Provider Contracting Manager
The Provider Contracting Manager is responsible for managing provider contracting activities within a defined portfolio of countries or markets of moderate complexity.
The role focuses on executing provider contracting strategies, supporting negotiations, ensuring effective contract administration, and maintaining strong relationships with healthcare providers and third‑party vendors.
Operating with a moderate level of autonomy, the Provider Contracting Manager delivers delegated responsibilities within established contracting frameworks and policies.
The role contributes to network performance, cost efficiency, and service quality, while escalating highly complex or strategic matters as appropriate. The position may provide day‑to‑day guidance to junior team members and support smooth operational delivery within Provider Contracting and Relationship Management.
Business Responsibilities
- Manage contracting activities and provider relationships within an assigned portfolio of countries or territories, typically of lower strategic complexity.
- Control the execution of the relationship with the medical providers based on agreed spend thresholds and operational relevance, under direction from senior leadership.
- Supervise the assigned provider relationship team to ensure the provider relationship management meets the established standards
- Support and execute negotiation strategies with healthcare providers in line with established contracting objectives, financial targets, and governance guidelines.
- Prepare, analyze, review, and project the financial impact of provider contracts and alternative contract terms.
- Review, negotiate, and update existing provider agreements, including pricing, fees, reimbursement terms, and direct payment arrangements.
- Ensure effective administration of provider agreements, including accurate documentation, renewals, amendments, and compliance with internal policies.
- Track and monitor financial and operational performance of provider contracts, identifying variances, risks, and improvement opportunities.
- Identify cost containment and optimization opportunities and support renegotiations within defined authority levels.
- Perform service area and cost analyses to support network optimization, targeted expansion, or renegotiation initiatives.
- Manage operational relationships with existing and new third‑party vendors within the assigned scope, escalating issues as needed.
- Monitor quality of services delivered by contracted providers and support corrective actions in collaboration with relevant stakeholders.
- Act as a subject‑matter reference for provider agreements, pricing, and reimbursement practices within the assigned markets.
- Support junior provider negotiators or analysts by providing guidance on cost analysis, contract interpretation, and negotiation preparation.
- Resolve non‑routine operational issues escalated from junior team members, referring highly complex topics to senior management.
- Collaborate effectively with internal stakeholders including Clinical, Provider Service Operations, Commercial, Client Management, and Strategy teams to support business objectives.
Qualifications
- University degree or equivalent professional experience.
- 3–4 years of relevant experience in healthcare, insurance, provider contracting, or a related commercial role.
- Strong verbal and written communication skills.
- Demonstrated negotiation and influencing skills.
- Strong analytical and critical‑thinking capabilities.
- Proven ability to analyze data and develop basic cost and financial models.
- Proficiency in Microsoft Office applications, including Word, PowerPoint, Excel; familiarity with Project and Visio is an advantage.
Personal Competencies
- Professional English, native Eastern-European language is a must, any additional language is a plus
- Results‑oriented, with the ability to set objectives, manage work plans, and track progress against defined metrics.
- Strong collaboration skills, with the ability to work effectively across departments, matrix partners, and geographically dispersed teams.
- Mature professional judgment with the ability to communicate and influence stakeholders at different levels.
- Comfortable operating in a fast‑paced environment with changing priorities.
- Energetic, proactive, and team‑oriented approach.
- Willingness to travel up to 20%, as required.
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: SeeYourselfEMEA@cigna.com for support. Do not email SeeYourselfEMEA@cigna.com for an update on your application or to provide your resume as you will not receive a response.