Provider Network Operations Advisor - Cigna Healthcare - Hybrid

Cigna Healthcare

Multiple Locations
Hybrid
Provider data resolution
Market guidebook management
Alternative access network expertise
Cigna Healthcare is seeking a Provider Network Operations Advisor for a hybrid role focused on managing and maintaining provider networks to ensure quality care and affordability. The position requires extensive experience in provider network management, strong analytical skills, and the ability to work independently

Job Summary

  • Play a key role in creating and maintaining provider networks that deliver quality, affordability, and access to care.
  • Shape provider network strategy across a matrixed group of partners, using data to drive initiatives that support Cigna Enterprise goals.
  • Support accurate loading of provider contracts and reimbursement methodologies, and facilitate monthly affordability calls.

Matching Summary

Match Score: 85

Cigna Healthcare is seeking a Provider Network Operations Advisor for a hybrid role focused on managing and maintaining provider networks to ensure quality care and affordability. The position requires extensive experience in provider network management, strong analytical skills, and the ability to work independently.

Skills & Requirements

Must-have

  • Provider data resolution
  • Market guidebook management
  • Alternative Access Network expertise
  • Affordability initiatives
  • Network adequacy and compliance

Nice-to-have

  • Stakeholder management skills
  • Independent work ethic
  • Local market knowledge

Key Requirements

  • Bachelor's degree or equivalent experience
  • 5+ years of experience in provider network management or healthcare insurance
  • Project management experience preferred
  • Proficiency in Microsoft Office

Work Rights

Not specified

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