Manager, Network Management - Cigna Healthcare - Hybrid (mid Atlantic)

Express Scripts

Maryland, United States
**
3+ years provider contracting experience
Complex fee-for-service negotiation skills
Value-based reimbursement model knowledge
** The job posting is for a Manager of Network Management at Cigna Healthcare, located in the Mid-Atlantic region and requiring hybrid work. The role focuses on leading complex provider negotiations, managing provider relationships, and supporting network contracting activities to ensure access to quality healthcare. **

Job Summary

  • This role leads complex provider negotiations for fee-for-service and value-based reimbursement arrangements with hospitals and physician groups.
  • The position requires building strong provider relationships while serving as the primary interface between providers and internal business partners.
  • Candidates must manage unit cost targets and develop financial models to drive total medical cost and quality outcomes improvements.

Matching Summary

Match Score: 75

** The job posting is for a Manager of Network Management at Cigna Healthcare, located in the Mid-Atlantic region and requiring hybrid work. The role focuses on leading complex provider negotiations, managing provider relationships, and supporting network contracting activities to ensure access to quality healthcare. **

Skills & Requirements

Must-have

  • 3+ years provider contracting experience
  • Complex fee-for-service negotiation skills
  • Value-based reimbursement model knowledge
  • Advanced Excel data analysis capabilities
  • Strong stakeholder influence and communication

Nice-to-have

  • Experience with alternative network strategies
  • Consultative support for clinical insights
  • Ability to lead less experienced staff
  • Fast-paced matrixed environment adaptability

Key Requirements

  • Bachelor's degree or equivalent industry experience
  • 3+ years in healthcare environment
  • 3+ years provider contracting and negotiation experience
  • Residency in Maryland, Washington DC, or Virginia

Work Rights

Not specified

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