Provider Contracting Lead, Americas
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $156,700 - $261,100 per year
Job Level
About the role
- Develop, execute, and continuously refine the Americas provider contracting and network strategy, aligning with global objectives and local market dynamics.
- Lead high-stakes contract negotiations with healthcare providers and TPAs, securing optimal terms that advance organizational goals for access, cost control, affordability, and value-based care.
- Design and implement innovative contracting models (e.g., risk-sharing, bundled payments, pay-for-performance) to drive value-based outcomes and sustainable cost management.
- Own and manage strategic relationships with key vendors and TPAs, identifying new partnership opportunities to expand network reach and enhance value for customers and clients.
- Direct and mentor a team of network leads and analysts, fostering a culture of excellence, accountability, and continuous improvement.
- Influence and collaborate with senior business partners and stakeholders in a highly matrixed, cross-functional environment.
- Establish robust governance frameworks for Americas contract compliance, risk mitigation, and regulatory adherence.
- Continuously evaluate the provider network for gaps, redundancies, and opportunities for expansion or consolidation, leveraging data-driven insights to inform strategic decisions.
- Drive implementation of strategic initiatives with providers, including automation and provider self-service solutions, to enhance efficiency and engagement.
- Champion digital transformation to support cost control, affordability, and value-based care.
- Prepare and present executive-level reports and business cases, communicating network performance, cost trends, and strategic recommendations to Cigna Healthcare’s senior leadership.
- Partner with provider services, payment integrity and clinical teams to resolve complex provider issues and drive improvements in provider/customer experience and clinical outcomes.
Requirements
- Bachelor’s degree required; master’s degree in business, healthcare administration, or related field strongly preferred.
- Minimum 10 years’ experience in international healthcare provider contracting, with deep expertise in negotiation, cost control, and value-based care models in the Americas region.
- Excellent verbal and written English; proficiency in Spanish is required.
- Demonstrated success in leading complex contract negotiations and implementing innovative contracting solutions.
- Proven ability to drive cost management, affordability initiatives, and value-based care strategies at scale.
- Advanced knowledge of healthcare reimbursement methodologies, contracting principles, legal requirements, and regulatory frameworks.
- Exceptional communication, facilitation, presentation, and executive leadership skills; ability to influence and motivate across countries and functions.
- Strong strategic thinking, decision-making, and problem-solving skills; adept at identifying issues, recommending solutions, and executing with impact.
- High accountability, integrity, and ability to deliver results individually and through teams.
- Ability to travel internationally as required.
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
contract negotiationvalue-based carecost controlrisk-sharingbundled paymentspay-for-performancehealthcare reimbursement methodologiescontracting principlesregulatory frameworksdata-driven insights
Soft Skills
communicationleadershipstrategic thinkingdecision-makingproblem-solvinginfluencemotivationaccountabilityintegritypresentation
Certifications
Bachelor's degreeMaster's degree in businessMaster's degree in healthcare administration