Provider Contracting, Senior Advisor (Transplant) - Cigna Healthcare - Remote

Cigna Healthcare

6d • Hybrid

About The Position

The Provider Contracting Senior Advisor – Transplant supports affordability and growth strategies for Cigna Healthcare’s LifeSOURCE Transplant Network, which includes more than 180 contracted facilities and represents approximately $1B in annual medical spend. In this role, you will lead provider contracting and network management activities for transplant and advanced cellular therapy providers in the Northeast region. You will partner with providers and internal teams to manage complex negotiations, control costs, and maintain high‑quality network access. This is a hybrid position, requiring time working from home and time spent in the office and/or traveling to in‑person provider meetings.

Requirements

• 5+ years of experience in commercial provider contracting and negotiations
• Experience working with complex hospital systems or provider organizations
• Strong financial, analytical, and negotiating skills
• Ability to manage senior‑level provider relationships
• Bachelor’s degree required
• Proficiency in Microsoft Office
• If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice To Haves

• Experience with transplant or advanced cellular therapy (e.g. CAR‑T) contracting
• Knowledge of managed care and payer operations
• Familiarity with Cigna Healthcare operations

Responsibilities

• Affordability & Network Strategy Drive unit cost targets while maintaining an adequate and competitive transplant network
• Partner with Medical Economics to identify affordability opportunities using claims, financial, and market data
• Monitor industry and competitive trends to inform contracting strategies
• Collaborate with local market teams to support network adequacy and membership growth
• Support innovative and alternative network initiatives
• Contracting & Provider Management Lead complex contract negotiations with transplant and advanced cellular therapy hospitals and physician groups
• Negotiate rates, terms, and contract amendments for new and existing agreements
• Develop contracts that meet operational requirements and provider expectations
• Identify and onboard new providers to strengthen the LifeSOURCE network
• Apply multiple reimbursement models, including case rates, DRG, fee‑for‑service, and value‑based arrangements
• Monitor contractual and financial performance and mitigate provider risk
• Cross‑Functional Partnership Serve as the primary contact for internal partners across Markets, Product, Clinical, and Operations
• Provide guidance on contract interpretation and implementation
• Lead the resolution of escalated provider issues
• Build strong, collaborative provider and internal relationships

Benefits

• Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level