Manager, Claim Systems Business Solutions - eviCore - Hybrid

Ready to take the next step on your career journey? EviCore, a line of business within the Cigna Group, is hiring a Manager for the Claim Systems Business Solutions team. As the Manager, you’ll provide direction and leadership to a team of Operating Effectiveness Professionals focused on supporting Claims business implementation/change requests, product/strategy roadmap, as well as driving improvement initiatives, through project identification/support, business case development, project management and benefit/result realization.

What you’ll do:

• Drive the development and ongoing maturation of the Claim Systems Business Solutions team, defining roles, responsibilities and best practices for team

• Define and maintain a project structure for the Operating Effectiveness team to lead projects with detailed work plans, schedules, project estimates, and status reports

• Coach, mentor and develop a team of Operating Effectiveness Professionals, ensuring proficiency in application of continuous improvement and change request facilitation, using project management tools and methodologies suited for the project

• Establish regular follow-up and reporting processes to revise and communicate the implementation status and achievement of results

• Apply effective controls, ensuring that process improvements, established tools and processes are applied and sustained

• You’ll ensure core principles of employee engagement, waste elimination, continuous improvement and member, provider and client experience are realized while continuously aligning to the overall claim strategy.

• Work closely with internal and external clients seeking enhancements to our product, processes or programs that will affect claim operations and claim systems, ensuring quality and timely execution

• Work with the Product and Planning team during PI Planning for work prioritization sponsorship and delivery optimization

• Drive the on-going identification and execution of continuous improvement opportunities to improve quality, service, cost to process, productivity, and throughput capacity for claims systems supporting claim products and services

• Provide leadership and guidance to cultivate participation and buy in from all levels of leadership to ensure successful implementation of improved or newly developed processes

• Allocate the necessary resources (people, investment) to guide the implementation and change process using a multifunctional approach

Requirements:

• High School diploma or GED required, bachelor’s degree, a plus

• 8 years of experience in the development and execution of advanced, complex process engineering/continuous improvement initiatives

• Experience with Agile Methodology, PMI Certification, Change Management or Six Sigma training preferred

• 5 years of Program and/or Project Management experience

• Experience with agile, project management, and documentation of business processes and software/business requirements over several years, preferred

• Experience in medical claims systems operations, a plus

• Expertise in developing strategy/vision and leading a team of Operating Effectiveness professionals from multiple disciplines while being flexible in approach while driving a vision for continuous improvement

• Adept in Visual Management, Value Stream Mapping, Root Cause Corrective Action, Kaizen, A3, Standard Work Instructions, Standard Operating Procedures, DMAIC etc

• Proficient with Continuous Improvement methodologies such as a demonstrated ability to work cross functionally in often-ambiguous situations to solve complex problems and improve quality and client experience

• Advanced PC skills including proficiency in Microsoft Office, Project, Visio, Confluence, and Smartsheet

• Highly organized, attentive to detail and independently motivated to navigate change, and efficiently manage multiple deadlines in a fast -paced environment

• Excellent communication (oral and written) skills, with the ability to communicate a clear vision to senior leaders

• Ability to travel as needed for periodic on-site meetings

***This role has a hybrid designation. If hired near a location where there is no eviCore office, your designation will be remote on an interim basis, Office Aligned No Seat Assigned***

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 97,700 - 162,800 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 Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.