Strategic Network Contracting Manager

Cigna Healthcare; Richmond (VA); On-site; USD 92,000 - 153,000; Full time

Job summary

Cigna Healthcare, a division of The Cigna Group, seeks a Network Contracting Manager in Richmond to support the provider network's strategic direction while managing day-to-day contracting.

You will lead complex fee-for-service and value-based contracts with large physician groups and hospital systems, build strong provider relationships, and partner with Claims, Medical Management, and Credentialing to ensure aligned execution across the network.

Qualifications

• 3+ years of healthcare provider contracting and negotiation experience
• Experience in managed care or health insurance including commercial contracting
• Proven leadership experience mentoring others
• Strong provider relationship management skills
• Knowledge of complex reimbursement methodologies including incentive-based models
• Understanding of hospital, managed care and provider business models
• Strong presentation and communication skills in a fast-paced, matrixed organization
• Customer-centric approach with adaptability to change
• Strong problem-solving, negotiation and financial analysis skills
• Proficiency in Microsoft Office

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.

Skills

Provider contracting

Negotiation

Relationship management

Financial analysis

Communication

Microsoft Office

Education

Bachelor's degree

MBA or MHA preferred

Tools

Microsoft Office

Job description

Cigna Healthcare, a division of The Cigna Group, seeks a Network Contracting Manager in Richmond to support the provider network's strategic direction while managing day-to-day contracting.

You will lead complex fee-for-service and value-based contracts with large physician groups and hospital systems, build strong provider relationships, and partner with Claims, Medical Management, and Credentialing to ensure aligned execution across the network.