Job Description

The Behavioral Health Senior Manager - Network Operations is responsible for leading the strategy, performance, and scalability of MDLIVE's Behavioral Health provider network. This role provides senior-level operational and people leadership across therapy and psychiatry network management, with direct accountability for provider access, engagement, productivity, and network performance.

The Senior Manager partners closely with Sales, Account Management, Clinical/Quality, Product, Analytics, Finance, Credentialing, Compliance, Government Programs, and Client teams to ensure the Behavioral Health network meets access standards, regulatory requirements, and enterprise objectives. This role serves as a primary owner of Behavioral Health network outcomes and applies data-informed decision-making to support sustainable growth and an excellent provider and patient experience.

What you'll do to make a difference *: *

• Own end-to-end performance of the Behavioral Health provider network, including access, utilization, engagement, retention, and operational sustainability across therapy and psychiatry disciplines.

• Lead Behavioral Health network strategy, translating enterprise and clinical goals into actionable recruiting, onboarding, engagement, and capacity plans informed by access metrics, wait times, and utilization trends.

• Oversee provider recruiting and engagement operations, ensuring timely pipeline movement, credentialing readiness, and provider activation in partnership with Sales/Acct Mgmt, Credentialing, Delegations, and Provider Services teams.

• Lead capacity planning efforts using analytical models to proactively identify access risks, licensure gaps, and targeted expansion opportunities.

• Develop and maintain dashboards, scorecards, and recurring executive reporting to monitor network health, SLAs, wait times, utilization, and provider engagement metrics.

• Use quantitative and qualitative data to assess performance, evaluate initiatives, support ROI analysis, and recommend operational or financial course corrections.

• Serve as the primary escalation point for complex provider, access, or network issues impacting quality, experience, or compliance.

• Partner cross-functionally with Sales/Acct Mgmt, Clinical Leadership, Product, Compliance, Government Programs, Finance, and Analytics to ensure network operations align with regulatory requirements (e.g., NCQA, CMS, state standards) and contractual obligations.

• Represent Behavioral Health Network Operations in executive forums, audits, Quarterly Business Reviews (QBRs), and enterprise initiatives.

• Provide direct leadership to Behavioral Health network operations staff, including goal setting, coaching/development, performance management, workforce planning, and talent development.

• Foster a culture of accountability, continuous improvement, collaboration, and data-driven decision-making.

What you'll need to be successful:

• High school diploma or GED required, bachelor's degree preferred.

• 7+ years of progressive experience in healthcare operations, provider network management, or related leadership roles.

• Demonstrated people-leadership experience in complex, matrixed environments.

• Experience leading Behavioral Health, clinical, or virtual care provider networks strongly preferred.

• Strong analytical skills with experience using data to inform operational decisions and performance improvement.

• Proven ability to influence cross-functional stakeholders and drive outcomes without direct authority.

• Excellent written and verbal communication skills, including experience presenting to senior and executive leadership.

• Process improvement experience.

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 113,900 - 189,900 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 ( .

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.

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