Job Information
The Cigna Group Network Operations Advisor - DOI and Regulatory Response - Express Scripts - Hybrid or Remote in Bloomfield, Connecticut
At Evernorth, we are ambitious and compassionate problem-solvers committed to doing what’s right for our clients, customers, and communities. As a Network Operations Advisor on the Network Strategy & Operations team, you will play a critical role in managing and coordinating responses to regulatory inquiries and official legal complaints tied to our national retail pharmacy network.
This role sits at the intersection of operations, regulatory affairs, and legal response. You will lead complex workstreams, translate nuanced issues into clear narratives, and partner across the enterprise to ensure timely, accurate, and thoughtful engagement with state regulators. This is a highly visible role requiring sound judgment, strong communication skills, and the ability to navigate ambiguity while driving outcomes.
Key Responsibilities
This role delivers impact through strategic coordination, cross‑functional leadership, and clear external communication, including:
Serving as a central point of coordination for Department of Insurance (DOI) complaints, regulatory inquiries, and official legal complaints, ensuring timely intake, triage, and response.
Leading cross‑functional workstreams to evaluate issues, align on facts, and drive resolution across Legal, Regulatory, Network Operations, Product, Pricing, and Compliance teams.
Partnering closely with Legal and Regulatory Affairs to develop accurate, defensible, and well‑structured responses that meet statutory and contractual requirements.
Translating complex operational, contractual, and claims‑related information into clear, concise narratives appropriate for regulators and legal audiences.
Overseeing the preparation, review, and quality assurance of supporting documentation and formal submissions, with strong attention to detail and tone.
Managing timelines, dependencies, and stakeholder alignment to ensure responses are delivered within required regulatory deadlines.
Identifying patterns, emerging risks, and systemic issues to inform process improvements, escalation mitigation strategies, and network performance enhancements.
Supporting enterprise‑level initiatives that improve regulatory readiness, strengthen compliance practices, and enhance collaboration across Network Strategy & Operations.
Required Qualifications
Minimum of 2 years of experience in regulatory compliance, legal operations, public affairs, corporate communications, healthcare operations, or a related field.
Demonstrated ability to lead cross‑functional efforts and manage multiple workstreams simultaneously.
Exceptional written and verbal communication skills, with experience crafting executive‑level or externally facing content.
Strong analytical and organizational skills, with the ability to synthesize complex inputs into clear recommendations.
Proven success operating in fast‑paced, deadline‑driven environments with high visibility and accountability.
Proficiency in Microsoft Word, Excel, and PowerPoint.
Preferred Qualifications
Bachelor’s degree
Experience supporting legal complaints, regulatory response, or government inquiries.
Paralegal, legal operations, or regulatory support background.
Familiarity with retail pharmacy networks, healthcare operations, or payer environments.
Experience partnering across Product, Pricing, Network Operations, Compliance, and Legal teams.
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 79,700 - 132,800 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 (https://jobs.thecignagroup.com/us/en/benefits) .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.