Provider Contracting Lead, Americas
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Provider Contracting Lead managing healthcare provider contracts for Cigna in the Americas. Driving strategy, negotiations, and value-based care initiatives across the provider network.
Responsibilities:
- Develop, execute, and continuously refine the Americas provider contracting and network strategy, aligning with global objectives and local market dynamics.
- Lead high-stakes contract negotiations with healthcare providers and TPAs, securing optimal terms that advance organizational goals for access, cost control, affordability, and value-based care.
- Design and implement innovative contracting models (e.g., risk-sharing, bundled payments, pay-for-performance) to drive value-based outcomes and sustainable cost management.
- Own and manage strategic relationships with key vendors and TPAs, identifying new partnership opportunities to expand network reach and enhance value for customers and clients.
- Direct and mentor a team of network leads and analysts, fostering a culture of excellence, accountability, and continuous improvement.
- Influence and collaborate with senior business partners and stakeholders in a highly matrixed, cross-functional environment.
- Establish robust governance frameworks for Americas contract compliance, risk mitigation, and regulatory adherence.
- Continuously evaluate the provider network for gaps, redundancies, and opportunities for expansion or consolidation, leveraging data-driven insights to inform strategic decisions.
- Drive implementation of strategic initiatives with providers, including automation and provider self-service solutions, to enhance efficiency and engagement.
- Champion digital transformation to support cost control, affordability, and value-based care.
- Prepare and present executive-level reports and business cases, communicating network performance, cost trends, and strategic recommendations to Cigna Healthcare’s senior leadership.
- Partner with provider services, payment integrity and clinical teams to resolve complex provider issues and drive improvements in provider/customer experience and clinical outcomes.
Requirements:
- Bachelor’s degree required; master’s degree in business, healthcare administration, or related field strongly preferred.
- Minimum 10 years’ experience in international healthcare provider contracting, with deep expertise in negotiation, cost control, and value-based care models in the Americas region.
- Excellent verbal and written English; proficiency in Spanish is required.
- Demonstrated success in leading complex contract negotiations and implementing innovative contracting solutions.
- Proven ability to drive cost management, affordability initiatives, and value-based care strategies at scale.
- Advanced knowledge of healthcare reimbursement methodologies, contracting principles, legal requirements, and regulatory frameworks.
- Exceptional communication, facilitation, presentation, and executive leadership skills; ability to influence and motivate across countries and functions.
- Strong strategic thinking, decision-making, and problem-solving skills; adept at identifying issues, recommending solutions, and executing with impact.
- High accountability, integrity, and ability to deliver results individually and through teams.
- Ability to travel internationally as required.
Benefits:
- medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
Report this job
Job expired or something wrong with this job?
Similar Jobs
Portfolio Analysis Director
Portfolio Analysis Director supporting enterprise-level decision making at a leading molecular diagnostics company. Evaluating product proposals and long-term value creation initiatives with financial modeling skills.
Director of Market Development
Director of Market Development driving sales results and brand strategy for Specialized's cycling products. Collaborating with teams to optimize sales forecasts and develop marketing initiatives in the Central U.S.
Market Development Director – Thought Leader Liaison, Rare Disease
Market Development Director developing key relationships with KOLs and health systems for United Therapeutics. Driving brand advocacy and ensuring compliance in the pharmaceutical industry.
Team Leader/Project Director
Team Leader/Project Director leading COSMA project for social cohesion in Moldova. Responsible for strategic leadership, stakeholder partnerships, and high-quality project delivery.
Senior Director, Insights and Analytics
Senior Director of Insights and Analytics at Partners for Rural Impact. Leading data strategies and collaborative improvements for rural educational success.
Director – Strategic Programs
Director of Strategic Programs at Granicus, leading cross-functional initiatives for government technology solutions and supporting executive strategy, driving revenue growth and efficiency.
Audit Director
Audit Director at Ebiquity, Inc. managing the audit process and leading audit teams to ensure compliance. Overseeing client relationships and preparing detailed reports for stakeholders.
Lead Director, Solution Management
Lead Director, Solution Management at CVS Health, advancing healthcare solutions and collaborating with various teams for optimal client outcomes.
Associate Director – Logistics Automation Lead
Associate Director leading logistics automation in a company connecting people through food. Driving strategic initiatives for operational efficiency and service improvements in logistics.
Director of Member Insights
Director of Member Insights at BECU leading Voice of Member program and transforming member feedback into strategic action. Driving loyalty and satisfaction while aligning with BECU’s mission.
Director of Engagement and Education
Director of Engagement and Education leading client-focused Engagement Managers and Consultants. Driving adoption of impactful employee communication and health engagement strategies at OneDigital.
Director, Health Systems – Northeast
Director at GeneDx driving growth strategies within hospitals and integrated care networks. Focused on consultative selling and building relationships with healthcare executives.
Director, Health Systems – Midwest
Director driving growth within hospitals and integrated care networks at GeneDx. Fostering partnerships and promoting genomic testing through effective relationship management.
Director, Health Systems – West
Director at GeneDx driving growth within hospitals, IDNs and integrated care networks through strategic partnerships and consultative selling. Fostering relationships and promoting genomic testing adoption in complex healthcare environments.
Executive Director, Safety & Pharmacovigilance
Executive Director of Safety & Pharmacovigilance overseeing global safety strategy for cell therapy pipeline. Leading a compliant and scalable safety organization, ensuring proactive risk management and regulatory compliance.
Director of Capture
Director of Capture leading growth for federal opportunities aligned with long-term objectives for government contracting. Focused on strategic federal opportunities leveraging SBA 8(a) advantages.
KOL Director, Interventional Cardiology
KOL Director at GE HealthCare designing strategies for Interventional Cardiology products. Focusing on KOL engagement, clinical results, and facilitating strategic customer relationships.
Director of M&A
Director of M&A driving deal execution and acquisition strategy for Scientific Safety Alliance. Partnering with leadership to operationalize M&A processes and deliver quality acquisitions.
Director, State Adoption Strategy – ELA
Senior strategic leader for ELA adoption strategy in a fast-growing education start-up. Responsible for drive adoption roadmap and compliance in state education markets.
Director, Palliative Care
Director of Palliative Care overseeing teams and implementing care programs at Vynca. Ensuring coordinated care and compliance while driving department strategic priorities in a remote setting.