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

The Cigna Group · Newton, Massachusetts, US

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, Provid...

Job description

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 New Hampshire (NH), Vermont (VT), and Maine (ME) 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 init...