Provider Contracting Senior Manager - eviCore (Work at Home) at Cigna in Memphis, Tennessee

Job Description:

What you'll Do!

eviCore's Provider Contracting group is hiring a Senior Manager to lead a team of 4 direct reports through the network contracting of a new PT/OT/Chiro network. This person will be a critical leader in this team, and ultimately have a large impact on the business long term.

The Provider Contracting Senior Manager owns the output of a network within Provider Contracting, directs staff that drafts contracts, conducts negotiations, and ensures the smooth operation and administration of provider agreements.

You will manage the function of contracting with hospitals and other providers (e.g., Physical Therapy, Occupational Therapy, Chiropractic (PT/OT/Chiro) for a national or regional organization. Oversee the preparation, analysis, review, and projection of the financial impact of provider contracts and specific terms.

Specific responsibilities include, but are not limited to: strategic positioning for contracting with providers and developing networks in outlying areas and with providers for mental health, dental, pharmacy, and other services; and, overseeing planning for negotiating contracts with physicians, hospitals, and other providers to provide service.

Utilizes in-depth professional knowledge and experience to set departmental goals which align with functional strategy. Focuses on achievement of departmental goals and plays a significant part in achieving functional goals.

What you will need:

10+ years of experience within Provider Contracting function in either Insurance, managed care or UM organization

5 + years of people management experience with the mindset for growing and supporting the development of staff to achieve high performing, highly engaged teams who meet departmental goals and objectives.

Experience contracting in MSK Space including but not limited to Physical Therapy, Occupational Therapy, Chiropractic care providers.

• Strong working knowledge of various reimbursement methodologies and terminology required


• Strong negotiation skills and proficiency of contract language review required


• Ability to make recommendations on various issues to senior management related to contract negotiations.


• Excellent written and verbal communication skills; presentation skills


• Strong knowledge and experience with Advanced Microsoft Word, Advanced Excel and PowerPoint


• Ability to develop and maintain effective, collaborative relationships with both internal and external customers


• Quarterly Travel required for client visits (on-hold during Covid-19 pandemic)

Remote, Work from home, United States

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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.