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Cigna

Network Operations Senior Analyst, Provider Compliance - Express Scripts - Remote

United States Work at HomeRemote (US)senior$62K – $104K

Posted today · via Workday

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About this role

Position Summary: Provider Compliance works to ensure the integrity of the Express Scripts networks for all Clients and Members. The Provider Compliance Senior Analyst is responsible for assisting in the daily support, and preparation, of the provider termination process. This position will work cross functionally with several different groups collecting and reporting on termination information, as well as support investigations of pharmacy noncompliance, and collaborative support Client Account Team requests that intersect with pharmacy operations and compliance. Essential Functions: Ensure network providers maintain compliance with state and federal regulations, as well as ESI’s Provider Manual and Provider Agreement.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: express, fiber, teams

2

Level fit

This role is senior-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is remote-eligible — we factor in your stated location and time-zone overlap.

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Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

expressfiberteams

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