CrawlJobs Logo
The Cigna Group Logo The Cigna Group · -

Manager, Network Management

United States of America, Richmond · Job Posted April 19, 2026
Apply Position
Job Link Share

Job Description

The Contract Manager, Physician & Ancillary Negotiations serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Network Management. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.

Job Responsibility

  • Manages complex contracting and negotiations for fee for service and value-based reimbursements with large Physician groups, Ancillaries and Hospital systems
  • May lead a team with direct reports
  • Point person for complex projects related to contracting strategy in the market
  • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy
  • Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service
  • Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements
  • Contributes to the development of alternative network initiatives
  • Supports and provides direction to develop network analytics required for the network solution
  • Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position
  • Creates and manages initiatives that improve total medical cost and quality
  • Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives
  • Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms
  • Creates “HCP” agreements that meet internal operational standards and external provider expectations
  • Ensures the accurate implementation, and administration through matrix partners
  • Leads in resolving elevated and complex provider service complaints
  • Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues
  • Manages key provider relationships and is accountable for critical interface with providers and business staff
  • Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape
  • Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance

Requirements

  • 3+ years Healthcare Provider Contracting and Negotiating experience involving complex Physician Groups and Ancillaries required
  • Experience in a Managed Care, Healthcare or Health Insurance environment
  • Experience with Commercial Healthcare contracting
  • Significant experience leading and mentoring others
  • Experience in developing and managing key provider relationships
  • Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred
  • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners
  • Intimate understanding and experience with hospital, managed care, and provider business models
  • Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization
  • The ability to influence both sales and provider audiences through strong written and verbal communication skills
  • Experience with formal presentations
  • Customer centric and interpersonal skills are required
  • Demonstrates managerial courage as well as an ability to maneuver effectively in a changing environment
  • Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
  • Knowledge and use of Microsoft Office tools
  • Should possess a bachelor degree
  • preferably in the areas of Finance, Economics, Healthcare or Business related
  • Significant industry experience will be considered in lieu of a Bachelor degree
  • MBA or MHA preferred
The Cigna Group - All Job Offers

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Suggested Tags: Frontend Developer Secretary Talent Manager Salesforce Administrator Data Analyst
Similar Jobs for

Manager, Network Management

8 matching positions

Manager, Network Management

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provide...
Location
Location
United States of America , Richmond, Virginia
Salary
Salary:
92000.00 - 153300.00 USD / Year
thecignagroup.com Logo
The Cigna Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 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, with the ability to influence sales and provider audiences
  • Strong presentation and communication skills, including the 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
Job Responsibility
Job Responsibility
  • 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, with responsibility for managing direct reports as assigned
  • Build and maintain strong provider relationships to support network growth and value‑based business opportunities
  • Partner closely with matrix teams (e.g., Claims, Medical Management, Credentialing) to ensure aligned execution
  • Develop strategic network positions, identify value‑oriented and risk‑based opportunities, and 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, providing 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 (HCP) agreements through effective cross‑functional collaboration
  • Lead the resolution of escalated provider issues and manage key provider relationships, demonstrating deep knowledge of the local market landscape, including contract loading and maintenance
What we offer
What we offer
  • Annual bonus plan eligibility
  • Medical, vision, dental, and 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
  • Fulltime
Read More
Arrow Right

Provider Contracting Senior Manager, AVP Network Management

Join Cigna Healthcare, a division of The Cigna Group, to shape the future of our...
Location
Location
United States of America , Seattle
Salary
Salary:
127900.00 - 213100.00 USD / Year
thecignagroup.com Logo
The Cigna Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 7+ years of provider contracting and negotiation experience with complex delivery systems
  • Proven track record managing senior-level provider relationships
  • Leadership experience, including mentoring direct reports and supporting talent development
  • Deep knowledge of reimbursement methodologies, including value-based and incentive-driven models
  • Proven relationship-building skills, with demonstrated success building external partnerships and navigating integrated delivery systems
  • Strong communication skills, with the ability to influence provider and sales audiences
  • Advanced problem-solving, decision-making, negotiation, and financial analysis skills
  • Proficiency with Microsoft Office
  • Ability to travel as needed
Job Responsibility
Job Responsibility
  • Lead and develop a high-performing contract team, fostering a culture of growth, collaboration, and accountability
  • Drive contracting and network strategies across our Commercial business and other product lines to strengthen market competitiveness
  • Negotiate complex fee-for-service and value-based contracts with health systems, hospitals, and large provider groups to improve affordability and quality
  • Build and maintain trusted provider partnerships, expanding value-based opportunities and advancing local market strategy
  • Champion cross-market and cross-functional initiatives that support broader business goals
  • Collaborate with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure smooth operations and aligned execution
  • Identify opportunities to advance value-based contracting and expand new risk-based arrangements, supported by strong financial impact analyses, performance modeling, and scenario planning
  • Oversee provider relationship management, competitive landscape awareness, and accurate, timely contract loading and network implementation
What we offer
What we offer
  • Annual bonus plan
  • Medical, vision, dental, and 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
  • Fulltime
Read More
Arrow Right

Manager, Project Management- Network Policy Development

Drafting and developing Discover Payment Network Operating Regulations and relat...
Location
Location
United States , Riverwoods; Chicago; McLean; New York
Salary
Salary:
138100.00 - 189200.00 USD / Year
capitalone.com Logo
Capital One
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelors Degree or Military Experience
  • At least 3 years of experience in contracts, risk assessment, or liability frameworks
Job Responsibility
Job Responsibility
  • Policy Development – Draft, maintain and modernize network policies, operating rules and related publications, applying legal training to ensure clarity, enforceability and alignment with regulatory and contractual requirements. Ensure detailed, accurate drafting of network policies. Translate complex legal, technical and operational requirements into clear, implementable rules for diverse stakeholder audiences
  • Governance rigor – ensure ongoing compliance with internal rule change management, submission and approval processes
  • Build and maintain strong working relationships with peers and stakeholders across Legal, Risk, Compliance, Product, Technology and Operations teams
  • Embrace and develop your skills in the use of technology (including AI-enables tools where appropriate) to improve rule quality, consistency and operational efficiency, while retaining clear human accountability
  • Ability to balance legal precision with operational practicality, ensuring policies are clear, enforceable and implementable at scale
What we offer
What we offer
  • performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI)
  • comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being
  • Fulltime
Read More
Arrow Right

Bank Network Management Group Manager

The Bank Network Management Group Manager manages multiple Bank Network Manageme...
Location
Location
Hungary , Budapest
Salary
Salary:
Not provided
https://www.citi.com/ Logo
Citi
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 15+ years relevant experience
  • Experienced in Operational Risk
  • Knowledge of other risk disciplines (market risk, credit risk) a plus
  • Bachelor’s/University degree
  • Master’s degree preferred
  • Managerial experience
  • Excellent written and verbal communication skills in English
  • Demonstrated analytical ability
  • Proficient in developing new ideas to mitigate risk and improve current processes
  • Advanced Leadership skills
Job Responsibility
Job Responsibility
  • Establish and oversee the application of operational risk policies, technology and tools, and governance processes
  • Independently asses risks and drive actions to address root causes
  • Governance and oversight may include technology operational risk, cyber risk
  • Work with colleagues in other areas of Risk Management, Finance, Compliance/Control and the Businesses
  • Facilitate accurate reporting of operational risks to senior management and the Board of Directors
  • Promote the use of risk indicators
  • Support corporate initiatives
  • Drive the strategic direction of Operational Risk Management for the Consumer group
  • Identify emerging operational risks
  • Analyze operational risk data
What we offer
What we offer
  • Cafeteria Program
  • Home Office Allowance
  • Paid Parental Leave Program
  • Private Medical Care Program
  • Pension Plan Contribution
  • Group Life Insurance
  • Employee Assistance Program
  • Access to learning and development programs
  • Flexible work arrangements
  • Career progression opportunities
  • Fulltime
Read More
Arrow Right

Manager, Product Management- Pulse Network Product Development

Manager, Product Management- Pulse Network Product Development. Product Manageme...
Location
Location
United States , Houston; Riverwoods
Salary
Salary:
149800.00 - 171000.00 USD / Year
capitalone.com Logo
Capital One
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 3 years of experience working in Product Management
  • Currently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date: A Bachelor's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field)
  • A Master's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field) or an MBA with a quantitative concentration
Job Responsibility
Job Responsibility
  • Partner in the transformation of how millions of customers engage with their money
  • Responsible for improving the consistency, scalability, and adoption of payment experiences across our platforms
  • Work with teams across the organization to evaluate current processes, identify areas for improvement, and implement solutions that support business goals and meet customer needs
  • Work across product areas such as Authorizations, Settlement, Disputes, Backoffice, Pricing, and Go-to-Market, using data, technology, and collaboration to deliver reliable, efficient, and user-friendly payment products
  • Demonstrate proficiency in five key areas: Human Centered, Business Focused, Technology Driven, Integrated Problem Solving, Transformational Leadership
What we offer
What we offer
  • Performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI)
  • A comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being
  • Fulltime
Read More
Arrow Right

Manager, Product Management- Pulse Network Product Development

Product Management at Capital One is a booming, vibrant craft that requires reim...
Location
Location
United States , Riverwoods, Illinois; Houston, Texas
Salary
Salary:
149800.00 - 171000.00 USD / Year
capitalone.com Logo
Capital One
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 3 years of experience working in Product Management
  • Currently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date: A Bachelor's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field)
  • A Master's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field) or an MBA with a quantitative concentration
Job Responsibility
Job Responsibility
  • Partner in the transformation of how millions of customers engage with their money
  • Responsible for improving the consistency, scalability, and adoption of payment experiences across our platforms
  • Work with teams across the organization to evaluate current processes, identify areas for improvement, and implement solutions that support business goals and meet customer needs
  • May work across product areas such as Authorizations, Settlement, Disputes, Backoffice, Pricing, and Go-to-Market, using data, technology, and collaboration to deliver reliable, efficient, and user-friendly payment products
  • Demonstrate proficiency in five key areas: Human Centered, Business Focused, Technology Driven, Integrated Problem Solving, Transformational Leadership
What we offer
What we offer
  • Performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI)
  • Comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being
  • Fulltime
Read More
Arrow Right

Senior Manager, Project Management - Global Payment Network - Global Pricing

Senior Manager, Project Management - Global Payment Network - Global Pricing Gl...
Location
Location
United States , Riverwoods, Illinois; New York, New York; Chicago, Illinois; McLean, Virginia
Salary
Salary:
161500.00 - 221200.00 USD / Year
capitalone.com Logo
Capital One
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's Degree or Military experience
  • At least 8 Years of Project Management experience
  • At least 1 Year of People Management experience
Job Responsibility
Job Responsibility
  • Leading moderate to large complex projects and programs by providing strategic direction to projects, peers, and direct reports
  • Designing, developing, and managing project plans in a complex dynamic environment, revising needs to meet changing requirements
  • Ensuring projects are being documented appropriately to mitigate risk and to be delivered on time
  • Leveraging problem solving and influencing skills to ensure project plans deliver on intent
  • Partnering cross-functionally with project customers to provide strategic and tactical thought partnership to effectively drive project delivery
  • Building relationships and collaborating with key stakeholders to ensure delivery of commitments
  • Leading a team of project managers
  • Exhibit outstanding influencing skills to effectively drive project / program efforts
  • Demonstrate a proven track record of excellent project management, bringing the ability to quickly put structure in place to manage work in a dynamic complex environment
  • Display a passion for coaching and developing a team of associates through their leadership style
What we offer
What we offer
  • Performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI)
  • comprehensive, competitive, and inclusive set of health, financial and other benefits
  • Fulltime
Read More
Arrow Right

Senior Manager, Project Management - Global Payment Network

As a Senior Manager of Project Management at Capital One, you will drive strateg...
Location
Location
United States , Riverwoods; Chicago
Salary
Salary:
161500.00 - 184300.00 USD / Year
capitalone.com Logo
Capital One
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s Degree or Military experience
  • At least 8 Years of Project Management experience
  • At least 1 Year of People Management experience
Job Responsibility
Job Responsibility
  • Leading moderate to large complex projects and programs by providing strategic direction to projects, peers, and direct reports
  • Designing, developing, and managing strategy and acceptance remediation in a complex dynamic environment, revising needs to meet changing requirements
  • Operate with agility and bring industry best practices to the team for timely acceptance remediation
  • Leveraging problem solving and influencing skills to ensure remediation efforts deliver on intent
  • Partnering cross-functionally with project customers to provide strategic and tactical thought partnership to effectively drive acceptance remediation
  • Building relationships and collaborating with key stakeholders to ensure delivery of commitments
  • Leading a team of field managers that work on acceptance remediation
  • Exhibit outstanding influencing skills to effectively drive project / program efforts
  • Demonstrate a proven track record of excellent sales and strategy experience, bringing the ability to quickly put structure in place to manage work in a dynamic complex environment
  • Display a passion for coaching and developing a team of associates through their leadership style
What we offer
What we offer
  • performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI)
  • comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being
  • Fulltime
Read More
Arrow Right