[Hiring] Provider Contracting Director @The Cigna Group

Role Description

The Provider Contracting Senior Advisor leads contracting and network management activities for the LifeSOURCE Transplant Network across the Northeast territory. This position manages complex negotiations with hospitals, health systems, physician groups, transplant facilities, and advanced cellular therapy providers.

LifeSOURCE includes more than 180 contracted facilities and represents approximately $1 billion in annual medical spend across commercial and government business. The Senior Advisor will help maintain a high-quality, competitively positioned provider network while advancing affordability, access, growth, and operational performance.

This is a backfill opportunity on a small, fast-paced team. The successful candidate will independently manage a portfolio of approximately 40 to 50 facilities while handling:

• Contract renewals
• New agreements
• Amendments
• Letters of agreement
• Provider escalations
• Competing business priorities

Transplant contracting is highly specialized and may include bundled arrangements that cover multiple stages of care for solid-organ transplants, stem-cell transplants, and cellular therapies.

Qualifications

• Bachelor’s degree or equivalent relevant professional experience.
• At least five years of commercial healthcare contracting and negotiation experience involving hospitals, health systems, large physician groups, or other complex delivery organizations.
• Demonstrated experience negotiating reimbursement, financial terms, and contractual language with sophisticated provider organizations.
• Strong understanding of hospital, managed-care, and provider business models.
• Experience independently managing a substantial portfolio of active contracts and concurrent negotiations.
• Strong financial acumen with the ability to interpret reimbursement models, claims information, contract performance, and financial analyses.
• Proven ability to develop and maintain relationships with senior provider executives and internal business leaders.
• Excellent negotiation, problem-solving, decision-making, organization, and written and verbal communication skills.
• Ability to work independently, shift priorities quickly, and deliver results in a fast-paced matrix organization.
• Proficiency with Microsoft Excel, Word, PowerPoint, and related business tools.

Requirements

• Transplant, stem-cell, or advanced cellular therapy contracting experience.
• Experience negotiating bundled or case-rate arrangements for complex episodes of care.
• Knowledge of commercial hospital contracting, network affordability, and provider incentive programs.
• Experience with contract modeling, redlining, network analytics, and strategic provider negotiations.
• Familiarity with internal healthcare payer operations and cross-functional contract implementation.
• Established knowledge of provider markets in the Northeast.

Benefits

• Annual salary of 106,400 - 177,300 USD / yearly, depending on relevant factors, including experience and geographic location.
• Eligibility to participate in an annual bonus plan.
• Comprehensive range of health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• 401(k) plan.
• Company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year.
• Paid holidays and leaves of absence.