Quality CSN – Network Strategy & Solution Lead - Evernorth - Remote

The Cigna Group

15h • Remote

About The Position

As a Quality CSN – Network Strategy & Solution Lead, you play a vital leadership role in shaping and delivering client‑specific network (CSN) strategies that create measurable value. You will guide complex initiatives, connect cross‑functional partners, and turn strategic opportunities into real outcomes for clients and the business.

Requirements

• 7+ years of experience in product management, network strategy, healthcare operations, or related fields.
• Deep expertise in claims management, claims processing, quality standards, and healthcare network operations.
• Proven experience leading cross‑functional projects in complex or matrixed environments.
• Strong communication skills with the ability to translate complex concepts into clear, actionable information.

Nice To Haves

• Bachelor’s degree in Business Administration, Healthcare Management, or related field.
• Master’s degree or professional certifications (e.g., PMP, Lean Six Sigma).
• Experience designing or implementing client‑specific network (CSN) solutions.

Responsibilities

• Lead the strategic planning and execution of CSN initiatives, ensuring timelines, milestones, and deliverables are aligned to strategic goals.
• Serve as a subject matter expert in claims processing and quality standards, providing guidance and integrating expertise into CSN design and audits.
• Drive end‑to‑end CSN implementation, including stakeholder alignment, launch readiness, and post‑implementation evaluation.
• Build strong partnerships across sales, service, implementation, CSN, operations, IT, legal, compliance, and external partners such as auditors, vendors, and clients.
• Facilitate cross‑functional collaboration, resolve obstacles, and promote solution‑oriented discussions.
• Identify opportunities for product enhancements, innovation, and scalable improvements in CSN quality design.
• Ensure documentation, network specifications, and process flows are complete, accurate, and fully compliant.
• Prepare and deliver clear, compelling presentations, reports, and root‑cause analyses to senior leadership, clients, and partners.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level