Network Analyst

GENERAL PURPOSE:     

Incumbent will be a member of the Network Solutions & Delivery team: Responsible for leading and delivering on all aspects of select network solution implementations, including designing network configurations and managing the provider data across Network Solutions and Operations (NS&O).  The Network Operations Advisor works closely in partnership with the Network Manager and other key matrix partners such as Field contracting, PRSM, Market Deployment Managers (MDM’s) and Strategic Solutions/Product to ensure networks solutions are effectively implemented. 

RESPONSIBILITIES:

• Design network configurations utilizing network participation criteria

• Specific TINs Roles, Fee Schedules Specialty Combination or exceptions

• Perform domain analysis in conjunction with solution design activity
  • Product guardrails and system capabilities
  • Understanding Market intent
  • Deep understanding of all dimensions of Provider data
• Responsible for provider implementation of simple to moderately complex network solutions
  • Market and client-specific solution structures
  • Create local and/or national solutions
  • Vary solution to support product or customer needs 
  • Network definitions and rules
  • Define network by PCP role designation, tiering, high performing network
  • Define network to support contract requirements
• Responsible for ensuring accuracy of provider data quality during implementation
• Establish and develops relationships with key partners
• Develop and implement communication and reporting mechanisms to manage issues, risks and timely delivery of initiative results.
• Identify and remove barriers that slow or prevent successful market implementation

  

KNOWLEDGE:

• Understanding of Provider Data and networks required
• Design experience of network solutions & configurations,  2-3 years preferred
• Network Implementation experience, 3-5 years required
• Understanding of Domain/s (Network, Reimbursement, Contract, Demographic and Relationships)
• Good problem solving and critical thinking skills
• Understanding of CIGNA Products and systems and structures needed to support the products is valued
• Focused and versatile team player
• Strong ability to demonstrate critical thinking skills
• Strong written, and verbal communication and presentation skills.  Ability to speak clearly and concisely, conveying information in a manner that others can understand
• Ability to develop relationships across all levels of the organization
• Proven ability to be detail oriented and task driven
• Results focused with a high degree of curiosity, intelligence, integrity and common business sense

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.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group 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.