Manager, Network Management Cigna Healthcare Hybrid (Mid Atlantic)
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Job Location:
Richmond, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Location: Must reside in Maryland Washington DC or Virginia (MidAtlantic market)
The Provider Contracting Negotiator Manager is a key member of the Provider Contracting team and reports to the AVP of Provider Contracting. This role leads complex provider negotiations and supports the strategic direction and daily management of contracting and network activities for a local market. The work directly supports access to highquality affordable healthcare for patients and families.
Key Responsibilities
- Lead complex negotiations for feeforservice and valuebased reimbursement arrangements with hospitals ancillary providers and large physician groups
- Build and manage strong provider relationships; serve as the primary interface between providers and internal business partners
- Identify and advance valuebased and riskbased contracting opportunities aligned with local market strategy
- Partner closely with internal teams including Claims Medical Management Credentialing Legal Compliance Finance Sales Marketing and Service
- Support network development alternative network strategies and related analytics
- Manage unit cost targets while maintaining an adequate and competitive provider network
- Develop and lead initiatives that improve total medical cost and quality outcomes
- Provide consultative support to providers using clinical and financial insights to drive cost and quality improvements
- Prepare and evaluate financial models projections and impact analyses for complex contracts
- Draft and manage healthcare provider (HCP) agreements that meet operational legal and provider requirements
- Ensure accurate contract implementation loading and ongoing maintenance
- Resolve escalated provider issues through research negotiation and crossfunctional collaboration
- Maintain strong knowledge of the local provider landscape relationships and competitive dynamics
- Provide guidance and support to less experienced contracting staff as needed
Qualifications
- Bachelors degree or equivalent relevant industry experience
- 3 years of experience in a healthcare environment
- 3 years of provider contracting and negotiation experience with complex delivery systems
- Strong contract financial and reimbursement model knowledge including performancebased arrangements
- Advanced Excel skills; able to analyze and manipulate data across multiple formats
- Proven negotiation problemsolving and decisionmaking skills
- Confident communicator with experience influencing stakeholders and presenting to groups
- Strong relationshipbuilding skills with external providers
- Collaborative adaptable professional who performs well in fastpaced matrixed environments
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.For this position we anticipate offering an annual salary of 92000 - 153300 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.
At The Cigna Group youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll 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 and paid holidays. For more details on our employee benefits programs click here.
About Cigna Healthcare
Cigna Healthcare a division of The Cigna Group is an advocate for better health through every stage of life. We guide our customers through the health care system empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.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.
If you require reasonable accommodation in completing the online application process please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.
Required Experience:
Manager
Key Skills
- Revenue Cycle Management
- HIPAA
- Healthcare Management
- PMBOK
- Microsoft Outlook
- Project Leadership
- Data Management
- Project Management
- Affiliate Marketing
- Project Management Software
- Supervising Experience
- Workday
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.
