Manager, Payor Relations- Evernorth at The Cigna Group

, , United States -

Full Time

Start Date

Immediate

Expiry Date

25 Mar, 26

Salary

162900.0

Posted On

25 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payor Relations, Contract Management, Negotiation, Regulatory Compliance, Team Leadership, Communication, Relationship Building, Problem Solving

Industry

Hospitals and Health Care

Description

The job profile for this position is Contract Manager, which is a Band 4 Management Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. As a strategic leader within our organization, you will strengthen and expand partnerships across the healthcare payor landscape. Your work will drive growth, enhance contractual performance, and support high-quality patient access by building strong relationships with state health plans, PBMs, and national payors. You will guide payor strategy with a collaborative, solutions-focused approach that reflects our commitment to excellence and innovation. Responsibilities Build, maintain, and enhance relationships with payors before, during, and after contract execution. Lead negotiations for new and renewal contracts to secure competitive reimbursement and strategic value. Ensure all agreements comply with regulatory requirements, accreditation standards, and organizational policies. Collaborate with operations, billing, clinical, and marketing teams to align payor strategies with broader business goals. Provide leadership and support to direct reports, fostering a culture of accountability and growth. Oversee credentialing and provider enrollment processes to ensure accuracy and timeliness. Support organizational initiatives by participating in cross-functional projects and other responsibilities assigned by leadership. Required Qualifications Bachelor’s degree in Healthcare Management, Business Administration, or related field (or equivalent experience). Minimum 5 years of experience in payor relations, contract management, or related healthcare functions. Proven success negotiating and managing complex payor contracts with regional or national plans. Strong communication, relationship-building, and problem-solving skills. Experience leading teams or supervising staff. Preferred Qualifications Knowledge of accreditation standards such as ACHC, URAC, or Joint Commission. Familiarity with reimbursement models, credentialing systems, and regulatory compliance processes. 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 97,700 - 162,900 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 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.

Responsibilities

The role involves building and maintaining relationships with payors and leading negotiations for contracts. Additionally, it requires collaboration with various teams to align payor strategies with business goals.