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.

The PDM (Provider Data Management) Network Operations Manager oversees provider data changes-including provider additions, new network loads, terminations, and demographic updates-for an assigned region or book of business. The role is accountable for inventory management (volume, aging, and turnaround time performance), operational execution, and cross-functional partnership. This position leads an onshore team and represents PDM within a complex, matrixed environment.

Key Responsibilities

• Oversee provider maintenance intake and inventory by assessing current and projected workload, projects, and enterprise initiatives; recommend and execute resource alignment to meet demand.
• Serve as a subject-matter expert for HCP data operations, market structures, and provider data-loading tools.
• Lead team performance against quality, productivity, and turnaround-time objectives; support resolution of complex data issues and proactively mitigate operational risk.
• Monitor operational health through consistent use of tracking and reporting tools; analyze trends in volume, aging, quality, and throughput to identify risks and continuous-improvement opportunities.
• Partner with Quality to identify error trends, drive defect reduction, and implement process improvements that improve accuracy and compliance outcomes.
• Collaborate with Automation, Solutions, and Technology teams to responsibly deploy efficiency and automation solutions, ensuring accuracy, scalability, and alignment with network, market, and group-loading requirements.
• Partner with solutions teams to monitor post-deployment performance, validate expected outcomes, and drive value realization across efficiency, automation, and transformation programs.
• Enable strong global service partner performance by partnering on operational readiness, clarity of expectations, and ongoing performance oversight aligned to quality, productivity, and turnaround-time outcomes.
• Lead root-cause triage for performance issues, inventory challenges, or quality defects in partnership with global service providers and matrix teams; drive corrective actions and preventative improvements.
• Partner with solutions, automation, and global service teams to identify, deploy, and sustain efficiency improvements; support adoption while monitoring impact to operational health, quality, and value realization.
• Provide oversight for initiatives requiring onshore PIDM resources by managing milestones, delivery timelines, and resource utilization; serve as project lead as needed.
• Establish and maintain strong partnerships with Provider Services, Contracting, Network Solutions & Development (NS&D), Quality, and other matrix stakeholders to support execution of the provider data strategy.
• Provide clear, concise status updates to leadership on operational performance, risks, and initiative progress.

Qualifications

• Bachelor's degree or higher strongly preferred or equivalent work experience required.
• 5+ years of experience in provider data management, network operations, healthcare operations, or a related field.
• 2+ years of people leadership experience, with demonstrated accountability for team performance and development required.
• Proven experience managing inventory, turnaround times, and operational throughput in a high-volume, regulated environment.
• Experience partnering with Quality, Automation, and Technology teams to deploy operational efficiency solutions responsibly.
• Demonstrated ability to analyze operational data, monitor performance trends, and translate insights into actionable improvements.
• Experience managing projects or initiatives across matrixed teams, including milestone tracking and resource planning.
• Strong communication and stakeholder-management skills, with the ability to provide executive-ready updates.

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 92,800 - 154,600 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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.