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Cigna Group

Sells health coverage and pharmacy benefits

Network Contracting Manager

Procurement & SourcingConfirmed live in the last 24 hours
Full-timeRichmond, VA, USAHybrid

About the Job

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.
  • Leadership experience, including mentoring and guiding others.
  • Strong provider relationship management skills and demonstrated success building long-term partnerships.
  • Knowledge of complex reimbursement methodologies, including incentive-based models.
  • Deep understanding of hospital, managed care, and provider business models, with the ability to influence sales and provider audiences.
  • Presentation and communication skills, including the ability to build internal relationships in a fast-paced, matrixed organization.
  • A customer-centric approach, interpersonal skills, and comfort navigating change.
  • Problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills.
  • Proficiency in Microsoft Office.
  • A cable broadband or fiber optic internet connection with speeds of at least 10 Mbps download and 5 Mbps upload is required when working from home occasionally or permanently.

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, managing direct reports as assigned.
  • Build and maintain 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 cross-functional collaboration.
  • Lead resolution of escalated provider issues and manage key provider relationships, demonstrating knowledge of the local market landscape, including contract loading and maintenance.

Desired Qualifications

  • A bachelor's degree in a related field is preferred; relevant industry experience may be substituted.
  • An MBA or MHA is preferred.
  • Knowledge of complex reimbursement methodologies, including incentive-based models, is strongly preferred.

About the Company

Cigna Group

Sells health coverage and pharmacy benefits

The Cigna Group sells health coverage and pharmacy services to employers, health plans and individuals, and most of its business runs through Evernorth, its health services arm. Evernorth owns Express Scripts, one of the largest pharmacy benefit managers in the U.S., which negotiates drug prices and processes prescriptions for plan sponsors, plus the specialty pharmacy Accredo. Its Cigna Healthcare unit sells medical, dental and behavioral coverage, mostly to employers that fund their own plans, and earns premiums and administrative fees, while Evernorth earns service fees and drug margins. The company was formed in 1982 through the merger of Connecticut General and INA and is based in Bloomfield, Connecticut.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Bloomfield, CT
Founded
1982

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