The Cigna Group

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.

Network Operations Advisor

Network OperationsNetwork OperationsFull TimeRemoteTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

Alabama + 17 moreAll locations: Alabama, Alaska, Arizona, Florida, Hawaii, Idaho, Iowa, Kansas, Nebraska, Ohio, Maryland, Massachusetts, Michigan, Pennsylvania, Texas, Utah, Vermont, Washington

Posted

3 days ago

Salary

$79.7K - $132.8K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Help shape smarter, more effective provider networks that expand access, ensure compliance, and support the long-term success of our markets • Serve as the subject matter expert for alternative access products in assigned markets • Evaluate network design options and provide clear, data-driven recommendations • Lead end-to-end coordination of network builds, reconfigurations, and expansions • Ensure delivery system criteria are interpreted and applied consistently • Partner with Compliance to support regulatory submissions and filings • Monitor network adequacy, quality, and performance through ongoing analysis • Manage implementation milestones and timelines • Support post-implementation activities including LocalPlus TrueUps and market sign-offs • Collaborate with regional and national partners to resolve complex issues • Contribute to training, documentation, and continuous improvement efforts

Job Requirements

  • 5+ years of experience in managed healthcare or a related field
  • 3+ years of experience in provider contracting, provider services, network management, product, or compliance
  • Demonstrated knowledge of provider networks, network adequacy, and healthcare professional data structures
  • Strong analytical, critical thinking, and problem-solving skills
  • Ability to work effectively in a fast-paced, matrixed environment and influence across teams
  • Proficiency with Excel and data analysis tools
  • Bachelor’s degree or equivalent professional experience (preferred)
  • Experience supporting commercial and/or government healthcare products (preferred)
  • Familiarity with regulatory requirements related to network adequacy and provider access (preferred)
  • Experience with provider contracting systems and data mining (preferred)
  • Strong project management and stakeholder communication skills (preferred)

Benefits

  • Medical insurance
  • Vision insurance
  • Dental insurance
  • Well-being and behavioral health programs
  • 401(k)
  • Company paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days of paid time off per year
  • Paid holidays

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Network Operations Advisor

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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.

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