Provider Contracting Director – Transplant

The Cigna Group

. Lead complex contract negotiations with hospitals, transplant centers, physician groups, and advanced cellular therapy providers across the Northeast .

Posted 10/6/2026full-timeRemote • United StatesLead💰 $106,400 - $177,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in complex contract negotiations and financial management within the healthcare sector, with a strong focus on provider relationships and reimbursement models. Proven ability to analyze market data and develop strategic agreements that enhance network access and performance.

Highest-signal resume keywords

Healthcare Contracting ExperienceNegotiation of Reimbursement TermsFinancial Acumen in Contract PerformanceRelationship Management with Provider ExecutivesKnowledge of Northeast Provider Landscape

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract NegotiationReimbursement ModelsFinancial AnalysisContract Language InterpretationClaims EvaluationBundled PaymentsValue-Based ArrangementsContract ModelingNetwork AnalyticsDecision-Making

Soft Skills

Excellent Communication SkillsProblem-SolvingOrganizational SkillsAbility to Shift PrioritiesIndependent Work

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft PowerPoint

Industry Keywords

HealthcareProvider AgreementsTransplant ContractingManaged-Care ModelsNetwork AffordabilityProvider Incentive ProgramsComplex Delivery OrganizationsNortheast Market Knowledge

About the role

Key responsibilities & impact

Lead complex contract negotiations with hospitals, transplant centers, physician groups, and advanced cellular therapy providers across the Northeast
Negotiate reimbursement rates, financial terms, contract language, renewals, amendments, and new provider agreements
Develop agreements using fee-for-service, case rates, bundled payments, DRGs, and value-based arrangements
Manage financial and operational performance of assigned provider agreements, including unit-cost targets and affordability initiatives
Evaluate claims, medical, financial, and market data to identify contracting opportunities, assess financial impact, and support negotiation strategies
Maintain understanding of the Northeast provider landscape, competitive dynamics, network gaps, market relationships, and industry trends
Identify and recruit providers that strengthen network access, adequacy, quality, and geographic coverage
Build relationships with provider executives and contracting leaders while addressing escalations, performance concerns, and potential contract terminations
Interpret contract language and coordinate implementation and administration of negotiated terms
Partner with Medical Economics, Clinical, Product, Operations, local market teams, Legal, Compliance, and other stakeholders on network strategies
Serve as primary point of accountability for assigned provider relationships and regional contracting initiatives
Manage multiple negotiations and deliverables simultaneously in a complex, highly matrixed environment
Travel within the Northeast territory as needed for provider meetings and negotiations

Requirements

What you’ll need

Bachelor’s degree or equivalent relevant professional experience
At least five years of commercial healthcare contracting and negotiation experience involving hospitals, health systems, large physician groups, or other complex delivery organizations
Experience negotiating reimbursement, financial terms, and contractual language with sophisticated provider organizations
Strong understanding of hospital, managed-care, and provider business models
Experience independently managing a substantial portfolio of active contracts and concurrent negotiations
Strong financial acumen, including interpreting reimbursement models, claims information, contract performance, and financial analyses
Ability to develop and maintain relationships with senior provider executives and internal business leaders
Excellent negotiation, problem-solving, decision-making, organization, and written and verbal communication skills
Ability to work independently, shift priorities quickly, and deliver results in a fast-paced matrix organization
Proficiency with Microsoft Excel, Word, PowerPoint, and related business tools
Internet connection through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload when working at home
Preferred: Transplant, stem-cell, or advanced cellular therapy contracting experience
Preferred: Experience negotiating bundled or case-rate arrangements for complex episodes of care
Preferred: Knowledge of commercial hospital contracting, network affordability, and provider incentive programs
Preferred: Experience with contract modeling, redlining, network analytics, and strategic provider negotiations
Preferred: Familiarity with internal healthcare payer operations and cross-functional contract implementation
Preferred: Established knowledge of provider markets in the Northeast

Benefits

Comp & perks

Annual bonus plan eligibility
Medical insurance
Vision insurance
Dental insurance
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
Remote work arrangement
Cable broadband or fiber optic internet requirement for home working