Manager, Network Management - Cigna Healthcare - Hybrid (VA)

Cigna Healthcare•Richmond, VA

1d•$92,000 - $153,300•Hybrid

About The Position

Join Cigna Healthcare, a division of The Cigna Group, to help shape its provider network. The Network Contracting Manager reports to the AVP, Provider Network Management and works as an individual contributor supporting the provider network’s strategic direction while managing day-to-day contracting and network management activities. The role focuses on complex provider contracting, market strategy, provider relationships, network performance, and cross-functional execution. The position is hybrid in Virginia. For employees working from home occasionally or permanently, internet service must be cable broadband or fiber optic with speeds of at least 10 Mbps download and 5 Mbps upload. The anticipated annual salary is $92,000–$153,300, depending on relevant factors including experience and geographic location. The role is anticipated to be eligible for an annual bonus plan.

Requirements

At least 3 years of healthcare provider contracting and negotiation experience involving complex physician groups and ancillary providers.
Experience in managed care, healthcare, or health insurance, including commercial contracting.
Proven leadership experience, including mentoring and guiding others.
Strong provider relationship management skills, with demonstrated success building long-term partnerships.
Knowledge of complex reimbursement methodologies, including incentive-based models (identified as strongly preferred).
Deep understanding of hospital, managed care, and provider business models, with the ability to influence sales and provider audiences.
Strong presentation and communication skills, including the ability to build internal relationships in a fast-paced, matrixed organization.
Customer-centric approach, strong interpersonal skills, and comfort navigating change.
Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills.
Proficiency in Microsoft Office.

Nice To Haves

Knowledge of complex reimbursement methodologies, including incentive-based models.
Bachelor’s degree in a related field; relevant industry experience may be substituted.
MBA or MHA.

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, with responsibility for managing direct reports as assigned.
Build and maintain strong provider relationships to support network growth and value-based business opportunities.
Partner with matrix teams, including Claims, Medical Management, and Credentialing, to ensure aligned execution.
Develop strategic network positions, identify value-oriented and risk-based opportunities, and contribute to alternative network initiatives and analytics.
Meet unit cost targets while maintaining an adequate and competitive provider network.
Design and manage initiatives to improve medical cost and quality, providing consultative guidance informed by clinical informatics.
Prepare, review, and project the financial impact of large or complex provider contracts and alternative contract terms.
Create, implement, and ensure operational accuracy of healthcare provider agreements through effective cross-functional collaboration.
Lead the resolution of escalated provider issues and manage key provider relationships, demonstrating deep knowledge of the local market landscape, including contract loading and maintenance.