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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Provider Network Operations Advisor - Cigna... - **Company:** Cigna - **Location:** McLean, VA, United States (Remote available) - **Experience:** Expert - **Salary:** $79,700.0 - $132,800.0 - **Contract:** Permanent contract - **Skills:** Access Network, Databases, IBM Cognos Business Intelligence, Internet Service Provider, Mailing List, Microsoft Office, Network Administration, Computer Network Operations, Data Analytics - **Published:** August 6, 2026 - **Apply:** https://www.juju.com/job/00000000gm0mrc ## About the Role + Bachelor's degree or equivalent experience required. + 5+ years of experience in provider network management or healthcare insurance. + Project management experience preferred. + Strong analytical, problem-solving, and critical-thinking skills. + Excellent communication, stakeholder management, and organizational skills. + Healthcare compliance and regulatory experience preferred. + Knowledge of CMS regulations, NSA, and reimbursement structures preferred. + Ability to work independently and manage multiple priorities. + Proficiency in Microsoft Office; Cigna systems experience preferred. + Local market knowledge preferred. 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. ## Description Join our team as a **Provider Network Operations Advisor** , playing a key role in creating and maintaining provider networks that deliver quality, affordability, and access to care. This role shapes provider network strategy across a matrixed group of partners, using data to drive initiatives that support Cigna Enterprise goals and directly impact our clients and customers., Provider Data Resolution + Support the management and implementation of provider, hospital, and ancillary networks by researching and resolving provider data issues, including demographic, claims, and system loading errors. + Troubleshoot issues escalated by Market Network Advisors using Cigna systems such as HCPM, Cognos, and the Developer Database. + Respond to questions from the Contracting team and matrix partners related to provider locations, policies, and data accuracy. + Perform rate and fee schedule audits upon request. + Support accurate loading of provider contracts and reimbursement methodologies. Market Guidebooks + Create, manage, and maintain Market Guidebooks, including rate updates, provider inclusion/exclusion, and audit documentation. + Advise Market leadership and the National Alternative Access Network Manager on market-specific network dynamics. + Participate in quarterly reviews, identify corrections, and assist with provider terminations, additions, and updates. Alternative Access Network (AAN) + Serve as the market subject matter expert for Alternative Access Networks, including inclusion/exclusion criteria and anchor providers. + Develop and maintain the AAN field guide for Contracting teams. + Coordinate, edit, and approve AAN communications, such as provider notices and Sales materials. + Conduct provider research and approve mailing lists for new or expanded product offerings. + Perform ongoing network maintenance, answer questions, and resolve issues. + Partner with the Network Manager on Split TIN handling and loading for IFP. Affordability + Facilitate monthly affordability calls and agendas. + Monitor opportunity detection tools and support total medical cost savings through provider research, claims analysis, action planning, and outcome monitoring. + Partner with Market Medical Directors and Data Analytics on savings opportunities. + Perform medical benchmarking and network modeling using HPN tools. Compliance - Network Adequacy & State Filings + Partner with matrix teams to ensure accurate provider data for filings, including hospital listings and state-specific requirements for the Mid-Atlantic market. + Support recruitment efforts to address network adequacy gaps by validating provider locations, specialties, and viability. HSCRC - State of Maryland + Represent the market on monthly state-facilitated calls. + Provide regulatory updates to Contracting leadership and the Market Medical Director. + Participate in AHEAD learning activities and support related initiatives. Regulatory Compliance - Mid-Atlantic + Support subject matter expertise related to the No Surprises Act, CMS guidance, and federal and state regulations. + Partner with business owners to ensure workflows and policies are implemented in a timely manner. + Identify operational gaps and recommend process improvements. ## Related Videos - [How Cisco embraced a DevOps culture within its network engineering team](https://www.wearedevelopers.com/videos/99-how-cisco-embraced-a-devops-culture-within-its-network-engineering-team) - [Kubernetes and Microservices with Multi-Model Databases](https://www.wearedevelopers.com/videos/382-kubernetes-and-microservices-with-multi-model-databases) - [Small, Secure, Interconnected: The next Internet Protocol](https://www.wearedevelopers.com/videos/100062-small-secure-interconnected-the-next-internet-protocol) - [Fault Tolerance and Consistency at Scale: Harnessing the Power of Distributed SQL Databases](https://www.wearedevelopers.com/videos/1146-fault-tolerance-and-consistency-at-scale-harnessing-the-power-of-distributed-sql-databases) - [Cyber Sleuth: Finding Hidden Connections in Cyber Data](https://www.wearedevelopers.com/videos/893-cyber-sleuth-finding-hidden-connections-in-cyber-data) - [Branch your database like your code: How schema changes and pull requests go hand in hand](https://www.wearedevelopers.com/videos/350-branch-your-database-like-your-code-how-schema-changes-and-pull-requests-go-hand-in-hand) ## Related Articles - [Best Paying Remote Jobs](https://www.wearedevelopers.com/magazine/255-best-paying-remote-jobs) - [Best Companies to work for in London: Top 25 Companies in 2023](https://www.wearedevelopers.com/magazine/187-best-companies-to-work-for-in-london-top-25-companies-in-2023) - [Data Analyst Salary in the UK](https://www.wearedevelopers.com/magazine/278-data-analyst-salary-in-the-uk) - [What Are The Top Skills Required For Azure Developers?](https://www.wearedevelopers.com/magazine/77-what-are-the-top-skills-required-for-azure-developers) - [Best companies to work for United States: Top 20 Companies in 2023](https://www.wearedevelopers.com/magazine/245-best-companies-to-work-for-united-states-top-20-companies-in-2023) - [Best Paying Jobs in Technology](https://www.wearedevelopers.com/magazine/256-best-paying-jobs-in-technology)