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091 Cigna Health & Life Ins. Co.
Provider Contracting Manager (RI/MA) - Cigna Healthcare
Career Insights for Clinical Supervisor / Manager
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Based on Massachusetts data
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What they do
A Clinical Supervisor or Manager supervises staff and manages services in a clinical program. May provide clinical supervision for nursing, counseling or home health care staff. Works to ensure quality patient care. Trains and develops clinical staff and manages clinical program budgets.
$115,583 / year median in Massachusetts
+14% projected growth
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 Massachusetts (MA) and Rhode Island (RI) territory. Responsibilities Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems. 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 initiatives to improve medical cost and quality, offering consultative guidance informed by clinical informatics. Prepare, review, and project the financial impact of large or complex provider contracts and alternative terms. Create, implement, and ensure operational accuracy of HCP agreements through effective cross-functional collaboration. Lead resolution of escalated provider issues and manage key provider relationships with deep knowledge of the local market landscape, including contract loading and maintenance. Required Qualifications 3+ years of healthcare provider contracting and negotiating experience involving complex physician groups and ancillaries Background in managed care, healthcare, or health insurance, including commercial contracting Proven leadership experience, including mentoring and guiding others Strong provider relationship management skills and success in developing long-term partnerships Knowledge of complex reimbursement methodologies, including incentive-based models (strongly preferred) Deep understanding of hospital, managed care, and provider business models with the ability to influence sales and provider audiences Exceptional presentation and communication skills, including the ability to build internal relationships in a fast-paced, matrixed organization Customer-centric approach, strong interpersonal skills, and confidence in navigating change Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills Proficiency in Microsoft Office Preferred Qualifications Bachelor's degree in a related field (industry experience may substitute);