Manager, Network Management - Cigna Healthcare - Hybrid (Mid Atlantic)

Provider Contracting Negotiator Manager

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 and competitive provider network
• Develop and lead initiatives that improve total medical cost and quality outcomes
• Provide consultative support to providers using clinical and financial insights to drive cost and quality improvements
• Prepare and evaluate financial models, projections, and impact analyses for complex contracts
• Draft and manage healthcare provider (HCP) agreements that meet operational, legal, and provider requirements
• Ensure accurate contract implementation, loading, and ongoing maintenance
• Resolve escalated provider issues through research, negotiation, and cross-functional collaboration
• Maintain strong knowledge of the local provider landscape, relationships, and competitive dynamics
• Provide guidance and support to less experienced contracting staff as needed

Qualifications

• Bachelor's degree or equivalent relevant industry experience
• 3+ years of experience in a healthcare environment
• 3+ years of provider contracting and negotiation experience with complex delivery systems
• Strong contract, financial, and reimbursement model knowledge, including performance-based arrangements
• Advanced Excel skills; able to analyze and manipulate data across multiple formats
• Proven negotiation, problem-solving, and decision-making skills
• Confident communicator with experience influencing stakeholders and presenting to groups
• Strong relationship-building skills with external providers
• Collaborative, adaptable professional who performs well in fast-paced, matrixed environments

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 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

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 require reasonable accommodation in completing the online application process, please email: View email address on click.appcast.io for support. Do not email View email address on click.appcast.io for an update on your application or to provide your resume as you will not receive a response.

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. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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