Provider Network Operations Advisor - Cigna Healthcare - Hybrid

Cigna Healthcare

Hybrid
5+ years provider network management experience
Bachelor's degree or equivalent experience
Strong analytical and problem-solving skills
Cigna Healthcare is seeking a Provider Network Operations Advisor to manage and enhance provider networks, ensuring quality, affordability, and access to care. The ideal candidate will have significant experience in provider network management, strong analytical skills, and a solid understanding of healthcare regulations. This hybrid position allows for both remote work and collaboration on critical network strategies. ###

Job Summary

  • This role plays a key part in creating and maintaining provider networks that deliver quality, affordability, and access to care.
  • The advisor will troubleshoot provider data issues using Cigna systems like HCPM, Cognos, and the Developer Database.
  • Candidates must partner with matrix teams to ensure accurate provider data for state filings and network adequacy requirements.

Matching Summary

Match Score: 85

Cigna Healthcare is seeking a Provider Network Operations Advisor to manage and enhance provider networks, ensuring quality, affordability, and access to care. The ideal candidate will have significant experience in provider network management, strong analytical skills, and a solid understanding of healthcare regulations. This hybrid position allows for both remote work and collaboration on critical network strategies. ###

Skills & Requirements

Must-have

  • 5+ years provider network management experience
  • Bachelor's degree or equivalent experience
  • Strong analytical and problem-solving skills

Nice-to-have

  • Project management experience preferred
  • Knowledge of CMS regulations and NSA
  • Cigna systems experience preferred
  • Local market knowledge preferred

Key Requirements

  • Bachelor's degree required
  • 5+ years in provider network management or healthcare insurance
  • Proficiency in Microsoft Office

Work Rights

Not specified

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