Manager, Network Management - Cigna Healthcare - Hybrid (Mid Atlantic)
The Cigna Group · Richmond, Virginia, US
Location: Must reside in Maryland, Washington, DC, or Virginia (Mid‑Atlantic market) The Provider Contracting Negotiator Manager is a key member of the Provi...
Job description
Location: Must reside in Maryland, Washington, DC, or Virginia (Mid‑Atlantic market) The Provider Contracting Negotiator Manager is a key member of the Provider Contracting team and reports to the AVP of Provider Contracting. This role leads complex provider negotiations and supports the strategic direction and daily management of contracting and network activities for a local market. The work directly supports access to high‑quality, affordable healthcare for patients and families. Key Responsibilities: - Lead complex negotiations for fee‑for‑service and value‑based reimbursement arrangements with hospitals, ancillary providers, and large physician groups - Build and manage strong provider relationships; serve as the primary interface between providers and internal business partners - Identify and advance value‑based and risk‑based contracting opportunities aligned with local market strategy - Partner closely with internal teams, including Claims, Medical Management, Credentialing, Legal, Compliance, Finance, Sales, Marketing, and Service - Support network development, alternative network strategies, and related analytics - Manage unit cost targets while maintaining an adequate an...