Provider Contracting, Senior Advisor (Transplant) - Cigna Healthcare - Remote

The Provider Contracting Senior Advisor – Transplant supports affordability and growth strategies for Cigna Healthcare’s LifeSOURCE Transplant Network, which includes more than 180 contracted facilities and represents approximately $1B in annual medical spend.

In this role, you will lead provider contracting and network management activities for transplant and advanced cellular therapy providers in the Northeast region. You will partner with providers and internal teams to manage complex negotiations, control costs, and maintain high‑quality network access.

This is a hybrid position, requiring time working from home and time spent in the office and/or traveling to in‑person provider meetings.

Key Responsibilities

Affordability & Network Strategy

• Drive unit cost targets while maintaining an adequate and competitive transplant network
• Partner with Medical Economics to identify affordability opportunities using claims, financial, and market data
• Monitor industry and competitive trends to inform contracting strategies
• Collaborate with local market teams to support network adequacy and membership growth
• Support innovative and alternative network initiatives

Contracting & Provider Management

• Lead complex contract negotiations with transplant and advanced cellular therapy hospitals and physician groups
• Negotiate rates, terms, and contract amendments for new and existing agreements
• Develop contracts that meet operational requirements and provider expectations
• Identify and onboard new providers to strengthen the LifeSOURCE network
• Apply multiple reimbursement models, including case rates, DRG, fee‑for‑service, and value‑based arrangements
• Monitor contractual and financial performance and mitigate provider risk

Cross‑Functional Partnership

• Serve as the primary contact for internal partners across Markets, Product, Clinical, and Operations
• Provide guidance on contract interpretation and implementation
• Lead the resolution of escalated provider issues
• Build strong, collaborative provider and internal relationships

Qualifications

• 5+ years of experience in commercial provider contracting and negotiations
• Experience working with complex hospital systems or provider organizations
• Strong financial, analytical, and negotiating skills
• Ability to manage senior‑level provider relationships
• Bachelor’s degree required
• Proficiency in Microsoft Office

Preferred

• Experience with transplant or advanced cellular therapy (e.g., CAR‑T) contracting
• Knowledge of managed care and payer operations
• Familiarity with Cigna Healthcare operations

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 106,400 - 177,300 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.