Provider Contracting Lead (Director), Americas ...

This leadership role drives the execution of Cigna Healthcare’s global network strategy, customizing it for the Americas region. The position leads a high-performing team responsible for strategic contracting with healthcare providers and third-party administrators (TPAs), ensuring access, affordability, and value-based care for Cigna Healthcare's customers. As a member of the GHB senior leadership team, the lead will shape Americas strategy, oversee complex negotiations, and champion cost control, and value creation across the provider network in addition to presenting and coordinating all provider segment affairs in Americas. This position will play a pivotal role in managing the relationship between IH, IHDS and Enterprise in Americas for the network team. Primary Duties 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. Development value of position Strategic leadership exposure at the highest levels, including direct engagement with the CEO GHB, COO IH, Chief Provider Officer IH and the International Health Senior Leadership Team. Opportunity to shape the future of provider contracting and value-based care across a diverse, high-growth region. Requirements & Qualifications 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. 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. For this position, we anticipate offering an annual salary of 156,700 - 261,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive 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. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. 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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.