Provider Relations Advisor, Retail Account Management - Express Scripts - Remote or Hybrid

Cigna Group • Saint Louis, MO

15d • Hybrid

About The Position

This position is a Hybrid role where the Cigna policy requires office alignment but is not restricted to locations that are identified in this posting. The Provider Relations Advisor supports the Pharma Retail Account Management team within Network Compliance. This role manages relationships with chains, PSAO, and independent pharmacy providers, serving as the primary point of contact for complex and escalated issues. The advisor researches and resolves a high volume of issues daily, delivers provider education, and shares performance data and metrics. The role also partners closely with internal teams to ensure operational execution, regulatory compliance, and strong provider performance. Success in this role requires the ability to work independently, lead provider relationships end‑to-end, and drive cross‑functional issue resolution while supporting broader network and supply chain strategies.

Requirements

• Bachelor’s degree in related field or 3-5 years of relevant experience.
• Experience working directly with providers.
• Ability to build strong external relationships.
• Demonstrated strength in problem‑solving and escalation management.
• Excellent oral, written communication and presentation skills.
• Project management/organizational skills with the demonstrated ability to manage projects, utilizing proven project management processes
• Strong leadership skills and the ability to effectively engage with cross functional leadership
• Ability to work cross-functionally to research and resolve complex client/provider issues on a daily basis.
• Strong focus on building relationships both internal and External focusing on service.
• Ability to manage simultaneous escalated issues with tight timelines.
• Excellent PC skills including Microsoft Office and internet experience.
• Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions with minimal supervision.
• 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.

Nice To Haves

• PBM industry knowledge strongly preferred.

Responsibilities

• Responsible for the relationship and daily support of complex/high profile chain, PSAO, and independently unaffiliated providers which includes, but not limited to, education and escalated issue management.
• Responsible for cross functional collaboration with internal and external teams and provide on-going support for Health Plan Sponsors and their requirements.
• Work with appropriate teams for data mining and analysis of files to ensure efficient and effective communication to Providers.
• Serves as subject matter expert for team on analytics and technical support.
• Execution of assigned strategic work plan initiatives including but not limited to network development, implementing initiatives benefiting Express Scripts clientele and promoting Corporate and Departmental objectives.
• Assists with development of strategic plans for assigned providers, providing consultative input to further foster strong provider relationships.
• A key extension of the Provider Strategy and Contracting Management teams- supporting channel development program launches and communication of program implementation and status.

Benefits

• 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 .

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level