Risk and Underwriting Advisor
The Cigna Group
Senior Program Management Advisor
The Cigna Group
full-time
Posted on:
Origin: • 🇺🇸 United States • Missouri, Pennsylvania
Visit company websiteJob Level
Senior
About the role
- Support Care Solutions clinical systems business requirements and operational best practices for all clinical roles
- Align to Portfolio projects and Operational initiatives to lead discussions with Operations to understand operational needs, identify workflow impacts and make recommendations
- Create business requirements and validate test evidence
- Lead contingency planning, conduct post release check out and ensure accuracy of training and impacted SOPs
- Lead discussions to provide recommendations, impact analysis and requirements for mid to large size projects/initiatives
- Participate in chair side observations and other operational efficiency exercises to provide TruCare expertise and insights into process improvement
- Lead process improvement initiatives and collaborate with Clinical Operations staff and the Information Technology team to define best practices
- Identify and deliver solutions for custom client requests
- Develop, drive and maintain work plans considering priorities, milestones, time estimates and task sequencing
- Drive the timely development of training, knowledge management and quality materials supporting system release changes and proficiency modules
- Establish project milestones and timelines to meet deliverable requirements
- Identify and resolve barriers that slow or prevent successful attainment of process/productivity improvement and administrative efficiency
- Develop and conduct system test cases and test evidence; validate and sign off on vendor enhancements
- Lead system release business checkout, provide post implementation operational support and troubleshoot issues as needed
- Escalate issues to appropriate audiences including key business leaders and team members as needed
Requirements
- Bachelor’s Degree, preferred; MBA, PMI or Six Sigma training also valued
- 10+ years combined business and technical analysis experience
- 10+ years experience in healthcare or insurance industry
- Demonstrated project management skills and success
- Thorough knowledge and experience with Evernorth Operations and Care Solutions platforms
- Exhibit working understanding of the medical billing, claims systems and member eligibility
- Exhibit knowledge and experience in the Scaled Agile SAFe framework
- Strong analytical, problem solving, and conceptual skills
- Strong business acumen
- Proven ability to create and develop strong relationships with business and IT leadership
- Ability to foster collaboration, value others perspectives and gain support and buy-in for organizational proposals
- Ability to work in a fast paced, demanding and rapidly changing environment
- Excellent oral, written presentation and communication skills
- Ability to lead and influence in a matrixed environment
- Ability to prioritize multiple obligations and meet aggressive timelines
- Proven ability to manage and mentor others
- Viewed as a leader and mentor
- Excellent organizational and time management skills
- Excellent interpersonal and relationship building skills
- Detail oriented with excellent research skills
- If working at home occasionally or permanently, internet connection must be cable broadband or fiber with at least 10Mbps download/5Mbps upload
- This is a hybrid role which will require the candidate to work in an office. Preferred offices: St. Louis, MO; Philadelphia, PA or Pittsburg, PA.
