Cigna Healthcare is seeking a Provider Network Operations Advisor to enhance provider networks and ensure quality healthcare delivery. The role requires extensive experience in provider network management, analytical skills, and effective stakeholder communication, with a strong emphasis on compliance and regulatory knowledge
Job Summary
This role plays a key part in creating and maintaining provider networks that deliver quality, affordability, and access to care across a matrixed group of partners.
The advisor will troubleshoot provider data issues using Cigna systems like HCPM and Cognos while supporting accurate loading of contracts and reimbursement methodologies.
Candidates must partner with matrix teams to ensure accurate provider data for state filings and support recruitment efforts to address network adequacy gaps.
Matching Summary
Match Score: 85
Cigna Healthcare is seeking a Provider Network Operations Advisor to enhance provider networks and ensure quality healthcare delivery. The role requires extensive experience in provider network management, analytical skills, and effective stakeholder communication, with a strong emphasis on compliance and regulatory knowledge.
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