Strategic Network Contracting Manager

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

Benefits offered by this job

Medical benefits

Vision

Dental

Well-being programs

401(k)

Life insurance

Tuition reimbursement

Paid time off

Paid holidays

Leaves of absence

Job summary

Cigna Healthcare, a division of The Cigna Group, is seeking a Network Contracting Manager to drive contracting strategy and manage day-to-day network contracts. You will lead complex negotiations with physician groups and hospitals, build provider relationships, and align with Claims, Medical Management, and Credentialing teams.

The role emphasizes strategic network positions, cost and quality initiatives, and financial impact analysis of contracts.

Qualifications

• 3+ years of healthcare provider contracting and negotiation experience involving complex physician groups and ancillary providers.
• Experience in managed care, healthcare, or health insurance, including commercial contracting.
• Proven leadership experience, including mentoring and guiding others.
• Strong provider relationship management skills, with demonstrated success building 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.
• Strong presentation and communication skills, including the ability to build internal relationships in a fast-paced, matrixed organization.
• Customer-centric approach with strong interpersonal skills and comfort 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, 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, including contract loading and maintenance.

Skills

Provider contracting

Negotiation

Healthcare industry knowledge

Relationship management

Financial analysis

Microsoft Office

Education

Bachelor's degree

MBA or MHA preferred

Tools

Microsoft Office Suite

Job description

Cigna Healthcare, a division of The Cigna Group, is seeking a Network Contracting Manager to drive contracting strategy and manage day-to-day network contracts. You will lead complex negotiations with physician groups and hospitals, build provider relationships, and align with Claims, Medical Management, and Credentialing teams.

The role emphasizes strategic network positions, cost and quality initiatives, and financial impact analysis of contracts.