Senior Provider Compliance Analyst

The Cigna Group

. Partner with contracted pharmacy providers and internal teams to research and resolve complex compliance and operational matters .

Posted 10/27/2026full-timeRemote • United StatesSenior💰 $62,200 - $103,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pharmacy benefit management and healthcare operations, with a strong focus on compliance, process improvement, and effective communication. Proficient in analyzing complex issues and developing actionable recommendations while managing multiple priorities in a fast-paced environment.

Highest-signal resume keywords

Pharmacy Benefit ManagementRegulatory ComplianceAdvanced Microsoft ExcelProcess ImprovementAnalytical Problem-Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisProcess DocumentationStandard Operating ProceduresWorkflow AutomationOperational Risk Assessment

Soft Skills

Critical ThinkingDecision MakingClear CommunicationTime ManagementAttention to Detail

Tools & Technologies

Microsoft PowerPointMicrosoft WordMicrosoft AccessBusiness Applications

Industry Keywords

Healthcare OperationsCompliance StandardsAccreditationCredentialingDelegation

About the role

Key responsibilities & impact

Partner with contracted pharmacy providers and internal teams to research and resolve complex compliance and operational matters
Lead or contribute to cross-functional projects involving business applications, technology solutions, and process improvements
Analyze complex issues, identify risks and opportunities, and develop timely recommendations and solutions
Simplify work, automate workflows, and strengthen alignment across teams and partners
Monitor network provider compliance with state and federal requirements, internal policies, and procedures
Support client, internal, and other applicable audits by preparing information, coordinating responses, and addressing operational needs
Create, review, and maintain standard operating procedures, policies, training materials, and process documentation
Share recommendations, concerns, and operational risks with stakeholders
Promote operational excellence through continuous improvement, effective technology use, and consistent execution

Requirements

What you’ll need

3+ years of experience in pharmacy benefit management, pharmacy networks, healthcare operations, compliance, or a related field
Strong analytical, critical-thinking, problem-solving, and decision-making skills
Ability to translate complex research into practical recommendations
Ability to independently manage multiple priorities, deadlines, and deliverables in a fast-paced environment
Clear written and verbal communication skills
Strong organization, time management, attention to detail, and sound judgment
Advanced Microsoft Excel skills, including formulas, data analysis, and pivot tables
Proficiency with PowerPoint, Word, Access, and related business applications
Experience with regulatory requirements and industry standards related to accreditation, credentialing, delegation, or oversight
Experience improving processes, supporting audits, developing procedures or training, or implementing technology solutions in a regulated environment
If working at home, internet connection through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload
Bachelor’s degree is listed as preferred, not required

Benefits

Comp & perks

Annual bonus plan eligibility
Medical, vision, and dental benefits
Well-being and behavioral health programs
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence