AVP, Provider Contracting
The Cigna Group
full-time
Posted on:
Location Type: Hybrid
Location: Cleveland • Ohio • United States
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Salary
💰 $127,900 - $213,100 per year
Job Level
About the role
- Lead and develop a high‑performing contracting team, creating a culture of growth, collaboration, and accountability.
- Drive contracting and network strategies across Commercial and other product lines to strengthen our market position.
- Negotiate complex fee‑for‑service and value‑based contracts with health systems, hospitals, and large provider groups to improve affordability and quality.
- Champion cross‑market and cross‑functional initiatives that support broader business goals.
- Build trusted, long‑term partnerships with providers to expand value‑based opportunities and deliver on local market strategy.
- Work closely with matrix partners—including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, and Service—to support smooth network operations.
- Identify opportunities for deeper value orientation and new risk‑based arrangements that improve total medical cost.
- Manage financial impact analysis, performance projections, and scenario modeling for high‑value and complex contracts.
- Oversee provider relationship management to ensure strong communication, collaboration, and results.
- Maintain a clear understanding of the competitive landscape and provider interrelationships across assigned geographic markets.
- Ensure accurate and timely contract loading, submissions, and network implementation activities.
Requirements
- Minimum 5 years of provider contracting and negotiation experience with complex delivery systems.
- Experience leading or mentoring direct reports and guiding talent development.
- Proven success managing senior‑level provider relationships.
- Strong knowledge of reimbursement methodologies, including value‑based and incentive‑driven models.
- Demonstrated ability to build strong external partnerships and navigate integrated delivery systems.
- Effective communication skills with the ability to influence provider and sales audiences.
- Strong problem‑solving, decision‑making, negotiation, and financial analysis skills.
- Proficiency with Microsoft Office tools.
- Ability to travel as needed.
Benefits
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Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
provider contractingnegotiationfinancial analysisperformance projectionsscenario modelingreimbursement methodologiesvalue-based contractsfee-for-service contractsrisk-based arrangementscontract loading
Soft Skills
leadershipmentoringcommunicationinfluenceproblem-solvingdecision-makingcollaborationaccountabilityrelationship managementtalent development