Bloomfield, CT, 06002, USA
1 day ago
Network Operations Lead Analyst - Express Scripts - Remote
At Evernorth, we are ambitious and compassionate experts who believe great work happens when we stay curious, collaborative, and committed to progress. As a Lead Analyst on our Network Strategy & Operations team, you will help strengthen the performance and reliability of our national retail pharmacy network. In this role, you will turn complex situations into clear actions, partner with experts across the enterprise, and ensure our responses to state regulators reflect our integrity, accuracy, and customer commitment. If you enjoy solving problems, navigating fast‑moving challenges, and contributing to meaningful operational outcomes, this is an opportunity to grow and make a difference. **Responsibilities** In this role, you will contribute to measurable impact by: + Leading the intake, evaluation, and routing of retail pharmacy complaints submitted to state departments of insurance to ensure the right teams engage quickly. + Investigating each issue by reviewing claims, provider interactions, client configurations, and network structures to uncover root causes and inform action. + Partnering with Legal and Regulatory teams to shape clear, accurate messaging for required state responses. + Preparing, proofreading, and refining supporting documents to ensure every submission reflects operational excellence and strong attention to detail. + Collaborating with the Presidential Escalations team to deliver responses within required timelines while maintaining quality and clarity. + Identifying trends, repeat concerns, and emerging issues, contributing insights that help strengthen processes, improve network performance, and reduce future escalations. + Supporting special projects that advance innovation, readiness, and cross‑functional collaboration across Product, Pricing, Network Operations, and Network Compliance. **Required Qualifications** + Minimum 2 years of experience in regulatory compliance, legal, public affairs, corporate communications, or related fields. + Strong verbal and written communication skills, with the ability to break down complex issues into clear, actionable language. + Proven ability to manage multiple priorities with accuracy, organization, and attention to detail. + Demonstrated experience working in fast‑paced, high‑growth environments with tight deadlines. + Working knowledge of Microsoft Word, Excel, and PowerPoint. + Skilled in issue management, conflict resolution, project management, and business analysis. **Preferred Qualifications** + Bachelor’s degree (preferred, not required). + Paralegal or similar legal support experience. + Familiarity with retail pharmacy networks, contracting, or healthcare operations. + Experience working across cross‑functional teams including Product, Pricing, Network Operations, and Compliance. 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 71,100 - 118,500 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. At The Cigna Group, 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), 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 (https://jobs.thecignagroup.com/us/en/benefits) . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._
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