Claims Readiness and Performance Solutions Director – Work from Home - Evernorth Job at Cigna
As a Claims Readiness and Performance Solutions Director you would report to the Sr Director of Provider Operations Readiness & Performance Solutions. This is a key leadership role supporting the claims operations within Provider Solutions & Operations. You would own the development and execution of all key business readiness functions including quality review, quality inspection and performance and coaching to deliver on our brand promise to our internal stakeholders and enabling a best-in-class provider service experience in healthcare. Problems faced are often complex and will require the ability to influence others, including senior leaders, through effective communication and decision making.
Three pillars are the critical foundation for this position:
Driving strong partnerships across the Enterprise
Strong business acumen and insight to drive best-in-class service levels
Aligning talent and team structure for effective execution
How you’ll make an impact:
Aligning the vision and strategy of the Provider Readiness and Performance Solutions team to key business priorities and initiatives
Enabling optimal and consistent service delivery through the Quality and Coaching functions
Driving efficiency through integration and automation of quality control programs
Owning identification and supporting execution of process improvement initiatives within the Claims operations necessary to continuously improve key metrics
Driving strategic deliverables for initiatives/projects to support strategic roadmaps, objectives and opportunity analysis, where applicable
Collaborating with cross-functional matrix partners, operations and human resources teams to ensure planning, execution, adoption and reporting strategies for relates areas of responsibility
Ensuring effective communication with key stakeholders and internal management.
Leading and providing continuous development to a top talent team that drives results and strong partnerships
Qualifications:
Bachelor’s degree or professional certifications
10+ years of progressive operational leadership experience
10+ years of progress change leadership or learning environment experience
Demonstrated ability to think strategically and facilitate discussions across a matrix organization
Advanced knowledge of the healthcare industry
Excellent oral, written presentation and communication skills
Leadership experience with proven ability to attract exceptional talent and develop effective teams
Demonstrated ability to drive results with sense of urgency in an often ambiguous and rapidly changing environment
Courage and willingness to constructively challenge the status quo
Critical and creative thinking
Demonstrated problem solving skills
Enterprise mindset
Team player with proven ability to foster and manage cross functional working relationships
Change management champion
Interpersonal and professional savvy
Project management
Strong analytics and root cause analysis
Exceptional listening skills
Strong communication skills; concise, able to effectively articulate with brevity
Strategic, visionary, innovative mindset
Willingness and ability to travel up to 25%
We expect this role to remain fully virtual, work from home, and operates Monday through Friday, normal business hours or as business needs dictate.
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 142,500 - 237,500 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 and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group .
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
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.
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
Three pillars are the critical foundation for this position:
Driving strong partnerships across the Enterprise
Strong business acumen and insight to drive best-in-class service levels
Aligning talent and team structure for effective execution
How you’ll make an impact:
Aligning the vision and strategy of the Provider Readiness and Performance Solutions team to key business priorities and initiatives
Enabling optimal and consistent service delivery through the Quality and Coaching functions
Driving efficiency through integration and automation of quality control programs
Owning identification and supporting execution of process improvement initiatives within the Claims operations necessary to continuously improve key metrics
Driving strategic deliverables for initiatives/projects to support strategic roadmaps, objectives and opportunity analysis, where applicable
Collaborating with cross-functional matrix partners, operations and human resources teams to ensure planning, execution, adoption and reporting strategies for relates areas of responsibility
Ensuring effective communication with key stakeholders and internal management.
Leading and providing continuous development to a top talent team that drives results and strong partnerships
Qualifications:
Bachelor’s degree or professional certifications
10+ years of progressive operational leadership experience
10+ years of progress change leadership or learning environment experience
Demonstrated ability to think strategically and facilitate discussions across a matrix organization
Advanced knowledge of the healthcare industry
Excellent oral, written presentation and communication skills
Leadership experience with proven ability to attract exceptional talent and develop effective teams
Demonstrated ability to drive results with sense of urgency in an often ambiguous and rapidly changing environment
Courage and willingness to constructively challenge the status quo
Critical and creative thinking
Demonstrated problem solving skills
Enterprise mindset
Team player with proven ability to foster and manage cross functional working relationships
Change management champion
Interpersonal and professional savvy
Project management
Strong analytics and root cause analysis
Exceptional listening skills
Strong communication skills; concise, able to effectively articulate with brevity
Strategic, visionary, innovative mindset
Willingness and ability to travel up to 25%
We expect this role to remain fully virtual, work from home, and operates Monday through Friday, normal business hours or as business needs dictate.
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 142,500 - 237,500 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 and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group .
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
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.
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.