Head of Provider Management

Head of Provider Management - HK & China Join to apply for the Head of Provider Management - HK & China role at Cigna Healthcare This leadership role drives the execution of Cigna’s global network strategy, customizing it for the HK/China 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’s customers. As a member of the APAC senior leadership team, the lead will shape HK/China 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 HK/China. Primary Duties Develop, execute, and continuously refine the HK/China 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 HK/China 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’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 HK, CEO APAC, ME & APAC director 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 HK/China region. 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. Excellent verbal and written English; proficiency in Cantonese and Mandarin is a must. Willingness to travel internationally as required. About The Cigna Group 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. Seniority level Director Employment type Full‑time Job function Health Care Provider, Management, and Other Industries Insurance and Banking #J-18808-Ljbffr