Northeast Region Network Operations Senior Analyst

The Cigna Group; Franklin (TN); Remote; USD 60,000 - 101,000; Full time

Job summary

A leading company in healthcare is seeking a Network Operations Senior Analyst for a remote position aligned to the Northeast Region. Candidates must have significant experience in Network Operations and the healthcare industry, alongside strong analytical and project management skills. The Role involves leading projects, managing provider relationships, and conducting market research to enhance provider networks, with an attractive compensation package including benefits.

Benefits

Comprehensive health-related benefits

401(k) with company match

Minimum of 18 days of paid time off per year

Tuition reimbursement

Qualifications

• 3+ years in Network Operations, Provider Relations or Provider Contracting.
• 3+ years’ experience working in the Healthcare industry.
• Detailed knowledge of provider set up in Cigna systems.

Responsibilities

• Act as Project Management Lead for National Account Recruitment Requests.
• Identify and manage the upload of providers in Salesforce.
• Provide analytic and reporting support for provider access build projects.

Skills

Project management skills

Ability to analyze large volumes of data

Superior problem solving

Decision making

Critical thinking skills

Strong interpersonal skills

Written/oral communication skills

Attention to detail

Education

College degree or equivalent work experience

Tools

Microsoft Excel

Microsoft Access

Microsoft Power Point

Job description

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

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

LOCATION: REMOTE position aligned to the Northeast Region States in the USA

The Northeast Region Healthcare Provider Network Senior Analyst serves as an integral member of the Network Development and Competitive Insights Team within Network Operations and Provider Contracting and reports to the Northeast Regional Network Access Lead.

This role is responsible for leading a small limited scope project or components of a larger project and directs one or more teams of business consultants involved in the evaluation of systems requirements and/or the development of new procedures/processes/policy solutions to address complex business needs. Determines requirements, plans projects, establishes priorities and monitors progress. Evaluates project status and resource utilization and implements changes to improve the teams’ effectiveness. Compiles and analyzes results of services for identification of improvement opportunities. Provides benchmarking and industry comparative analysis support.

Responsibilities:

• Act as Project Management Lead for National Account Recruitment Requests, Middle Market and Local Sales recruitment; coordinating with market Contracting and Provider Services teams.

• Identify and manage the upload, maintenance and clean-up of existing/new providers in the Salesforce recruitment tracking database.

• Manage/Support Provider Termination reporting needs and workgroup calls for the Northeast Region

• Partner with Contracting and Sales/Service organizations to manage provider fallout from disruption process.

• Provide analytic and reporting support for provider access build projects.

• Act as Northeast Region Network Development and Competitive Insights lead for market research. This could entail market developments relating to competitor-provider network participation status, competitor product development, regulatory developments and other market news as appropriate.

• Maintain Northeast Region Network Development and Competitive Insights SharePoint site.

• Special projects as needed.

Preferred Qualifications:

• College degree or equivalent work experience

• 3+ years Network Operations, Provider Relations or Provider Contracting experience, required

• 3+ years’ experience working in the Healthcare industry, required

• Cigna systems experience

• Detailed knowledge of provider set up in Cigna systems and tools to track provider recruitment

• Working knowledge of hospital, managed care and provider business models

• Understanding of medical insurance products

• Project management skills

• Ability to analyze large volumes of data

• Superior problem solving, decision making and critical thinking skills

• Strong interpersonal and written/oral communication skills

• Ability to work independently and with matrix partners

• Expert knowledge of Microsoft excel, access and power point

• Proficient in the use of PC software; i.e., Outlook, WebEx, One Note, Power Point

• Attention to detail

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 60,400 - 100,600 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.