Network Operations Manager Evernorth

Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week: Bloomfield CT Chattanooga TN Denver CO St Louis MO or Scottsdale AZ.

The PDM (Provider Data Management) Network Operations Manager oversees provider data changesincluding provider additions new network loads terminations and demographic updatesfor an assigned region or book of business. The role is accountable for inventory management (volume aging and turnaround time performance) operational execution and crossfunctional partnership. This position leads an onshore team and represents PDM within a complex matrixed environment.

Key Responsibilities

• Oversee provider maintenance intake and inventory by assessing current and projected workload projects and enterprise initiatives; recommend and execute resource alignment to meet demand.
• Serve as a subjectmatter expert for HCP data operations market structures and provider dataloading tools.
• Lead team performance against quality productivity and turnaroundtime objectives; support resolution of complex data issues and proactively mitigate operational risk.
• Monitor operational health through consistent use of tracking and reporting tools; analyze trends in volume aging quality and throughput to identify risks and continuousimprovement opportunities.
• Partner with Quality to identify error trends drive defect reduction and implement process improvements that improve accuracy and compliance outcomes.
• Collaborate with Automation Solutions and Technology teams to responsibly deploy efficiency and automation solutions ensuring accuracy scalability and alignment with network market and grouploading requirements.
• Partner with solutions teams to monitor postdeployment performance validate expected outcomes and drive value realization across efficiency automation and transformation programs.
• Enable strong global service partner performance by partnering on operational readiness clarity of expectations and ongoing performance oversight aligned to quality productivity and turnaroundtime outcomes.
• Lead rootcause triage for performance issues inventory challenges or quality defects in partnership with global service providers and matrix teams; drive corrective actions and preventative improvements.
• Partner with solutions automation and global service teams to identify deploy and sustain efficiency improvements; support adoption while monitoring impact to operational health quality and value realization.
• Provide oversight for initiatives requiring onshore PIDM resources by managing milestones delivery timelines and resource utilization; serve as project lead as needed.
• Establish and maintain strong partnerships with Provider Services Contracting Network Solutions & Development (NS&D) Quality and other matrix stakeholders to support execution of the provider data strategy.
• Provide clear concise status updates to leadership on operational performance risks and initiative progress.

Qualifications

• Bachelors degree or higher strongly preferred or equivalent work experience required.
• 5 years of experience in provider data management network operations healthcare operations or a related field.
• 2 years of people leadership experience with demonstrated accountability for team performance and development required.
• Proven experience managing inventory turnaround times and operational throughput in a highvolume regulated environment.
• Experience partnering with Quality Automation and Technology teams to deploy operational efficiency solutions responsibly.
• Demonstrated ability to analyze operational data monitor performance trends and translate insights into actionable improvements.
• Experience managing projects or initiatives across matrixed teams including milestone tracking and resource planning.
• Strong communication and stakeholdermanagement skills with the ability to provide executiveready updates.

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

At The Cigna Group youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several health-related benefits including medical vision dental and well-being and behavioral health programs. We also offer 401(k) 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 click here.

About The Cigna Group

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 need a reasonable accommodation to complete the online application process please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

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