Strategic Network Contracting Manager

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

Benefits offered by this job

Health benefits

401(k)

Tuition reimbursement

Paid time off

Paid holidays

Job summary

Cigna Healthcare is seeking a Network Contracting Manager to lead strategic contracting across MA/RI, primarily in Newton with hybrid work options. You will manage complex fee-for-service and value-based contracts, build provider relationships, and collaborate across Claims, Medical Management, and Credentialing to drive cost and quality improvements.

The role requires 3+ years in healthcare contracting, a strong payments understanding, and proven leadership.

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.

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 (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 cross-functional collaboration.
• Lead resolution of escalated provider issues and manage key provider relationships with deep knowledge of the local market landscape.

Skills

Provider contracting

Negotiation

Healthcare industry knowledge

Relationship management

Financial analysis

Microsoft Office

Education

Bachelor’s degree in related field

MBA / MHA preferred

Tools

Microsoft Office

Job description

Cigna Healthcare is seeking a Network Contracting Manager to lead strategic contracting across MA/RI, primarily in Newton with hybrid work options. You will manage complex fee-for-service and value-based contracts, build provider relationships, and collaborate across Claims, Medical Management, and Credentialing to drive cost and quality improvements.

The role requires 3+ years in healthcare contracting, a strong payments understanding, and proven leadership.