Manager, Network Management - Cigna Healthcare - Hybird (VA, MD) job opportunity at The Cigna Group.

Home Jobs In United States Of America Tag: Network Management - Cigna Healthcare - Hybird (VA, MD) Manager, Network Management - Cigna Healthcare - Hybird (VA, MD) position at The Cigna Group


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The Cigna Group Manager, Network Management - Cigna Healthcare - Hybird (VA, MD)
Experience: 3-years
Pattern: full-time
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Network Management - Cigna Healthcare - Hybird (VA, MD)

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degreeMBA
loacation Richmond, VA, United States Of America
loacation Richmond, VA....United States Of America

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a Network Contracting Manager, you will report to the AVP, Provider Network Management. In this individual contributor role, you will support the strategic direction of the provider network while managing day‑to‑day contracting and network management activities. Responsibilities Manage complex fee‑for‑service and value‑based contracting and negotiations with large physician groups, ancillary providers, 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. Partner closely with matrix teams (e.g., 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. Meet unit cost targets while maintaining an adequate and competitive provider network. Design and manage initiatives to improve medical cost and quality, providing consultative guidance informed by clinical informatics. Prepare, review, and project the financial impact of large or complex provider contracts and alternative contract terms. Create, implement, and ensure operational accuracy of healthcare provider (HCP) agreements through effective cross‑functional collaboration. Lead the resolution of escalated provider issues and manage key provider relationships, demonstrating deep knowledge of the local market landscape, including contract loading and maintenance. Required Qualifications 3+ years of healthcare provider contracting and negotiation experience involving complex physician groups and ancillary providers Experience in managed care, healthcare, or health insurance, including commercial contracting Proven leadership experience, including mentoring and guiding others Strong provider relationship management skills, with demonstrated success building 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 Strong presentation and communication skills, including the ability to build internal relationships in a fast‑paced, matrixed organization Customer‑centric approach with strong interpersonal skills and comfort 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 (relevant industry experience may be substituted) MBA or MHA preferred If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. 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. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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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