The Government Business Complaint Resolutions Operations Senior Supervisor is a leadership role within the Cigna Medicare Customer & Client Service Experience (CCSE) Organization reporting to the Operations Senior Manager of Grievances. This role will support the Medicare Advantage line of business by directly managing MAPD Grievances. The primary responsibilities of this role are to ensure that Compliance, internal operating metrics, and employee engagement standards are achieved, to drive continuous improvement within the department, and to partner with other functional areas to optimize the overall customer experience. In addition, a key responsibility of this role is to conduct oversight of external vendor partners supporting the grievance function. This role will require the candidate to engage and motivate a large team of people with diverse skills, responsibilities and geographic locations, and to drive collaboration with matrix partners (e.g. Vendors, Compliance, Product, Policy, Operations) to understand and deliver on our commitments to our beneficiaries, providers, and CMS. Supervises the daily activities of grievance representatives who respond to and research customer/member complaints. Provides direction and guidance regarding policies, procedures, workflows, quality, and training needs. Responsible for monitoring internal and regulatory standards. Responsibilities Manage operations activities for the department ensuring compliance with organization and regulatory policies. Improve quality such that the team consistently meets or exceeds goals for accuracy, timeliness, and regulatory compliance for all department functions. Routinely assess the talent, knowledge, and performance of the staff and administer necessary coaching, training, and performance management. Ensure that the team meets all deliverables and milestones related to maintaining an audit readiness position at all times Conduct performance oversight of external vendor partners to ensure successful achievement of internal metrics and compliance/regulatory standards Enable a virtual work environment where employees have the tools, resources, and information necessary for teamwork, productivity and engagement. Lead and drive a customer centric focus within the Medicare Grievance team Focus on achieving team and individual accuracy, customer satisfaction and effort scores within a team of associates Create an environment where people want to excel and are focused on delivering the best outcome for each and every customer Partner with peer managers and individuals outside of the grievance team to create a positive work environment and lead process improvement initiatives Manage the selection, hiring, training, coaching and development within the team Provide direction regarding overall objectives and assignments to the team Provide support for complex and sensitive issues concerning Customers and Healthcare Professionals Support 24/7 operation management needs as required, including weekends Monitor performance guarantee results as required Identifies customer needs and responds to inquiries with knowledgeable and timely responses Ensures timely execution of compliance with CIGNA standards for all customer types Identifies staff education opportunities and provides proactive training on a continuous basis. Serves as CIGNA advocate in external community Facilitate appropriate meeting participation and follow up activities Facilitates education and discussion on products, quality initiatives, etc. as identified Qualifications 2 years’ of previous management in operations or people leadership experience preferred 2 years’ experience in managing vendor relationships and performance preferred but not required Experience and passion for leading, developing and motivating employees required Medicare experience required Knowledge of Medicare systems and/or Medicare Grievance/Appeal functions a plus Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills Must be computer proficient Ability to work in and succeed in a team oriented environment 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. For this position, we anticipate offering an annual salary of 57,800 - 96,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.