Senior Network Development Manager

6 days ago

Jackson, Mississippi, United States The Cigna Group Full time

About The Role

The Senior Network Development Manager plays a vital part in the Provider Contracting Team at The Cigna Group. Reporting directly to the Provider Contracting Director, this role is responsible for shaping the strategic direction and managing day-to-day contracting and network management activities within the Tri-South market.

Key Responsibilities

  • Manage complex contracting and negotiations with hospitals and other providers (e.g., hospital systems, ancillaries, and large physician groups) for fee-for-service and value-based reimbursements.
  • BUILD STRONG PARTNERSHIPS: Develop relationships that foster provider partnerships and identify broader value-based business opportunities to support the local market strategy.
  • Establish and maintain effective communication channels with matrix partners, including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing, and Service.
  • Drive strategic positioning for provider contracting, develop networks, and identify opportunities for greater value-orientation and risk arrangements.
  • Contribute to the development of alternative network initiatives and provide guidance on network analytics required for the network solution.
  • Meet unit cost targets while preserving an adequate network to achieve and maintain Cigna's competitive position.
  • Create and manage initiatives that improve total medical costs and quality.
  • Drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
  • Analyze and project the financial impact of larger or complex provider contracts and alternate contract terms.
  • Develop 'HCP' agreements that meet internal operational standards and external provider expectations, ensuring accurate implementation and administration through matrix partners.
  • Resolve elevated and complex provider service complaints, researching problems and negotiating with internal/external partners/customers to resolve highly complex and/or escalated issues.
  • Manage key provider relationships and be accountable for critical interfaces with providers and business staff.
  • Demonstrate knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
  • Ensure accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.

Requirements

  • Possess a bachelor's degree; preferably in finance, economics, healthcare, or business-related fields. Significant industry experience will be considered in lieu of a Bachelor's degree. An MBA or MHA is preferred.
  • 5+ years of provider contracting and negotiating experience involving complex delivery systems and organizations are required.
  • Experience with physician, hospital, and ancillary group contracting and negotiations.
  • Experience with healthcare – commercial/employer side.
  • Experience in developing and managing key provider relationships.
  • Knowledge of complex reimbursement methodologies, including incentive-based models strongly preferred.
  • Demonstrated experience in seeking out, building, and nurturing strong external relationships with provider partners.
  • An intimate understanding and experience with hospital, managed care, and provider business models.
  • A team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
  • The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
  • CUSTOMER-CENTRIC AND INTERPERSONAL SKILLS ARE REQUIRED.
  • Demonstrates managerial courage as well as the ability to maneuver effectively in a changing environment.
  • Superior problem-solving, decision-making, negotiating skills, contract language, and financial acumen.
  • Proficient with Microsoft Office (Word, Excel, PowerPoint, Outlook).

Estimated Salary

$120,000 - $180,000 per annum, depending on experience and qualifications.

Location

Hybrid/Remote position aligned to the Tri-South Market. Must reside in either Arkansas, Alabama, or Mississippi.

About The Company

The Cigna Group is an advocate for better health through every stage of life. We guide our customers through the healthcare system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.

  • Senior Network Architect

    24 hours ago

    Jackson, Mississippi, United States Saicon Consultants, Inc Full time

    Job Title: Senior Network ArchitectWe are seeking a highly skilled and experienced Senior Network Architect to join our team at Saicon Consultants, Inc.The primary goal of this role is to ensure the smooth operation of our voice and data network, providing maximum performance and availability for system users.This position involves designing, installing, and...

  • Medical Professional for Senior Care

    1 day ago

    Jackson, Mississippi, United States CenterWell Senior Primary Care Full time

    CenterWell Senior Primary Care is revolutionizing senior care by providing high-quality, patient-centered medical services. We are seeking a dedicated Medical Professional to join our team and make a meaningful impact in the lives of our patients.As a Medical Professional with CenterWell Senior Primary Care, you will have the opportunity to work closely with...

  • Senior Labor and Delivery Nurse Position in Jackson, Mississippi

    6 days ago

    Jackson, Mississippi, United States Health Advocates Network-Nursing Full time

    Job Title:Senior Labor and Delivery Nurse PositionAbout the Job:We are seeking a highly skilled Senior Labor and Delivery Nurse to join our team at Health Advocates Network-Nursing. This is a fantastic opportunity for a dedicated professional to make a real difference in the lives of patients.This full-time position offers a competitive salary of $2021...

  • Senior Diabetes Territory Business Development Manager

    6 days ago

    Jackson, Mississippi, United States Sequel Med Tech, LLC. Full time

    About Sequel Med Tech, LLC.Sequel Med Tech, LLC. is a leading developer of precision drug delivery devices. Our innovative solutions aim to revolutionize the field of diabetes care.Job OverviewAs a Senior Diabetes Territory Business Development Manager, you will partner with our Clinical Diabetes Specialists to successfully launch and promote our innovative...

  • Senior Healthcare Mainframe Developer

    6 days ago

    Jackson, Mississippi, United States Saxon Global Full time

    Explore a challenging opportunity with Saxon Global as a Senior Healthcare Mainframe Developer.OverviewWe are seeking an experienced Cobol Programmer to join our enterprise development team. As a Senior Healthcare Mainframe Developer, you will be responsible for designing and executing documentation, testing, debugging, and support processes in accordance...

  • Senior Physician

    2 days ago

    Jackson, Mississippi, United States CenterWell Senior Primary Care Full time

    About the Role:CenterWell Senior Primary Care is a leading provider of senior care services, and we are seeking a skilled Sr. Physician to join our team.Key Responsibilities:Provide high-quality, patient-centered care to seniors in a full-time outpatient settingDevelop comprehensive care plans tailored to each patient's needs, working closely with nurses,...

  • Senior Care Professionals

    6 days ago

    Jackson, Mississippi, United States Amada Senior Care Full time

    We are seeking experienced Senior Care Professionals to join our team at Amada Senior Care. As a leading home care provider, we offer a range of career opportunities for Caregivers, HHAs, and Certified Nursing Assistants (CNA) in the Jackson area.Our company offers a competitive salary range of $15-$25 per hour, depending on experience and qualifications....

  • Chief Network Architect

    6 days ago

    Jackson, Mississippi, United States Saicon Consultants, Inc Full time

    About the RoleOur client, a leading technology firm, is seeking an experienced Chief Network Architect to join their team. Located in Jackson, MS, this full-time position offers a competitive salary of $120,000 - $180,000 per annum.Key ResponsibilitiesDesign and implement complex network solutions for enterprise-level clients.Analyze business needs and...

  • Senior IT Program Manager

    6 days ago

    Jackson, Mississippi, United States GovCIO Full time

    **GovCIO is Seeking a Senior IT Program Manager**Located in Washington, D.C. or remotely, we are looking for an experienced Senior IT Program Manager to oversee our GAO program.The ideal candidate will have 8-12 years of experience and a Bachelor's degree, with expertise in directing all phases of programs from inception through completion.Responsibilities...

  • Senior Embedded Platform Developer

    2 weeks ago

    Jackson, Mississippi, United States Oracle Full time

    Job Title: Senior Embedded Platform DeveloperOracle is seeking a talented Senior Embedded Platform Developer to join our team. As a key member of our engineering group, you will be responsible for overseeing the design, development, testing, and debugging of platform software, including firmware, operating systems, drivers, and utilities for point of sale...

  • Senior .NET and Power BI Developer

    6 days ago

    Jackson, Mississippi, United States Lorven Technologies Full time

    Job Title: Senior .NET and Power BI DeveloperJob Overview:Lorven Technologies is seeking a highly skilled and experienced Senior .NET and Power BI Developer to join our development team. As a Senior Developer, you will be responsible for designing, developing, and implementing cutting-edge .NET and Power BI solutions.

  • Senior Salesforce Developer

    6 days ago

    Jackson, Mississippi, United States Saxon Global Full time

    Job Title: Senior Salesforce DeveloperSaxon Global is seeking a skilled Salesforce Developer to join our team and contribute to the development of innovative solutions for our clients. In this role, you will be responsible for designing, building, and maintaining complex Salesforce applications using Apex, Visualforce, and other Salesforce technologies.Key...

  • Network Development Specialist

    5 days ago

    Jackson, Mississippi, United States CorVel Healthcare Corporation Full time

    About CorVel Healthcare CorporationWe are a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries.Our mission is to deliver innovative and integrated solutions to our clients, ensuring their success in managing risks and reducing costs.

  • Senior Director, Pharmaceutical Development

    4 weeks ago

    Jackson, Mississippi, United States TBWA\Chiat\Day Full time

    Company Overview:Montai Health is a pioneering biotechnology company dedicated to revolutionizing human health and sustainability through innovative technologies.Job Summary:We are seeking an experienced Senior Director, Pharmaceutical Development to lead our Drug Metabolism and Pharmacokinetics (DMPK) team in New Cambridge, MA. As a key member of our...

  • Business Development and Operations Manager

    7 days ago

    Jackson, Mississippi, United States Kirkland's Home Full time

    About the OpportunityWe are seeking a highly motivated Senior Assistant Manager to join our team at Kirkland's Home. As a Senior Assistant Manager, you will be responsible for driving business results through effective coaching of the store team and executing all aspects of operations and merchandising in partnership with the Store...

  • Business Development Manager

    1 week ago

    Jackson, Mississippi, United States Cellairis Full time

    About the RoleAs a District Manager at Cellairis, you will play a crucial part in driving sales growth and strategic planning for our local network of cell phone repair stores located inside Wal-mart. Your key responsibilities will include managing employee scheduling and capacity planning, budgeting, and inventory purchasing. You will utilize data and...

  • IT Network Operations Specialist

    7 days ago

    Jackson, Mississippi, United States Magnit Full time

    This is a contract role for Consumer's Energy in Jackson, Michigan.The role requires full onsite presence at the Jackson office and candidates must reside within a commutable distance to the office.Job Title: IT Network Operations Center Business Support ConsultantAbout the Job:We are seeking an experienced IT professional to join our team as an IT Network...

  • Medical Director

    7 days ago

    Jackson, Mississippi, United States Physician Empire Full time

    We are seeking an elite Medical Director to lead our team of primary care physicians in providing high-quality, personalized care to seniors. Located in Central Mississippi, this position offers a unique opportunity to make a meaningful impact in the lives of our patients.About Physician EmpirePhysician Empire is an innovative network of neighborhood primary...

  • Health Information Network Coordinator

    7 days ago

    Jackson, Mississippi, United States S R INTERNATIONAL INC Full time

    **Job Overview**S R International Inc is seeking a highly skilled Health Information Network Coordinator to join our team in Mississippi.As a key member of our organization, you will play a crucial role in establishing and maintaining relationships with national and state-level health information networks.The ideal candidate will have a deep understanding of...

  • Senior Fund Manager

    1 day ago

    Jackson, Mississippi, United States Jackson State University Full time

    Job SummaryWe are seeking a seasoned Senior Fund Manager to lead our gift processing team at Jackson State University. In this critical role, you will oversee the entire gift life cycle, from initial review to final reporting. Your expertise will help us maintain the highest standards of integrity, transparency, and accountability.About YouTo succeed in this...