Director, Network Management - Cigna Healthcare in United States at Jobgether
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Job Description
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Director, Network Management (Provider Contracting Senior Advisor) based in the United States.
This senior leadership role plays a critical part in shaping provider network strategy and advancing value-based care initiatives across a defined market. You will lead complex contracting and negotiation activities with hospitals, physician groups, and ancillary providers, ensuring alignment between financial performance, access, and quality outcomes. The role serves as a key connector between external provider partners and internal cross-functional teams, driving collaboration across operations, medical management, legal, compliance, and sales functions. You will also contribute to the design and optimization of network strategies, supporting initiatives that improve total medical cost and strengthen provider relationships. With a strong focus on analytical rigor and financial impact, this position requires balancing competitive network positioning with sustainable cost and quality goals. You will act as both a strategist and relationship leader, influencing outcomes across a dynamic and highly matrixed healthcare environment.
- Lead complex provider contracting and negotiations for fee-for-service and value-based reimbursement arrangements with hospitals, physician groups, and ancillary providers.
- Develop and execute network strategies that support market competitiveness, cost efficiency, and value-based care expansion.
- Build and maintain strong relationships with provider partners, fostering long-term collaboration and identifying opportunities for shared value initiatives.
- Serve as the primary point of contact for high-complexity contracting projects and escalations within the assigned territory.
- Collaborate across internal matrix teams (Claims, Medical Management, Legal, Compliance, Sales, and others) to ensure alignment and successful contract implementation.
- Analyze and evaluate financial and clinical data to support contract negotiations, cost-of-care initiatives, and network optimization strategies.
- Drive initiatives that improve total medical cost, quality outcomes, and provider performance through data-driven insights and consultative engagement.
- Oversee contract lifecycle activities, including financial modeling, contract loading, issue resolution, and ongoing provider relationship management.
- Bachelor’s degree in Finance, Economics, Healthcare Administration, Business, or related field (MBA/MHA preferred or equivalent experience).
- 5+ years of experience in provider contracting, network management, or managed care negotiations involving complex healthcare delivery systems.
- Strong knowledge of reimbursement methodologies, including value-based and incentive-based models.
- Proven experience managing and developing provider relationships in a competitive healthcare environment.
- Strong financial acumen with ability to analyze contract performance, pricing structures, and cost implications.
- Excellent negotiation, communication, and presentation skills with the ability to influence both internal and external stakeholders.
- Experience working in a matrix organization with cross-functional collaboration across diverse teams.
- Strong problem-solving and decision-making abilities, especially in high-pressure or complex situations.
- Leadership experience, including mentoring or managing teams (preferred).
- Proficiency in Microsoft Office Suite and strong analytical capabilities.
- Competitive salary (based on experience and market benchmarks)
- Comprehensive medical, dental, and vision insurance coverage
- Remote work flexibility within the United States
- Retirement savings plan with employer contributions
- Paid time off, holidays, and flexible leave policies
- Professional development and leadership growth opportunities
- Exposure to large-scale healthcare network strategy and value-based care initiatives
- Inclusive, mission-driven culture focused on improving health outcomes
- Employee wellness, mental health, and support programs.