Manager, Network Management - Cigna Healthcare - Hybrid (VA)
Core
Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillary providers, and hospital systems to support the provider network's strategic direction.
Role type
Senior IC Network Contracting Manager
Builds
Provider network agreements and strategic market contracting strategies
Domain
Healthcare / Managed Care
Required skills
Healthcare provider contracting, negotiation, managed care experience, provider relationship management, reimbursement methodologies, financial analysis, contract interpretation, strategic planning, cross-functional collaboration
Preferred skills
MBA or MHA, incentive-based models knowledge, sales influence
Technologies
Microsoft Office
Responsibilities
Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillary providers, and hospital systems; Lead key market contracting strategy projects; Build and maintain strong provider relationships to support network growth; Partner closely with matrix teams to ensure aligned execution; Develop strategic network positions and identify value-oriented opportunities; Meet unit cost targets while maintaining an adequate and competitive provider network; Prepare, review, and project the financial impact of large or complex provider contracts; Create, implement, and ensure operational accuracy of healthcare provider (HCP) agreements; Lead the resolution of escalated provider issues.
Seniority
Manager, hands-on IC with leadership responsibilities