Value-Based Network Contracting Manager

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

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.