Hybrid Contract Manager – Hospital & Physician Negotiations

at The Cigna Group

• Job title: Contract Manager – Hospital & Physician Negotiations
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Pittsburgh, United States

About the role

• Contract Manager handling provider negotiations for Cigna Healthcare in Pennsylvania and West Virginia. Leading complex negotiations and building strong provider relationships in a hybrid work setting.

Responsibilities

• Lead complex negotiations with hospitals, health systems, ancillaries, and large physician groups to support both fee‑for‑service and value‑based strategies.
• Build strong, trust‑based provider relationships that expand opportunities for partnership and help advance local market goals.
• Partner closely with matrix teams—Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, Marketing, and Service—to ensure smooth operations and contract execution.
• Contribute to the design of alternative network strategies and support the development of analytics needed to evaluate network performance and opportunities.
• Help achieve unit cost targets while preserving a competitive, high‑quality provider network.
• Lead and support initiatives that improve total medical cost and quality outcomes by using data insights to influence provider behavior.
• Use clinical and cost analytics to guide provider partners through constructive change that supports affordability and performance improvement.
• Prepare and analyze financial impact models for complex contract structures and innovative reimbursement terms.
• Develop provider agreements that align with internal requirements and provider expectations, ensuring accurate implementation through matrix partners.
• Resolve escalated provider concerns through thoughtful engagement, root‑cause analysis, and practical solutions.
• Maintain deep knowledge of market dynamics, provider relationships, and competitive positioning to inform strategy and decision‑making.
• Ensure timely and accurate contract loading, submissions, and network maintenance activities.
• Provide guidance to less experienced team members to support learning, collaboration, and continuous improvement.

Requirements

• Minimum 3+ years of managed care contracting and negotiation experience within complex delivery systems.
• Experience developing and managing key provider relationships.
• Strong understanding of reimbursement methodologies, including incentive‑based and value‑based models.
• Experience working with hospitals, managed care organizations, and provider business models.
• Strong written and verbal communication skills with the ability to influence provider and sales audiences; experience delivering formal presentations.
• Customer‑focused approach with strong interpersonal and relationship‑building skills.
• Ability to navigate change and contribute effectively in a fast‑paced, matrixed environment.
• Strong problem‑solving, decision‑making, negotiation, contract interpretation, and financial analysis skills.
• Proficiency with Microsoft Office tools.

Benefits

• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements
• Professional development opportunities