Network Operations Advisor DOI and Regulatory Response Express Scripts Hybrid or Remote

At Evernorth we are ambitious and compassionate problem-solvers committed to doing whats right for our clients customers and communities. As a Network Operations Advisor on the Network Strategy & Operations team you will play a critical role in managing and coordinating responses to regulatory inquiries and official legal complaints tied to our national retail pharmacy network.

This role sits at the intersection of operations regulatory affairs and legal response. You will lead complex workstreams translate nuanced issues into clear narratives and partner across the enterprise to ensure timely accurate and thoughtful engagement with state regulators. This is a highly visible role requiring sound judgment strong communication skills and the ability to navigate ambiguity while driving outcomes.

Key Responsibilities

This role delivers impact through strategic coordination crossfunctional leadership and clear external communication including:

• Serving as a central point of coordination for Department of Insurance (DOI) complaints regulatory inquiries and official legal complaints ensuring timely intake triage and response.

• Leading crossfunctional workstreams to evaluate issues align on facts and drive resolution across Legal Regulatory Network Operations Product Pricing and Compliance teams.

• Partnering closely with Legal and Regulatory Affairs to develop accurate defensible and wellstructured responses that meet statutory and contractual requirements.

• Translating complex operational contractual and claimsrelated information into clear concise narratives appropriate for regulators and legal audiences.

• Overseeing the preparation review and quality assurance of supporting documentation and formal submissions with strong attention to detail and tone.

• Managing timelines dependencies and stakeholder alignment to ensure responses are delivered within required regulatory deadlines.

• Identifying patterns emerging risks and systemic issues to inform process improvements escalation mitigation strategies and network performance enhancements.

• Supporting enterpriselevel initiatives that improve regulatory readiness strengthen compliance practices and enhance collaboration across Network Strategy & Operations.

Required Qualifications

• Minimum of 2 years of experience in regulatory compliance legal operations public affairs corporate communications healthcare operations or a related field.

• Demonstrated ability to lead crossfunctional efforts and manage multiple workstreams simultaneously.

• Exceptional written and verbal communication skills with experience crafting executivelevel or externally facing content.

• Strong analytical and organizational skills with the ability to synthesize complex inputs into clear recommendations.

• Proven success operating in fastpaced deadlinedriven environments with high visibility and accountability.

• Proficiency in Microsoft Word Excel and PowerPoint.

Preferred Qualifications

• Bachelors degree

• Experience supporting legal complaints regulatory response or government inquiries.

• Paralegal legal operations or regulatory support background.

• Familiarity with retail pharmacy networks healthcare operations or payer environments.

• Experience partnering across Product Pricing Network Operations Compliance and Legal teams.