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
Intermediate

Job 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.

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