Hybrid Provider Contracting Manager — Network Growth

Cigna Healthcare; Newton (MA); Hybrid; USD 92,000 - 153,000; Full time

Benefits offered by this job

Health benefits

401(k)

Tuition reimbursement

Paid time off

Job summary

Cigna Healthcare, a division of The Cigna Group, seeks a Network Contracting Manager to shape contracting strategy for the MA and RI region. You’ll lead complex negotiations, build provider partnerships, and collaborate across Claims, Medical Management, and Credentialing to drive value-based opportunities.

Ideal candidates have 3+ years in provider contracting, strong analytical skills, and the ability to influence a matrixed organization.

Qualifications

• 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

Responsibilities

• 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.

Skills

Healthcare contracting

Negotiations

Provider relationship management

Managed care

Financial analysis

Contract interpretation

Microsoft Office

Leadership

Education

Bachelor’s degree

MBA / MHA preferred

Tools

Microsoft Office

Job description

Cigna Healthcare, a division of The Cigna Group, seeks a Network Contracting Manager to shape contracting strategy for the MA and RI region. You’ll lead complex negotiations, build provider partnerships, and collaborate across Claims, Medical Management, and Credentialing to drive value-based opportunities.

Ideal candidates have 3+ years in provider contracting, strong analytical skills, and the ability to influence a matrixed organization.