The Cigna Group · 15 hours ago
Provider Contracting Lead (Director), Americas - Remote - Cigna International Health
United States
Full-time
Remote
Senior Level, Lead/Staff
$157K/yr - $261K/yr
10+ years expThe Cigna Group is a leading healthcare company that focuses on improving health through every stage of life. They are seeking a Provider Contracting Lead who will drive the execution of Cigna Healthcare’s global network strategy for the Americas, leading a high-performing team responsible for strategic contracting with healthcare providers and third-party administrators.
CommercialHealth CareHospitalInsuranceMedical
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
Qualification
Required
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
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
Company
The Cigna Group
The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
David Cordani
Chairman and Chief Executive Officer
Michele Berg
CEO Communications
Recent News
2026-01-25
2026-01-06
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