Senior Supervisor, Individual Dental Operations

Job not on LinkedIn

🔥 28 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

⏰ Full Time

🟠 Senior

⚙️ Operations

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Lead quality assurance activities supporting operational excellence across the Individual Dental business • Establish and maintain quality monitoring programs, audit methodologies, evaluation standards, and reporting processes • Review operational performance, customer interactions, vendor activities, and business processes for adherence to standards and requirements • Analyze quality trends and identify opportunities to improve operational effectiveness, customer outcomes, and business performance • Lead intake, triage, tracking, investigation, and resolution of complex customer concerns • Oversee Department of Insurance inquiries, executive escalations, Exchange-related requests, Access to Care concerns, complaints, grievances, and other customer issues • Support internal, external, enterprise, and regulatory audit activities • Coordinate audit evidence, supporting documentation, business responses, audit programs, monitoring activities, and corrective action tracking • Monitor Federal Exchange, State-Based Exchange, Department of Insurance, and business requirements • Analyze operational data, audit findings, complaints, quality review results, and business metrics to identify trends • Conduct root cause analyses and recommend process improvements • Partner with Operations, Customer Service, Compliance, Risk Management, Vendor partners, Enterprise teams, and business leaders • Present findings, recommendations, and performance results to management and stakeholders • Lead, coach, mentor, and develop a team responsible for quality reviews, audit activities, customer escalations, and complaint resolution • Establish performance expectations, coordinate workload distribution, and support onboarding, training, performance management, and recognition

🎯 Requirements

• Bachelor's Degree or equivalent business experience required • 5+ years of experience in healthcare, insurance operations, quality assurance, audit, compliance, customer service, claims, enrollment, or related business functions • 2+ years of leadership or supervisory experience preferred • Strong understanding of Individual and Family Plan operations, dental products, customer servicing, and operational workflows • Experience supporting quality assurance, audit activities, complaints, grievances, escalations, or regulatory inquiries • Knowledge of Federal Exchange, State-Based Exchange, Department of Insurance, or other regulatory environments preferred • Strong analytical skills with demonstrated ability to identify trends, conduct root cause analyses, and develop actionable recommendations • Excellent verbal and written communication skills • Strong organizational, prioritization, and stakeholder management capabilities • Ability to function effectively in complex, fast-paced, and highly regulated environments • If working at home, internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Remote/home working permitted occasionally or permanently, subject to cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload • Tobacco-free policy and smoking cessation program eligibility in applicable states