Provider Network Contracting Manager – Cigna Healthcare – Hybrid

Join Cigna Healthcare a division of The Cigna Group and help shape our provider network. As aProvider Network Contracting Manageryoullreport to the Provider Contracting Senior Manager AVP Network this individual contributor roleyoullassistin developing the strategic direction and management of day-to-day contracting and network management.

Responsibilities

• 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 andmaintainstrong 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 positionsidentifyvalue-oriented and risk-based opportunities and contribute to alternative network initiatives and analytics.

• Work to meet unit cost targets whilemaintainingan adequate competitive provider network.

• Design and manage initiatives to improve medicalcostand quality offering consultative guidance informed by clinical informatics.

• Prepare review and project thefinancial impactof 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.

Required Qualifications

• The ideal candidate must reside in Texas.

• 3years of healthcare provider contracting and negotiating experience involving complex physician groups and ancillaries

• 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-termpartnerships

• 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

• Proficiencyin Microsoft Office

Preferred Qualifications

• Bachelors degree in a related field (industry experience may substitute); MBA/MHA preferred

About Cigna Healthcare

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 need a reasonable accommodation to complete the online application process please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.