Behavioral Health Network Sr Manager - MD Live - Hybrid

Cigna Group•Sunrise, FL

36d•Hybrid

About The Position

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.

Requirements

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.

Responsibilities

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.