Network Operations Lead Analyst - Work from Home - Express Scripts

he Network Operations Lead Analyst provides advanced professional input to complex Network Management assignments/projects. Develops and manages the physician/provider network. Develops programs to recruit, service, train, and reimburse physicians and providers. Solicits participation of physicians, hospitals, ancillary, institutional, and other health service providers to establish networks. Responsible for contracting, credentialing, relationships, and services. Serves as a communication link between prospective providers and the organizations. Negotiates contracts to develop networks. Designs and implements programs to maintain positive relationships between the health plan, physician, providers, and practice managers. Has knowledge of contracting process, contract management, network operations, Medicare fee schedules, financial terms, and metrics. Supports and provides direction to more junior professionals. Works autonomously, only requiring "expert" level technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Network Operations.

Essential Functions:

• Supports business direction and project management
• Manages workload for multiple competing priorities timely
• Identifies improvement for waste-reduction
• Support of end users on system capabilities
• Develop and maintains all training materials
• Mentors and trains other team members

Qualifications:

• High School Diploma or GED required
• Strong PC Skills
• Strategic thinker and excellent prioritization skills
• Strong knowledge of PBM industry
• Willing to work a flexible schedule during peak volume times

For this position, we anticipate offering an annual salary of $64,700 - $107,900, depending on relevant factors, including experience and geographic location.

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

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class 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 dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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.

If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.