Senior Manager, Individual Dental Operating Effectiveness

🔥 0 minutes ago

🐊 Florida, Missouri, +3 more states – Remote

🐊 Florida – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

⏰ Full Time

🟠 Senior

👔 Manager

👻 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

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

• Establish and maintain operational governance frameworks, controls, monitoring processes, and oversight mechanisms for the Individual Dental business • Lead quality assurance programs, standards, audit methodologies, scorecards, monitoring, corrective actions, and performance improvement initiatives • Lead knowledge management, operational documentation, business readiness, communication, and knowledge transfer activities • Lead operational compliance and risk management; coordinate audits, assessments, reviews, and control evaluations • Govern strategic vendors, including performance reviews, service levels, escalations, compliance, and continuous improvement • Lead business testing for system implementations, product launches, operational changes, and strategic initiatives • Drive continuous improvement, root-cause analysis, corrective action planning, operational optimization, and change adoption • Lead and develop teams across quality assurance, knowledge management, compliance, risk management, testing, vendor governance, customer operations, reporting, and business operations • Lead day-to-day Individual Dental operations and establish priorities and execution plans • Oversee enrollment operations, billing, premium administration, reconciliation, financial accuracy, and related issue resolution • Lead customer operations, contact center performance, escalations, complaint management, service quality, and issue resolution • Lead operational reporting and business intelligence, including dashboards, scorecards, metrics, executive reporting, forecasting, and planning • Provide oversight of Dental Claims operations performed by Enterprise Operations organizations • Serve as operational leader during enrollment periods, business events, and significant operational incidents

🎯 Requirements

• Bachelor's Degree required • 8+ years of progressive leadership experience in operational excellence, quality assurance, compliance, risk management, business operations, healthcare operations, or related disciplines • Demonstrated experience leading quality, governance, compliance, testing, operational effectiveness, or risk management functions • Strong understanding of operational controls, audit methodologies, risk management frameworks, governance practices, and compliance oversight • Experience managing complex vendor relationships and performance governance programs • Knowledge of testing methodologies, operational readiness practices, and implementation support activities • Proven ability to drive continuous improvement initiatives and organizational change • Experience working in highly regulated environments • Strong analytical, communication, stakeholder management, and leadership skills • Experience leading teams in matrixed organizations preferred • For permanent or occasional work at home, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload required

🏖️ Benefits

• Tobacco-free policy • Reasonable accommodation support for the online application process • Equal employment opportunity protections