Vice President Provider Operations & Technology- Evernorth Health Services

Posted: Tuesday, 01 April 2025
Valid Thru: Thursday, 01 May 2025
Index Requested on: 04/01/2025 13:41:45
Indexed on: 04/01/2025 13:41:45

Location: Bloomfield, CT, 06002, US

Industry: Advertising and Public Relations
Occupational Category: 13-0000.00 - Business and Financial Operations
Type of Employment: FULL_TIME

Cigna is hiring!

Description:

Flexible Location: Bloomfield, CT, Chattanooga, TN, St. Louis, MO, Scottsdale, AZ, Denver, CO.

* Willing to consider other locations.

OVERVIEW :

The Vice President Provider Operations & Technology will serve as an essential part of the Provider Solutions & Operations (PS& O) leadership team, developing a provider operations & technology strategy to unlock Cigna's strategic plans leveraging networks and provider data capabilities for growth and monetization. Reporting to the Senior Vice President of PS& O, the Vice President will be primarily responsible for overseeing the end-to-end process of provider operations & technology. Will partner with other leaders across Technology and Operations to ensure that Cigna's capabilities and strategic partnerships are resulting in industry leading provider data capabilities and experience for all critical stakeholders. Their expertise will guide the organization's evolution to dramatically improved accuracy and compliance through enhanced data collection methodologies, and technologies. The long-term goal will be to simplify, accelerate and improve all facets of provider operations and technology across the organization.

Successful candidates will be able to articulate the differentiating value they will bring to the organization and how their experience can activate the overall vision of our provider data strategy. Candidates must be adept at change management, have a strong understanding of transformative technologies, and the ability to build strong teams and influence results in a highly matrixed environment. They must consciously and strategically balance possibilities with reality, which may involve a phased implementation of ideas and initiatives. The successful candidate will have a track record of building a network of champions for effective execution, both in and outside the organization.

RESPONSIBILITIES:
  • Responsible for leading the overall Operations and Technology strategy for the provider data assets of the PS& O organization
  • Develop and execute a provider operations & technology strategy that will result in industry-leading accuracy, experience and compliance for all stakeholders.
  • Establish an Operations & Technology Governance process, which will create and implement enterprise-wide guidelines, controls and decision-making processes regarding the ingestion and maintenance of Provider Data.
  • Leverage technology, data science and analytics to fuel differentiated value to stakeholders.
  • Responsible for roadmap for all Operations & Technology provider data initiatives.
  • Drive efficiency through improved process, automation, utilization of lower cost resources & implementation of policy changes.
  • Collaborate closely with technology team in aligning operational processes and technology development to deliver solutions that will exceed client expectations while reducing operating costs substantially.
  • Ensure operational readiness and proper execution of initiatives with cross functional impacts.
  • Work with other teams to improve and create operational efficiencies through automation.
  • Develop an internal reputation as a leader and change agent who drives results while maintaining PS& O strong entrepreneurial spirit and team morale.
  • Focus on aligning operational processes and technology development to deliver solutions that will exceed client expectations while reducing operating costs substantially.
  • Lead and identify opportunities (through artificial intelligence and other technology-enabled platforms) and drive innovation in provider data.
  • Develop and execute the provider data strategy, focusing on data needs specific to organizational priorities and business units (i.e. Operations, Growth Segments, Regulatory/Compliance, etc.).
  • Oversee the collection, integration, and quality assurance of diverse provider data sources, including proprietary data sets, third party data, research data, and alternative data.
  • Develop frameworks and methodologies for integrating and normalizing diverse data sets, ensuring consistency and accuracy.
  • Collaborate with cross-functional teams to define data governance policies, data standards, and data architecture frameworks.


LEADERSHIP AND COLLABORATION:
  • Effectively lead a diverse set of operational functions in a manner that is aligned with PS& O's core tenants of trust, transparency and servant-leadership.
  • Collaborate with cross-functional divisions, including development, delivery, operations, legal/compliance, clinical, business segments, etc., to ensure data needs are met and aligned with business objectives.


REQUIRED SKILLS:
  • At least 15 years of experience in progressively responsible senior operations and technology roles.
  • Master's Degree or equivalent experience related to operations and technology.
  • Proven track record of advancing organizations during times of change while improving operational efficiency and efficacy.
  • Excellent leadership skills including ability to think strategically and execute for results.
  • Proven ability to innovate and drive large organization change.
  • Experience working in a large highly matrixed organization, with proven ability to develop internal enterprise relations, and external relationships.
  • Excellent presentation and communication skills.
  • Strong business and financial background with a sense of urgency and a desire to achieve top line results.
  • Experienced scaling high-growth tech-enable services business.
  • Strong analytical ability to develop forecasts, analyze trends and recommend solutions to complex issues associated with staffing, scheduling and service delivery.
  • Familiar with predictive analytics to driver more informed and education business decision-making.
  • Ability to identify issues, big and small, and communicate them upward proactively and professionally.
  • Independent and strategic problem solver; accountable for and skilled in exercising sound judgment.
  • Strong interpersonal skills, with proven ability to collaborate across divisions to implement processes and achieve results. Track record of building and maintaining productive relationships with multiple stakeholders.
  • Professional organizations, or related associations are a plus.
  • Validated attention to detail as well as effective time management abilities
  • Highly developed research and analysis skills with experience in a similar role.
  • Exceptional analytical, conceptual, and problem-solving abilities.


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 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.

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

Responsibilities:

Please review the job description.

Educational requirements:

  • high school

Desired Skills:

Please see the job description for required or recommended skills.

Benefits:

Please see the job description for benefits.

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