SVP, Technology Leader - Health & Wellness
Synchrony
Operations Director
The Cigna Group
full-time
Posted on:
Location Type: Hybrid
Location: Morris Plains • Montana, New Jersey • 🇺🇸 United States
Visit company websiteSalary
💰 $119,000 - $198,400 per year
Job Level
Lead
About the role
- Provide operational leadership, expertise, and oversight to complex arrangements and customized clients in Express Scripts Inc. (ESI) Health Plans Division (HPD)
- Serve as the operations leader to front line Account Managers and client-facing representative
- Report to a Sr. Operation Director within HPD
- Responsible for all day-to-day activity of assigned HPD client portfolio and account teams
- Ensure that all Service Level Agreements (SLA) meet or exceed contractual obligations to drive client satisfaction and retention
- Establish and maintain solid working relationships with leaders from internal departments and external clients, vendors and consultants
- Represent the organization in providing solutions to difficult technical issues associated with complex setup and similar arrangements
- Own overall client account relationship including escalation support
- Sponsor standard and complex projects, ensuring client requirements are clearly defined, captured and implemented
- Own operational support for RFPs and support new product and business implementations
- Lead or participate in internal meetings to drive resolution and lead HPD key initiatives aimed at improving client experience, business model, employee well-being, margin or other processes
- Champion SOP and establish best practices as needed
Requirements
- 10+ years of relevant experience
- Bachelor Degree strongly preferred
- Experience with leading multiple teams and mentoring individuals to success
- Excellent verbal/written communication and presentation skills
- Proficient with MS Office suite, Skype and Webex
- Exceptional data analytics capability and problem solving skills
- Demonstrated ability in managing high visibility projects, often independently or through Sr. leadership
- Resourceful with a proven ability to exercise good judgement in problem solving
- Able to manage multiple tasks simultaneously; shift priority quickly as needed
- Takes free initiative to mitigate a found gap and socializes the same for enterprise awareness
- Strategic thinking; weighs potential risks or conflict associated with executing change and awareness of downstream impacts
- Advanced MS Excel; able to create pivots, write formulas, leverage macros and/or write VB
- Knowledge of CMS and HHS requirements and regulations associated with Med-d and ACA
- Industry knowledge of NCPDP D.0, PAL, Plan Finder, PDE, AGL, and intake sources such as MSP, FDB
- Technically savvy with SFTP (Secure File Transmission Protocol), file layouts, claim adjudication, billing and invoicing
- Participates and/or leads internal work groups
- Possesses a keen awareness to client temperature and proactively creates mitigation plans
- Ability to travel overnight up to 15-20% as needed
- If working at home, internet connection via cable broadband or fiber optic with at least 10Mbps download/5Mbps upload
Benefits
- Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment
- 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
- Anticipated eligibility to participate in an annual bonus plan
- Remote/Virtual work option (hybrid) and work-at-home flexibility
- Employee benefits programs and resources (Life at Cigna Group)
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analyticsproject managementMS ExcelSFTPfile layoutsclaim adjudicationbillinginvoicingproblem solvingstrategic thinking
Soft skills
leadershipmentoringcommunicationpresentationresourcefulnessjudgmentmultitaskinginitiativeclient relationship managementawareness
