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Pennsylvania Work at Home, United States of America
Hybrid
Provider Contracting Sr. Manager (AVP, Network Management)
Join Cigna Healthcare, a division of The Cigna Group, to shape the future of our provider network. As AVP, Network Management, you’ll lead a team, build strong partnerships, and drive strategies that help our customers receive high-quality, affordable care. If you thrive in a fast-paced setting, enjoy problem solving, and want to drive meaningful impact, this is an exciting opportunity to grow and lead in a dynamic environment.
Responsibilities
Lead and develop a high-performing contract team, fostering a culture of growth, collaboration, and accountability.
Drive contracting and network strategies across our Commercial business and other product lines to strengthen market competitiveness.
Negotiate complex fee-for-service and value-based contracts with health systems, hospitals, and large provider groups to improve affordability and quality.
Build and maintain trusted provider partnerships, expanding value-based opportunities and advancing local market strategy.
Champion cross-market and cross-functional initiatives that support broader business goals.
Collaborate with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure smooth operations and aligned execution.
Identify opportunities to advance value-based contracting and expand new risk-based arrangements, supported by strong financial impact analyses, performance modeling, and scenario planning.
Oversee provider relationship management, competitive landscape awareness, and accurate, timely contract loading and network implementation.
Required Qualifications
7+ years of provider contracting and negotiation experience with complex delivery systems, along with a proven track record managing senior-level provider relationships
Leadership experience, including mentoring direct reports and supporting talent development
Deep knowledge of reimbursement methodologies, including value-based and incentive-driven models
Proven relationship-building skills, with demonstrated success building external partnerships and navigating integrated delivery systems
Strong communication skills, with the ability to influence provider and sales audiences
Advanced problem-solving, decision-making, negotiation, and financial analysis skills
Proficiency with Microsoft Office
Ability to travel as needed
Preferred Qualifications
Bachelor’s degree in a related field (significant industry experience may substitute); MBA / MHA preferred
Leadership experience in a matrixed organization
Background in managed care, provider business models, and network strategy
Ability to lead through change with confidence, empathy, and clarity
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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.