Manager, Network Management - Cigna Healthcare - Hybrid (Newton, MA)

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a Network Contracting Manager, you'll report to the AVP, Provider Network Management. In this individual contributor role, you'll assist in developing the strategic direction and management of day-to-day contracting and network management. This role supports the New Hampshire (NH), Vermont (VT), and Maine (ME) territory., * Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems.

• Build and maintain strong provider relationships to support network growth and value-based business opportunities.
• Coordinate closely with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure aligned execution.
• Develop strategic network positions, identify value-oriented and risk-based opportunities, and contribute to alternative network initiatives and analytics.
• Work to meet unit cost targets while maintaining an adequate, competitive provider network.
• Design and manage initiatives to improve medical cost and quality, offering consultative guidance informed by clinical informatics.
• Prepare, review, and project the financial impact of large or complex provider contracts and alternative terms.
• Create, implement, and ensure operational accuracy of HCP agreements through effective cross-functional collaboration.
• Lead resolution of escalated provider issues and manage key provider relationships with deep knowledge of the local market landscape, including contract loading and maintenance.

Do you have experience in Term negotiation?, Do you have a Bachelor's degree?, * 3+ years of healthcare provider contracting and negotiating experience involving complex physician groups and ancillaries

• Background in managed care, healthcare, or health insurance, including commercial contracting
• Proven leadership experience, including mentoring and guiding others
• Strong provider relationship management skills and success in developing long-term partnerships
• Knowledge of complex reimbursement methodologies, including incentive-based models (strongly preferred)
• Deep understanding of hospital, managed care, and provider business models with the ability to influence sales and provider audiences
• Exceptional presentation and communication skills, including the ability to build internal relationships in a fast-paced, matrixed organization
• Customer-centric approach, strong interpersonal skills, and confidence in navigating change
• Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills
• Proficiency in Microsoft Office

Preferred Qualifications

• Bachelor's degree in a related field (industry experience may substitute); MBA / MHA preferred
• Hybrid schedule: Working onsite at our Newton, MA office with occasional work from home.

3.63.6 out of 5 stars Manchester, NH 03101 Hybrid work $92,000 - $153,300 a year - Full-time, Pulled from the full job description

• Tuition reimbursement
• 401(k)
• Health insurance
• Paid time off
• Vision insurance
• Dental insurance
• Life insurance, For this position, we anticipate offering an annual salary of 92,000 - 153,300 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.