Cigna Healthcare

Healthcare

ProviderContractingSeniorManager

$145–215k ~AI est. Memphis, Tennessee, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Manager candidates.

The Brief

“Provider Contracting Senior Manager at Cigna Healthcare. Skills: Provider contracting, Network management, Negotiation. Manage contracts and negotiations. Build relationships with providers”

What You'll Achieve.

Achieve competitive position; Maintain competitive position

Industry & Context.

Healthcare
Problems you'll solve

Problem solving; Decision making

What They're Looking For.

Must Have

Bachelor degree or industry experience, 5 years contracting experience, Knowledge of complex reimbursement methodologies

Nice to Have

MBA or MHA preferred, Prior experience in network governance, Prior experience managing direct reports, Prior experience leading project teams, Experience developing provider relationships

What You'll Do.

Manage contracts and negotiations

Build relationships with providers

Seek value-based business opportunities

Manage network composition

Manage competitive position

Manage network strategy

Initiate communication channels

Maintain communication channels

Meet unit cost targets

Preserve adequate network

Lead value-based relationships

Resolve provider service complaints

Negotiate with partners

Resolve escalated issues

Manage key provider relationships

Interface with providers

Understand provider landscape

Ensure contract loading

Ensure timely submissions

Interface for network implementation

Interface for network maintenance

How You'll Work.

Team & Collaboration

Matrix partners; Provider partnerships; Internal/external partners; Business staff

Communication Scope

Written communication; Verbal communication; Formal presentations

Full Job Description

This person must be based out of the TN market. The Assistant Vice President, Network Management / Provider Contracting Senior Manager serves as an integral member of Cigna's local market network management and provider contracting team, and reports to the Vice President of Network Management. This role is a key contributor to affordability, medical cost management, and strategy for the West Tennessee market. **_DUTIES AND RESPONSIBILITIES_** * Manages contracts and negotiations for fee for service and value-based collaborative programs with hospitals, physicians, and other providers. * Potential to directly manage other contracting associates, providing leadership and mentoring. * Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. * Responsible for Cigna's cost of care, affordability, network composition, and competitive position for commercial networks. * Responsibility for network and business strategy for other customer segments such as Medicare and individual, should they apply to the market. * Initiates, nurtures and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. * Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. * Lead collaborative, value-based relationships with local providers. * Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. * Manages key provider relationships and is accountable for critical interface with providers and business staff. * Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelatio

Free ATS check

Applying for this Provider Contracting Senior Manager role?

Most applicants get filtered before a human reads their resume. See if yours makes the cut.

How to Apply on Workday

  • Workday has a multi-step form — save your progress after every section.
  • "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
  • Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
  • Job requisition numbers are useful when following up with HR by email.

ANONYMOUS · UNFILTERED

What do employees actually say about Cigna Healthcare?

Real rants from real employees. Read before you apply.

Read Company Rants →