Evernorth Health Services · 1 day ago
Quality CSN – Network Strategy & Solution Lead - Evernorth - Remote
United States
Full-time
Remote
Senior Level
$111K/yr - $185K/yr
7+ years expEvernorth Health Services is dedicated to improving health and vitality, and they are seeking a Quality CSN – Network Strategy & Solution Lead to shape and deliver client-specific network strategies. This role involves leading strategic planning, driving implementation, and fostering cross-functional collaboration to enhance CSN quality design.
Employee BenefitsHealth Care
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
Qualification
Required
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
Preferred
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
Benefits
Medical
Vision
Dental
Well-being and behavioral health programs
401(k)
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays
Company
Evernorth Health Services
Flexible and connected pharmacy, care and benefit solutions that move organizations and people forward.
10001+ employees
H1B Sponsorship
Evernorth Health Services has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (442)
2024 (335)
2023 (324)
Funding
Current Stage
Late StageLeadership Team
Peter Campbell
Senior Director of Cloud Security
Recent News
2026-01-13
2025-12-20
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