Senior Supervisor, Individual Dental Operations

Job not on LinkedIn

🔥 0 minutes ago

🐊 Florida, Missouri, +1 more states – Remote

🐊 Florida – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – 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

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 quality assurance activities 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 implement corrective actions and process improvements • Lead customer concern intake, triage, tracking, investigation, complaint management, and escalation resolution • Oversee Department of Insurance inquiries, executive escalations, Exchange-related requests, Access to Care concerns, complaints, and grievances • Support internal, external, enterprise, and regulatory audits by coordinating evidence, documentation, responses, and corrective-action tracking • Monitor Federal Exchange, State-Based Exchange, Department of Insurance, and business requirements • Analyze operational data, audit findings, complaints, quality results, and business metrics; conduct root cause analyses • Lead or support operational improvement, quality enhancement, and customer experience projects • Partner with Operations, Compliance, Risk Management, Customer Service, Vendor Management, Enterprise teams, and business stakeholders • Present findings, recommendations, and performance results to management • Lead, coach, mentor, and develop a team responsible for quality reviews, audits, escalations, and complaint resolution • Establish performance expectations, coordinate workload and staffing priorities, and support employee development, 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, including trend identification, root cause analysis, and 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 • For home-based work, internet connection must use cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Remote work arrangement • Cable broadband or fiber optic internet service requirement for work-from-home setup (minimum 10Mbps download/5Mbps upload) • Equal employment opportunity and reasonable accommodation support • Tobacco-free policy