verify vendor scope completion and validate design documentation.
Director of Trust & Safety
LatamCentLatamCent will help you recruit, hire and retain the top 1% of Latin American Talent.
• Build and run the Trust & Safety operating model from the ground up: team structure, workflows, tooling, and the roadmap to scale it • Drive down fraud losses and platform risk by defining and tracking the metrics that actually move the needle • Translate marketplace threats into executive-ready reporting that gets budget and buy-in • Partner with Product and Engineering to ship fraud detection, identity verification, and moderation tooling that delivers measurable results, not just features • Own high-severity incident response, connecting Legal, Engineering, and Operations so investigations actually change policy and product • Evaluate and manage vendor relationships for fraud and identity tools, owning the build-vs-buy calls • Set the policy foundation with Legal, keeping it audit-ready and enforceable across the org
Director, Consult Partner – SLED
KyndrylWe design, build, manage and modernize the mission-critical technology systems that the world depends on every day.
• Drive significant financial outcomes through signings and revenue targets • Ensure sustained growth and profitability, managing margin expectations and backlog growth • Support the identification, pursuit and conversion of a pipeline of business development opportunities • Undertake scoping and fee negotiation on engagements, while enduring profitability and understanding and containing risk • Serve as a trusted advisor to state, local government, and K-12/higher education clients, helping them navigate complex technology and operational challenges • Build and maintain long-term relationships with public sector decision-makers • Lead C-level client interactions and consulting initiatives • Achieve individual and team utilization targets • Lead the design of complex engagements and take responsibility for oversight of delivery



