|Category||Project Management||Job type||Full Time|
Remote, Work from home
As a Total Cost of Care (TCC) program management lead of the Coverage Policy Unit (CPU) you will be responsible for TCC proposal development to support enterprise (TCC) savings goals with a focus on coverage, reimbursement, administrative, drugs and biologics policy, prior authorization and clinical code editing. As a CPU TCC program management lead you will partner with clinical, coding, code set, prepay, ClaimsXten Business operations, ClaimsXten IT, Healthplan analytics and other matrix partners across the organization to understand how proposed initiatives work and drive value.
Additional principal functions of this role include: identify key process elements, develop/collect process models, support root cause analysis, create & deploy process performance solutions, and monitor process performance. Lead, coordinate and/or support the deployment of process improvement projects as part of larger strategic initiatives. This role requires flexible and creative thinking and approaches to root cause analysis and problem solving, employing a wide range of methods, tools, and techniques to achieve the strategic objectives of the CPU to achieve optimal cross functional/departmental efficiencies. Responsibilities include leading and delivering on cross operational initiatives, clinical governance analysis and work stream support for TCC and business architecture analysis. Drive development and maintenance of initiative work plans with the ability to monitor progress against goals, timely escalation of barriers to success along with identification of potential solutions and providing concise and timely reporting tailored to appropriate stakeholder audiences.
This role is a hybrid role that will share time between Total Cost of Care (TCC) Program Management and Operating Effectiveness activities - the anticipated split is 50/50
This position is not eligible to be performed in Colorado.
Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.
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.
|Employer||091 Cigna Health & Life Ins. Co.|