Manager, Network Management - Cigna Healthcare - Hybrid (Newton, MA)

Manager, Network Management
- Cigna Healthcare
- Hybrid (Newton, MA) page is loaded## Manager, Network Management
- Cigna Healthcare
- Hybrid (Newton, MA) remote type:
Hybrid locations:
Newton, MAtime type:
Full time posted on:
Posted Todayjob requisition :
Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a Network Contracting Manager, you’ll report to the AVP, Provider Network Management. In this individual contributor role, you’ll assist in developing the strategic direction and management of day-to-day contracting and network management.
** This role supports the Massachusetts (MA) and Rhode Island (RI) territory.
**** 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 with responsibility for managing direct reports as assigned.
* Build and maintain strong provider relationships to support network growth and value-based business opportunities.
* Coordinate closely with matrix partners (i.e., 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.
** Required Qualifications
*** 3+ 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 in developing 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
* 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
** Preferred Qualifications
*** Bachelor’s degree in a related field (industry experience may substitute); MBA / MHA preferred  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.

For this position, we anticipate offering an annual salary of 92, USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

For more details on our employee benefits programs, .
** About Cigna Healthcare
** Cigna Healthcare, a division of The Cigna Group, is an advocate for better…