Provider Contracting Advisor - Cigna Healthcare - Wisconsin
Listed on 2026-06-21
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Dental / Dentistry
Healthcare Consultant
Network Contracting Manager
Report to the AVP, Provider Network Management. This individual contributor role focuses on strategic direction and day‑to‑day management of contracting and network management.
Responsibilities- Manage complex fee‑for‑service and value‑based contracting and negotiations with large physician groups, ancillaries, and hospital systems.
- Lead key market contracting strategy projects and manage direct reports as assigned.
- 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 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.
- 3‑5+ 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 developing long‑term partnerships.
- Knowledge of complex reimbursement methodologies, including incentive‑based models.
- 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.
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 10
Mbps download/5
Mbps upload.
- Bachelor’s degree in a related field (industry experience may substitute); MBA / MHA preferred.
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 for assistance. 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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