Provider Contracting Advisor - Cigna Healthcare

Job Location

Will need to live within the defined territory:
Maryland, Virginia, or DC.

• Manage complex contracting and negotiations for fee-for-service and value-based reimbursements (e.g., hospital systems, ancillary services, physician groups).
• Build relationships that nurture provider partnerships and seek broader value‑based business opportunities to support the local market strategy.
• Initiate and maintain effective communication channels with matrix partners including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales & Marketing, and Service.
• Contribute to the development of alternative network initiatives.
• Provide direction on developing network analytics required for the network solution.
• Work to meet unit cost targets while preserving an adequate network, to achieve and maintain Cigna’s competitive position.
• Create and manage initiatives that improve total medical cost and quality.
• Drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
• Prepare, analyze, review, and project financial impact of larger or complex provider contracts and alternate contract terms.
• Draft healthcare provider agreements that meet internal operational standards and external provider expectations.
• Ensure accurate implementation and administration through matrix partners.
• Assist in resolving elevated and complex provider service complaints.
• Research problems and negotiate with internal/external partners/customers to resolve highly complex and/or escalated issues.
• Manage key provider relationships and serve as the critical interface with providers and business staff.
• Demonstrate knowledge of providers in an assigned geographic area through understanding interrelationships and the competitive landscape.
• Ensure accurate and timely contract loading, submissions and interface with matrix partners for network implementation and maintenance.
• Provide guidance or expertise to less experienced specialists.

• Bachelor’s degree preferred in Finance, Economics, Healthcare, or Business (industry experience may substitute).
• MBA or MHA preferred.
• 3+ years of Managed Care contracting and negotiating experience involving complex delivery systems and organizations.
• Experience in developing and managing key provider relationships.
• Knowledge of complex reimbursement methodologies, including incentive‑based models.
• Experience seeking, building, and nurturing strong external relationships with provider partners.
• Intimate understanding of hospital, managed care, and provider business models.
• Team player with proven ability to develop strong working relationships within a fast‑paced, matrix organization.
• Strong verbal and written communication skills, including experience with formal presentations.
• Customer‑centric and interpersonal skills.
• Superior problem‑solving, decision‑making, negotiating skills and financial acumen.
• Knowledge and use of Microsoft Office tools.

If you will be working at home either occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber‑optic provider with speeds of at least 10

Mbps download and 5

Mbps upload.

Annual salary range: $92,000 – $153,300 USD, depending on relevant factors including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan.

• Health‑related benefits (medical, vision, dental, and well‑being and behavioral health programs).
• 401(k) plan.
• Company‑paid life insurance.
• Tuition reimbursement.
• Minimum of 18 days of paid time off per year.
• Paid holidays and leaves of absence.

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.

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. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state, and local ordinances.