Contract Manager, Hospital & Physician Negotiations - Hybrid - Pittsburgh, Pa

Cigna

Pittsburgh, Pennsylvania, US
Managed care contracting and negotiation
Develop and manage provider relationships
Understand reimbursement methodologies
Lead complex negotiations with hospitals, health systems, ancillaries, and large physician groups to support both fee-for-service and value-based strategies

Job Summary

  • Lead complex negotiations with hospitals, health systems, ancillaries, and large physician groups to support both fee-for-service and value-based strategies.
  • Partner closely with matrix teams to ensure smooth operations and contract execution, contributing to the design of alternative network strategies.
  • Resolve escalated provider concerns through thoughtful engagement, root-cause analysis, and practical solutions, while maintaining deep knowledge of market dynamics.

Matching Summary

Lead complex negotiations with hospitals, health systems, ancillaries, and large physician groups to support both fee-for-service and value-based strategies.

Skills & Requirements

Must-have

  • Managed care contracting and negotiation
  • Develop and manage provider relationships
  • Understand reimbursement methodologies
  • Work with hospitals and MCOs
  • Strong communication and influencing skills
  • Problem-solving and financial analysis

Nice-to-have

  • Relationship-driven professional
  • Problem-solving and influencing outcomes
  • Meaningful impact through collaboration
  • Customer-focused approach
  • Navigate fast-paced, matrixed environment

Key Requirements

  • Minimum 3+ years managed care contracting
  • Experience developing provider relationships
  • Understanding of reimbursement models
  • Experience with hospitals and MCOs
  • Strong communication and presentation skills
  • Proficiency with Microsoft Office tools

Work Rights

Not specified

Tailored Resume

Cover Letter