Network Operations Senior Advisor - Evernorth - Remote

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.

GENERAL PURPOSE:     

The Capability Manager (Network Operations Sr. Advisor which is an individual contributor role) is a key member of the Network Solutions and Growth team and is accountable for defining, maturing, and optimizing provider data and network capabilities that enable business outcomes across the enterprise.

This role focuses on capabilities rather than point solutions, ensuring that provider data, network, contract, and operational data capabilities are well‑defined, governed, consumable, and aligned to enterprise strategy. The Capability Manager represents assigned capability domains through maturity assessments, roadmap development, and ongoing adoption, while partnering closely with delivery teams, operational users, data governance bodies, and product leadership.

The role requires a strong ability to balance strategic thinking with operational execution, assess impact of new requests and changes, manage dependencies and risks, and communicate progress and issues clearly to diverse stakeholder audiences.

RESPONSIBILITIES:

• Define, document, and maintain business capabilities, including scope, intended usage, guardrails, quality standards, and business rules aligned to enterprise capability frameworks.
• Represent assigned capability domains and partner with Capability Experts to support capability maturity assessments, gap identification, and roadmap recommendations.
• Define and document business requirements, quality controls, and usage standards needed to support evolving business and market needs.
• Analyze intake and change requests to assess capability impact, dependencies, risk, and alignment with current priorities and future business needs.
• Partner with delivery teams to ensure capabilities are implemented in alignment with defined business intent, acceptance criteria, and expected outcomes.
• Support operational teams with business definition, interpretation, and correct usage of provider data and network capabilities.
• Actively participate in workgroups and governance forums focused on capability definition, data standards, usage rules, and consistency of outcomes across consumers.
• Partner with provider data users to promote accurate application, consistent usage, and shared understanding of capability behavior and limitations.
• Monitor capability performance, adoption, and data quality; respond to and resolve escalated issues impacting integrity, consistency, or usability.
• Identify risks, constraints, and barriers that could impact capability maturity, adoption, or delivery; develop mitigation or contingency approaches.
• Escalate issues and risks as appropriate with clear context, impact analysis, and recommended actions.
• Develop and deliver concise, audience‑appropriate communications and reporting on capability status, risks, and progress toward goals.
• Identify opportunities to improve capability efficiency, scalability, automation, and administrative effectiveness to support cost reduction and competitive differentiation.
• Holistically manage capability implementation and adoption through delivery, rollout, and ongoing operational use.
• Partner with matrixed organizations to coordinate initiatives and ensure actions are aligned across portfolios and domains.

QUALIFICATIONS:

• Bachelor’s degree or higher strongly preferred or equivalent work experience required
• Agile and/or PMI Certification or Six Sigma training is also valued
• 8+ years professional experience working in the healthcare industry preferred
• 5+ years in program management or solution management or related experience preferred
• Understanding of provider demographic, contract and network data relationships and usage is preferred
• Technical understanding of complex relational data models is preferred.
• Strong communication skills - ability to translate information for different partners/stakeholder audiences is required.
• Proven ability to think and act strategically and influence leadership
• Ability to lead and influence in a matrixed environment is critical.
• Ability to coach, develop and mentor others is required.
• Proven ability to create and further develop strong relationships with both business and IT leadership
• Demonstrate project management skills and success
• Ability to foster collaboration, value other perspectives and gain support and buy-in for organizational proposals

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 96,900 - 161,500 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 The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com 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.