Provider Contracting Senior Supervisor, USA & Canada - Cigna Healthcare International Health - Remote
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The Provider Contracting Senior Supervisor is responsible for managing provider contracting activities — including integration with U.S. Cigna domestic network contracting, product, operational teams; negotiating non-Enterprise contracts; supervising providers in U.S. territories; and managing vendors and third-party administrators — within a defined portfolio of markets including the U.S. (and its territories), Canada, and other defined markets.
The role focuses on executing provider contracting strategies, supporting negotiations, ensuring effective contract administration, and maintaining strong relationships with healthcare providers and third‑party vendors.
Operating with a moderate level of autonomy, the Provider Contracting Senior Supervisor delivers delegated responsibilities within established contracting frameworks and policies.
The role contributes to network performance, cost efficiency, and service quality, while escalating highly complex or strategic matters as appropriate. The position may provide day‑to‑day guidance to junior team members and support smooth operational delivery within Provider Contracting and Relationship Management.
Business Responsibilities
Serve as key point of contact for integration and support with operational and strategic initiatives with the U.S. Domestic Cigna enterprise to align how International Health accesses network offerings.
Negotiate non-U.S. Domestic Cigna enterprise contracts within the U.S. for International Health members.
Develop and help implement solutions for improving Total Cost of Care (TCC) of U.S.-based exposure.
Manage provider relationships within Canada, including with third-party administrator (TPA) partnerships (including Cowan in Canada and Netcare in Guam).
Manage contracting activities and provider relationships within an assigned portfolio of countries or territories.
Control the execution of the relationship with the medical providers based on agreed spend thresholds and operational relevance, under direction from senior leadership.
Supervise the assigned provider relationship team to ensure the provider relationship management meets the established standards
Support and execute negotiation strategies with healthcare providers in line with established contracting objectives, financial targets, and governance guidelines.
Prepare, analyze, review, and project the financial impact of provider contracts and alternative contract terms.
Review, negotiate, and update existing provider agreements, including pricing, fees, reimbursement terms, and direct payment arrangements.
Ensure effective administration of provider agreements, including accurate documentation, renewals, amendments, and compliance with internal policies.
Track and monitor financial and operational performance of provider contracts, identifying variances, risks, and improvement opportunities.
Identify cost containment and optimization opportunities and support renegotiations within defined authority levels.
Perform service area and cost analyses to support network optimization, targeted expansion, or renegotiation initiatives.
Manage operational relationships with existing and new third‑party vendors within the assigned scope, escalating issues as needed.
Monitor quality of services delivered by contracted providers and support corrective actions in collaboration with relevant stakeholders.
Act as a subject‑matter reference for provider agreements, pricing, operational terms, and reimbursement practices within the assigned markets.
Support junior provider negotiators or analysts by providing guidance on cost analysis, contract interpretation, and negotiation preparation.
Resolve non‑routine operational issues escalated from junior team members, referring highly complex topics to senior management.
Collaborate effectively with internal stakeholders including Clinical, Provider Operations, Payment Integrity, Partnership & Controls, Commercial (Sales & Client Management), and other teams to support business objectives.
Qualifications
Bachelor's degree or equivalent professional experience.
3+ years of relevant experience in healthcare, insurance, provider contracting, or a related commercial role.
Strong preference for candidates with international insurance experience.
Strong verbal and written communication skills.
Demonstrated negotiation and influencing skills.
Strong analytical and critical‑thinking capabilities.
Proven ability to analyze data and develop basic cost and financial models.
Proficiency in Microsoft Office applications, including Word, PowerPoint, Excel required.
Personal Competencies
Professional English is required; preference for candidates who are also fluent in Spanish.
Results‑oriented, with the ability to set objectives, manage work plans, and track progress against defined metrics.
Strong collaboration skills, with the ability to work effectively across departments, matrix partners, and geographically dispersed teams.
Mature professional judgment with the ability to communicate and influence stakeholders at different levels.
Comfortable operating in a fast‑paced environment with changing priorities.
Energetic, proactive, and team‑oriented approach.
Willingness to travel up to 20%, as required.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. 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. For more details on our employee benefits programs, click here.
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.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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