Central Region Healthcare Provider Network Lead Analyst

The Cigna Group; United States; Remote; USD 69,000 - 116,000; Full time

Job summary

An established industry player is seeking a Network Operations Lead Analyst to drive impactful projects across the Central Region. This remote role offers the opportunity to lead a talented team, manage critical recruitment initiatives, and analyze competitive networks. Ideal candidates will possess strong project management and analytical skills, with a solid background in healthcare operations. Join a forward-thinking organization that prioritizes professional growth and offers a comprehensive benefits package, including medical, dental, and wellness programs. If you're ready to make a difference in a dynamic environment, this role is for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Tuition Reimbursement

Paid Time Off

Wellness Programs

Life Insurance

Qualifications

• 5+ years of experience in Network Operations Contracting and healthcare.
• Proficiency in relevant software tools like Excel and Outlook.

Responsibilities

• Manage training and workflows for analyst teams.
• Lead recruitment projects and coordinate with partners.

Skills

Network Operations Contracting

Healthcare Industry Experience

Project Management

Analytical Skills

Interpersonal Skills

Excel Proficiency

Knowledge of Hospital Business Models

Understanding of Market Nuances

Education

Bachelor's Degree

Master's Degree

Tools

Outlook

WebEx

OneNote

PowerPoint

Excel

Access

Job description

The job profile for this position is Network Operations Lead Analyst, a Band 3 Senior Contributor Career Track role.

Excited to grow your career?

We value talented employees and strive to help our associates grow professionally before recruiting new talent. If you see a position that suits you, we encourage you to apply!

Our people make all the difference in our success.

LOCATION: REMOTE position aligned to the Central Region States of the USA

The Central Region Healthcare Provider Network Lead Analyst is a key member of the Network Development and Competitive Insights Team within Network Operations and Provider Contracting, reporting to the Northeast Regional Network Access Lead.

This role involves leading regional product-specific projects and components of larger national initiatives for the Northeast and Central regions. Responsibilities include managing the analyst team, reviewing recruitment projects, and identifying proactive recruitment opportunities. The role also involves evaluating project objectives, system requirements, developing procedures, and ensuring compliance with state contracting guidelines. The Lead may direct teams of business matrix partners to achieve project goals.

Additional responsibilities include managing hospital/large group/provider termination processes, preparing competitive network analyses, and supporting various regional initiatives.

Responsibilities:

1. Manage training for new and existing analysts, including creating and maintaining workflows and training documentation.
2. Identify and manage recruitment projects, including filling network gaps, compliance filings, and regional access builds. Coordinate with matrix partners and report project statuses.
3. Support analysis to map recruitment efforts for replacing Third Party Vendors and Alliance Partners.
4. Track and manage TPV conversions and Alliance replacements, working with Market Deployment Managers and Contracting.
5. Support the Network Access Lead and attend meetings as needed.
6. Review recruitment datasets, coordinate with contracting and provider services, and approve recruitment universes and contracts.
7. Manage recruitment tracking tools, reporting, and communication with stakeholders.
8. Partner with contracting and sales to review non-participating providers.
9. Lead market research on competitors, regulatory changes, and market developments.
10. Lead termination management meetings, coordinate reporting, and create network change alerts.
11. Develop expertise in assigned states and segments, supporting termination, recruitment, and analysis activities.
12. Collaborate across regions and nationally to ensure project consistency.
13. Handle special projects as required.

Qualifications:

• Bachelor’s degree required; Master’s preferred.
• 5+ years of Network Operations Contracting experience.
• 5+ years of healthcare industry experience.
• Experience with Cigna systems.
• Proficiency in Outlook, WebEx, OneNote, PowerPoint.
• Strong Excel skills; Access skills a plus.
• Knowledge of hospital, managed care, and provider business models.
• Understanding of market nuances and network constructs.
• Excellent project management, analytical, and interpersonal skills.

If working from home, internet must be broadband with at least 10Mbps download and 5Mbps upload speeds.

Salary range: $69,600 - $116,000 annually, depending on experience and location. The role is eligible for an annual bonus.

Benefits include medical, vision, dental, wellness programs, 401(k), life insurance, tuition reimbursement, paid time off, and holidays. More info at Life at Cigna.

We are an equal opportunity employer, considering all qualified applicants regardless of protected characteristics. Meeting posting guidelines is required for consideration. Criminal history considerations are in accordance with laws.