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Manager, Network Management
The Cigna Group. Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillary providers, and hospital systems .
Posted 10/13/2026full-timeRichmond • Virginia • United StatesMid-LevelSenior💰 $92,000 - $153,300 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare provider contracting and negotiation, with a strong focus on building provider relationships and managing complex reimbursement methodologies. Proven ability to lead strategic initiatives and collaborate across matrix teams to enhance network growth and operational efficiency.
Highest-signal resume keywords
Healthcare Provider ContractingNegotiation SkillsProvider Relationship ManagementComplex Reimbursement MethodologiesLeadership Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract InterpretationFinancial AnalysisProject ManagementStrategic PlanningOperational Accuracy
Soft Skills
Strong Communication SkillsProblem-Solving SkillsInterpersonal SkillsCustomer-Centric ApproachAbility to Influence
Tools & Technologies
Microsoft Office
Certifications & Qualifications
Bachelor’s DegreeMBAMHA
Industry Keywords
Managed CareHealthcareHealth InsuranceValue-Based ContractingPhysician Groups
About the role
Key responsibilities & impact- Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillary providers, and hospital systems
- Lead key market contracting strategy projects, managing direct reports as assigned
- Build and maintain provider relationships to support network growth and value-based business opportunities
- Partner with Claims, Medical Management, Credentialing, and other matrix teams
- Develop strategic network positions and identify value-oriented and risk-based opportunities
- Contribute to alternative network initiatives and analytics
- Meet unit cost targets while maintaining an adequate and competitive provider network
- Design and manage initiatives to improve medical cost and quality
- Provide consultative guidance informed by clinical informatics
- Prepare, review, and project the financial impact of large or complex provider contracts and alternative contract terms
- Create, implement, and ensure operational accuracy of healthcare provider agreements
- Lead resolution of escalated provider issues and manage key provider relationships
- Apply deep knowledge of the local market landscape, including contract loading and maintenance
Requirements
What you’ll need- 3+ years of healthcare provider contracting and negotiation experience involving complex physician groups and ancillary providers
- Experience in managed care, healthcare, or health insurance, including commercial contracting
- Proven leadership experience, including mentoring and guiding others
- Strong provider relationship management skills, with demonstrated success building long-term partnerships
- Knowledge of complex reimbursement methodologies, including incentive-based models (strongly preferred)
- Deep understanding of hospital, managed care, and provider business models
- Ability to influence sales and provider audiences
- Strong presentation and communication skills
- Ability to build internal relationships in a fast-paced, matrixed organization
- Customer-centric approach with strong interpersonal skills and comfort navigating change
- Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills
- Proficiency in Microsoft Office
- Bachelor’s degree in a related field preferred; relevant industry experience may be substituted
- MBA or MHA preferred
- For occasional or permanent home working, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical, vision, and dental benefits starting on day one
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Hybrid work arrangement
- Cable broadband or fiber optic internet requirement for home working, with at least 10Mbps download/5Mbps upload