Manager, Network Management (Hybrid/Atlanta, GA)

Cigna Healthcare; Atlanta (GA); Hybrid; USD 120,000 - 190,000; Full time

Job summary

Cigna Healthcare, a division of The Cigna Group, seeks an Network Contracting Manager to shape contracting strategy and manage day-to-day provider network activities. You will negotiate complex contracts with physician groups, ancillaries, and hospitals, while collaborating with Claims and Credentialing to align execution in a fast-paced market.

The role emphasizes leadership, relationship management, and financial analysis to drive cost efficiency and network value across Georgia markets.

Qualifications

• 3+ years of healthcare provider contracting experience.
• Background in managed care, healthcare, or health insurance, including commercial contracting.
• Proven leadership experience, mentoring others.
• Strong provider relationship management skills and ability to develop long-term partnerships.
• Knowledge of complex reimbursement methodologies, including incentive-based models.
• Understanding of hospital, managed care, and provider business models with ability to influence stakeholders.
• Excellent presentation and communication skills in a fast-paced, matrixed environment.
• Customer-centric approach and adaptability to change.

Responsibilities

• Manage complex fee-for-service and value-based contracting with large physician groups, ancillaries, and hospital systems.
• Lead market contracting strategy projects and manage direct reports as assigned.
• Build and maintain provider relationships to support network growth and value-based opportunities.
• Coordinate with Claims, Medical Management, Credentialing to ensure aligned execution.
• Develop strategic network positions and identify value-oriented and risk-based opportunities.
• Aim to meet unit cost targets while maintaining a competitive provider network.
• Design initiatives to improve medical cost and quality with clinical informatics guidance.
• Project financial impact of large or complex contracts and alternative terms.
• Create and ensure operational accuracy of HCP agreements through cross-functional collaboration.
• Lead resolution of escalated provider issues and manage key relationships in the local market.

Skills

Provider contracting

Negotiation

Relationship management

Financial analysis

Communication

Tools

Microsoft Office

Job description

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As aNetwork Contracting Manager,you’llreport to the AVP,ProviderNetwork Management. In this individual contributor role,you’llassistin developing the strategic direction and management of day-to-day contracting and network management.

Responsibilities

• 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 andmaintainstrong 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,identifyvalue-oriented and risk-based opportunities, and contribute to alternative network initiatives and analytics.
• Work to meet unit cost targets whilemaintainingan adequate, competitive provider network.
• Design and manage initiatives to improve medicalcostand quality, offering consultative guidance informed by clinical informatics.
• Prepare, review, and project thefinancial impactof 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.

Required 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 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
• Proficiencyin Microsoft Office

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.

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 need a reasonable accommodation to complete the online application process, please email [e-mail] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.