Manager, Network Management (Hybrid/Atlanta, GA)
Cigna
Atlanta, United States of America
11 days ago
Role details
Contract type
Permanent contract Employment type
Full-time (> 32 hours) Working hours
Regular working hours Languages
English Experience level
IntermediateJob location
Remote
Atlanta, United States of America
Tech stack
Health Informatics
Microsoft Office
Network administration
Job description
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., * Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems.
- Lead key market contracting strategy projects with responsibility for managing direct reports as assigned.
- 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.
Requirements
- 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 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
About the company
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.