Manager, Network Management
The Cigna Group
full-time
Posted on:
Location Type: Hybrid
Location: Richmond • District of Columbia • Maryland • United States
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Salary
💰 $92,000 - $153,300 per year
About the role
- Lead complex negotiations for fee‑for‑service and value‑based reimbursement arrangements with hospitals, ancillary providers, and large physician groups
- Build and manage strong provider relationships; serve as the primary interface between providers and internal business partners
- Identify and advance value‑based and risk‑based contracting opportunities aligned with local market strategy
- Partner closely with internal teams, including Claims, Medical Management, Credentialing, Legal, Compliance, Finance, Sales, Marketing, and Service
- Support network development, alternative network strategies, and related analytics
- Manage unit cost targets while maintaining an adequate and competitive provider network
- Develop and lead initiatives that improve total medical cost and quality outcomes
- Provide consultative support to providers using clinical and financial insights to drive cost and quality improvements
- Prepare and evaluate financial models, projections, and impact analyses for complex contracts
- Draft and manage healthcare provider (HCP) agreements that meet operational, legal, and provider requirements
- Ensure accurate contract implementation, loading, and ongoing maintenance
- Resolve escalated provider issues through research, negotiation, and cross‑functional collaboration
- Maintain strong knowledge of the local provider landscape, relationships, and competitive dynamics
- Provide guidance and support to less experienced contracting staff as needed
Requirements
- Bachelor’s degree or equivalent relevant industry experience
- 3+ years of experience in a healthcare environment
- 3+ years of provider contracting and negotiation experience with complex delivery systems
- Strong contract, financial, and reimbursement model knowledge, including performance‑based arrangements
- Advanced Excel skills; able to analyze and manipulate data across multiple formats
- Proven negotiation, problem‑solving, and decision‑making skills
- Confident communicator with experience influencing stakeholders and presenting to groups
- Strong relationship‑building skills with external providers
- Collaborative, adaptable professional who performs well in fast‑paced, matrixed environments
Benefits
- medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
provider contractingnegotiationfinancial modelingdata analysisreimbursement modelsperformance-based arrangementscontract implementationcost analysisquality improvement
Soft Skills
problem-solvingdecision-makingcommunicationrelationship-buildingcollaborationadaptabilityinfluencing stakeholders