Sr. Network Contracting Mgr.

Cigna Health and Life Insurance Company; Newton (MA); Hybrid; USD 92,000 - 153,000; Full time

Job summary

Cigna Healthcare in Newton, MA is seeking a Network Contracting Manager to lead complex fee-for-service and value-based negotiations with major physician groups, ancillaries, and hospital systems. This individual contributor role reports to the AVP, Provider Network Management and supports MA and RI territories.

You will build strong provider relationships, coordinate with Claims, Credentialing and Medical Management, and project financial impact of large contracts, with a focus on cost and

Qualifications

• 3+ years of healthcare provider contracting and negotiating experience with complex groups
• Background in managed care, healthcare, or health insurance including commercial contracting
• Proven leadership experience including mentoring and guiding others
• Strong provider relationship management and long-term partnership development
• Knowledge of complex reimbursement methodologies and incentive-based models
• Understand hospital, managed care and provider business models and influencing sales
• Exceptional presentation and communication skills in a fast-paced environment
• Customer-centric approach and ability to navigate change
• Strong problem-solving, negotiation, contract interpretation and financial analysis
• Proficiency in Microsoft Office

Responsibilities

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

Skills

Provider contracting

Negotiations

Leadership

Relationship management

Reimbursement knowledge

Financial analysis

Microsoft Office

Education

Bachelor's degree in related field

MBA / MHA preferred

Tools

Microsoft Office

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. This role supports the Massachusetts (MA) and Rhode Island (RI) territory.

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.

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 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

Preferred Qualifications Bachelor’s degree in a related field (industry experience may substitute); MBA / MHA preferred

Hybrid Schedule

working in our Newton, MA office with occasional working at home. 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, paid holidays, and leaves of absence. 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 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.

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.