Network Operations Advisor
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Job Description
Network Operations Advisor at Cigna Healthcare shaping effective provider networks. Serving as an expert in alternative access products, ensuring compliance and market success.
Responsibilities:
- 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
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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