Senior Manager, Individual Dental Core Operations

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🔥 0 minutes ago

🐊 Florida, Missouri, +3 more states – Remote

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⏰ Full Time

🟠 Senior

⚙️ Operations

👻 Ghost score 10%

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Logo of The Cigna Group

The Cigna Group

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Lead day-to-day operations across the Individual Dental business • Establish operational priorities and execution plans supporting business goals and customer experience objectives • Monitor operational performance and implement corrective actions for service disruptions, performance gaps, operational risks, and emerging issues • Serve as operational leader during enrollment periods, business events, and significant operational incidents • Ensure operational readiness for initiatives affecting customer, provider, billing, enrollment, or servicing functions • Oversee enrollment operations, including applications, onboarding, renewals, terminations, eligibility maintenance, and enrollment integrity • Direct billing and premium administration, including invoicing, premium collection, financial reconciliation, and customer account management • Lead customer operations, contact center performance, escalations, complaint management, and issue resolution • Lead operational reporting and business intelligence functions • Establish performance scorecards, dashboards, and reporting frameworks • Provide oversight of Dental Claims operations performed by Enterprise Operations • Partner with enterprise leaders to improve claims performance, quality, accuracy, turnaround times, and customer outcomes • Lead and develop teams across customer operations, operational support, reporting, and business operations • Support talent development, succession planning, and workforce readiness • Build partnerships across business, technology, operations, and vendor organizations

🎯 Requirements

• Bachelor's Degree required • 8+ years of progressive leadership experience in operations, customer service, healthcare administration, insurance operations, or related disciplines • Demonstrated experience leading large-scale operational functions in highly regulated environments • Experience managing operational teams responsible for enrollment, billing, customer service, financial operations, or business operations • Proven experience managing vendor relationships and outsourced operational functions • Strong understanding of operational performance management, business intelligence, service delivery, and process improvement methodologies • Experience working in matrixed organizations and influencing enterprise partners • Excellent analytical, operational, financial, and problem-solving skills • Strong communication and executive presentation capabilities • Internet connection obtained through a cable broadband or fiber optic internet service provider with at least 10Mbps download/5Mbps upload when working at home

🏖️ Benefits

• Remote work arrangement • Work-at-home eligibility in Missouri, Florida, Texas, Pennsylvania, Georgia, and Tennessee • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload for home working • Tobacco-free policy • Reasonable accommodation support for the online application process

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