This role will be responsible for executing on the roadmap for improving Affordability and Total Cost of Care initiatives as part of the Medicare Business Optimization effort. This role will be a key member of the team who will be responsible for identifying initiatives and driving strategic priorities in a highly matrixed environment. The individual will use benchmark data to evaluate and monitor market positioning, identify key drivers of cost trends across affordability levers with in-depth analysis of key performance metrics, and ensure the sustainability of initiatives.Responsibilities:
Partners with key stakeholders across the segment to drive meaningful strategic initiatives related to affordability and deliver results.
Drive fulfillment of affordability commitments for aligned value streams with creation of performance scorecards that show actual vs target tracking, taking in consideration all the key contributing drivers.
Supports improvement in affordability, total medical cost savings and medical cost trend reduction through strategic collaboration with business and clinical leaders who bring innovative ideas and projects from their business departments.
Serves as thought leader and assists in providing solutions for improvement in affordability while assuring appropriate balance between quality, compliance and impact on medical costs, operational efficiency, and service to internal and external customers and providers.
Summarizes results of analysis and effectively communicates to management recommendations for actions to resolve business issues
Execute a working model with aligned value streams and internal partners that assesses and sets the controls and standards for affordability related initiatives
Translates business needs into practical applications and solutions
Executes processes through effective value stream management
Minimal travel will be required
Requirements:
Bachelor’s degree preferred; HS Diploma required
4+ years of stakeholder management, value tracking, and affordability related experience preferred
3+ years' experience within Claims operations strongly preferred
Medicare experience preferred
Strong project and program management experience
Communicate effectively, both written and verbal, with immediate team members, business partners, and customers
Proven ability to drive key performance indicators through use of dashboards, scorecards, and action planning.
Strong ability to build consensus around complex technical and business decisions
Proven people interaction skills and interpersonal skills necessary to facilitate productive discussions and foster collaboration within and across teams
Demonstrated ability to step forward to address difficult issues
Demonstrated ability to lead and influence without direct authority
Proven analytical abilities especially in decision making and problem solving
Proven ability to manage multiple priorities and the ability to deal with ambiguity
Location: Preferred location would be Nashville, TN. Open to other locations based on candidate's location. Position is hybrid, requiring 3 days in office and 2 days remote at the local Cigna Healthcare office.If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.