Cigna

Director, Provider Network Management

Cigna

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Welcome to Cigna, a global health service company dedicated to improving the health, well-being, and peace of mind of those we serve. We are currently seeking a highly motivated and experienced individual to join our team as the Director of Provider Network Management. As the Director, you will play a crucial role in managing our network of healthcare providers and ensuring the highest quality of care for our members. We are looking for a candidate who is passionate about healthcare, has strong leadership skills, and is committed to driving results. If you possess these qualities and have a proven track record in provider network management, we encourage you to apply for this exciting opportunity.

  • Oversee the management and development of Cigna's provider network to ensure the delivery of high-quality healthcare services to our members.
  • Develop and implement strategies to continuously expand and enhance our network of healthcare providers.
  • Monitor and analyze provider performance and utilization data to identify areas for improvement and implement solutions to optimize network performance.
  • Collaborate with internal teams and external partners to negotiate contracts and rates with providers to ensure competitive pricing and quality services.
  • Lead and mentor a team of provider network managers, providing guidance and support to achieve department goals and objectives.
  • Stay up-to-date on industry trends, market changes, and regulatory requirements to inform decision-making and ensure compliance with standards.
  • Partner with cross-functional teams to develop and implement initiatives to improve member satisfaction and retention through provider network management.
  • Build and maintain strong relationships with providers, fostering effective communication and a collaborative partnership.
  • Track and report on key performance metrics related to provider network management, presenting findings and recommendations to senior leadership.
  • Represent Cigna at industry events and conferences to promote our provider network and build new relationships.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Minimum Of 10 Years Experience In Healthcare Provider Network Management, With A Proven Track Record Of Success In Building And Maintaining Strong Relationships With Providers.

  • Bachelor's Degree In Healthcare Administration, Business Administration, Or A Related Field. Master's Degree Preferred.

  • In-Depth Knowledge Of Healthcare Industry Trends, Regulations, And Reimbursement Models.

  • Strong Leadership Skills And Experience Managing A Team, Including Setting Goals, Providing Feedback, And Fostering A Collaborative Work Environment.

  • Excellent Communication And Negotiation Skills, With The Ability To Effectively Communicate With Providers, Internal Stakeholders, And Executive Leadership.

Required Skills
  • Risk Management

  • Financial Analysis

  • Strategic Planning

  • Data Analysis

  • Quality Management

  • Contract Negotiation

  • Team Leadership

  • Contract compliance

  • network development

  • Provider Credentialing

  • Provider Relations

Soft Skills
  • Communication

  • Conflict Resolution

  • Decision Making

  • Leadership

  • Time management

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

  • Empathy

Compensation

According to JobzMall, the average salary range for a Director, Provider Network Management is $110,000 to $150,000 per year. However, this can vary depending on factors such as location, experience, and the specific industry or company the director is working for. Some directors in this role may earn significantly more, with salaries reaching up to $200,000 or more.

Additional Information
Cigna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 25th, 2024
Apply BeforeMay 22nd, 2025
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About Cigna

Cigna Corp. provides medical, dental, disability, life and accident insurance and related products and services to businesses, governmental and non-governmental organizations and individuals. It operates through following segments: Global Health Care; Global Supplemental Benefits; Group Disability and Life; Other Operations; and Corporate.

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