Senior Network Operations Analyst, Provider Compliance

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Support the daily operations and preparation of the provider termination process • Collect and report provider termination information across multiple groups • Support investigations of pharmacy noncompliance • Collaborate with Client Account Teams on requests intersecting with pharmacy operations and compliance • Ensure network providers comply with state and federal regulations, ESI’s Provider Manual, and Provider Agreement • Serve as liaison for internal compliance-related inquiries and projects • Identify and align business process efficiencies across teams and cross-functional partners • Drive process improvement, automation, technology adoption, and cross-functional partnerships • Deliver operational excellence while managing competing priorities

🎯 Requirements

• High school diploma required • Bachelor’s degree in a related field preferred • At least 2 years of relevant work experience • Proficiency with Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook • Strong written and verbal communication skills • Exceptional follow-through and attention to detail • Ability to handle multiple tasks and meet daily deadlines • Ability to demonstrate initiative and independent thinking • Ability to think strategically while solving tactical challenges • Demonstrated ability to work with cross-functional departments to resolve issues • Strong analytical and problem-solving skills • Ability to adapt to a dynamic, fast-paced work environment and make independent decisions • If working from home, cable broadband or fiber optic internet service with at least 10 Mbps download and 5 Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • 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 • Leaves of absence • Tobacco-free policy • Reasonable accommodation support for the online application process