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The Cigna GroupTG

Network Operations Lead Analyst - Express Scripts - Remote

The Cigna Group is a leading global health company focused on enhancing health services through innovative solutions and partnerships.

The Cigna Group

Employee count: 5000+

Salary: 71k-119k USD

United States only

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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.

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.

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Mid-level

Salary

Salary: 71k-119k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About The Cigna Group

Learn more about The Cigna Group and their company culture.

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The Cigna Group is a global health company dedicated to improving the health and vitality of those we serve. With a long-standing history that spans over 200 years, we have evolved to meet the changing needs of our clients, customers, and communities. Through our two key divisions, Cigna Healthcare and Evernorth Health Services, we offer a range of innovative healthcare solutions designed to enhance individual and community health.

Our commitment to enhancing health goes beyond traditional insurance offerings. We are continuously challenging ourselves to innovate and partner in ways that foster better health outcomes. This involves not only providing health insurance plans but also engaging in partnerships that promote access to care, address social determinants of health, and leverage technology to improve health engagement and outcomes. We believe that a healthier population contributes to stronger communities, and we strive to create systems that reflect this principle.

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The Cigna Group hiring Network Operations Lead Analyst - Express Scripts - Remote • Remote (Work from Home) | Himalayas