Medicare Operations Business Project Senior Advisor

4 days ago


Nashville, Tennessee, United States The Cigna Group Full time
The job profile for this position is Business Project Senior Advisor, which is a Band 4 Senior Contributor Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

A member of the Cigna Medicare Business Operational Excellence Process Engineering team. This role will lead, facilitate, and drive business process engineering activities for major enterprise level initiatives including: business assessment, detailed analysis, design, implementation, and control of new or improved processes. This requires strong influencing and change management skills while directing multiple business areas and subject matter experts. This role helps the organization achieve top quality and operational excellence and is an advocate for Cigna's Quality System. This role will also train and coach employees in process engineering tools and methods to help build these capabilities in the business.

RESPONSIBILITIES:

Lead, coordinate and partner with the business to conduct business assessments to outline solutions and direction on strategic, enterprise and baseline opportunities from a cost, efficiency, effectiveness/value, contractual, legal, compliance and customer centric standpoint including:

  • Document existing processes, practices, and measurement systems.
  • Gather and analyze existing business and process data
  • Conduct process observations & audits
  • Make organizational observations and compile analysis and identification of opportunities.
  • Present opportunities to stakeholders and management

Lead, coordinate and partner with the business to analyze & design new / improved business processes which will align with future strategies, including:

  • Conduct root cause analysis and problem solving
  • Design future state business processes, systems, and organizations, driving stakeholders to consider all possibilities and move beyond current thought processes.
  • Assess the quantifiable and qualitative benefits that the business can obtain by moving from the current state business design to the future state business design
  • Facilitate forecasting the future state business performance with the business design and contrast it to the current state
  • Provide input to and validate technical design process model or initial operational process model, monitoring and reporting components, task and service implementations, work management, process start and control, event handling, integration components, staff assignment, and versioning approach.
  • Lead, coordinate and partner with the business to implement new / improved business processes, organizations, and systems, including:
  • Measurements systems and dashboards
  • Management systems and tools
  • Provide input to business procedures, work instructions and job aids, and Training materials

Manage and coordinate business projects, including:

  • Define the business case, guide chartering, apply proper project management techniques, collect customer feedback and convert to measurable targets and measures of success, obtain sponsor approval to initiate the project.
  • Develop and manage project plans through-out project lifecycle; includes prioritization, risk mitigation and monitoring progress.
  • Identify and work to remove barriers that slow or prevent the successful attainment of defect reduction and quality goals that will lead to providing Cigna a competitive advantage
  • Provide constant, ongoing communication to ensure barriers/obstacles to business process improvement are removed and necessary support is always provided.
  • Monitor and control future state process performance, verify benefits, complete project summary, complete closing activities and effectively conclude the work.
  • Responsible to show results - includes cost-savings, quality, and service impacts for process improvements.
  • Lead, coordinate and deliver actions that help the organization to build its quality and process improvement competencies, including:
  • Mentor & train business partners and staff
  • Develop documentation, training and support materials to further Discipline.
  • Participate in evaluation and certification of individuals and business areas
  • Build rapport and a positive working relationship with business sponsors, stakeholders, project members, SMEs and co-workers.
  • Able to lead projects in unfamiliar areas or different project types requiring different types of approaches and tools
  • Improve personal skills and competencies by demonstrating initiative to participate in ongoing coaching and training programs.
  • Strive for mastery of the process engineering discipline through continuous education, training, coaching to improve personal knowledge, skills and competency.
  • Demonstrated ability to effectively lead or manage multiple projects simultaneously

Level of Leadership:

  • Self-directed and capable of leading a team of professionals, either as a direct manager or as a cross organizational team leader
  • Maintains a positive working relationship with teammates and matrix partners.
  • Continually strive to improve their own skills and competencies by demonstrating initiative to participate in ongoing coaching and training programs
  • Demonstrated ability to drive results required.
  • Focus our organizations and processes to be customer centric and high-performing
  • Be a positive role model

QUALIFICATIONS:

  • 5+ years of experience in process design/development and translating changes into implementation plans (DFSS and DMAIC preferred)
  • Medicare Operations experience preferred.
  • Bachelors Degree strongly preferred, Master's Degree preferred
  • Advanced quality methods and tools, equivalent to a Six Sigma Black Belt and a Kaizen leader
  • Experience in project and team management from idea generation and chartering thru implementation and post project evaluation required
  • Experience in change management evaluation, planning and execution.
  • ADKAR experience and PROSCI certification preferred.
  • Working knowledge of all Microsoft Office tools & Minitab.
  • Strong business acumen, with proven ability to leverage knowledge base to quickly come up to speed in new business areas and new types of projects
  • Experience evaluating, developing and implementing business process measurement systems and dashboards
  • Has proven results of building and creating new solutions through the use of creativity and innovation
  • Experience, ability, and willingness to share knowledge and coach individuals w/ varying levels of experience.
  • Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards).
  • Ability to deal with ambiguity, embracing change and helping others see it as an opportunity and stay focused on goals while adapting to change
  • Comfortable with raising questions, issues, ideas or suggestions to co-workers at all levels across all organizations.
  • Act with a sense of urgency to research questions or issues brought by the team. Identify the right parties or resources to resolve these issues (organizational agility). Follow up with these parties to drive resolution and provide on-going feedback to individual(s) who raised the question or issue.
  • Excellent communication skills - verbal and written and training, along with excellent presentation skills (virtual and in person)
  • Ability to work in a virtual and matrix environment.
  • Works well with larger groups from a wider range of organizations, as well as reporting out to senior executives.
  • Work both independently and in conjunction with co-workers of all levels.

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.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.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.



  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Program Management Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Program Management Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...


  • Nashville, Tennessee, United States Mployer Advisor Full time

    Mployer Advisor is hiring a Business Development Representative for an industry-first, high-demand digital marketplace. If you want to be part of a positive change to the US healthcare system and be compensated for the value you bring, then we are a great fit for you. We are seeking a dynamic and results-driven Business Development Representative (BDR) with...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Operations Director, which is a Band 5 Management Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Operations Director, which is a Band 5 Management Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we...


  • Nashville, Tennessee, United States Hire Talent Full time

    As a Business Analyst on the Medicare Advantage team, candidates would be responsible for the engagement and interaction of business owners, vendors, and IT personnel as it relates to Service Operations Fulfillment projects, documentation, and vendor management. This includes, data validations and fulfillment production, developing test scenarios, business...


  • Nashville, Tennessee, United States The LaSalle Group Full time

    LaSalle Network has partnered with a governmental entity in Nashville, TN seeking a Senior Project Manager. The Senior Project Manager will serve as a cloud subject matter expert and trusted advisor, providing technical support and architectural guidance to leadership, business partners and internal teams. This role is responsible for advanced technology...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Sales (IC) Senior Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Sales (IC) Senior Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...


  • Nashville, Tennessee, United States Selby Jennings Full time

    Join one of our leading clients in Healthcare as a Medical Economics Advisor, supporting analytical needs across our Operations, Clinical, and Finance teams. You'll tackle complex medical economics questions using diverse data sources in this fast-paced role.Responsibilities:Identify, monitor, and analyze healthcare cost drivers, utilization patterns, and...


  • Nashville, Tennessee, United States Selby Jennings Full time

    Join one of our leading clients in Healthcare as a Medical Economics Advisor, supporting analytical needs across our Operations, Clinical, and Finance teams. You'll tackle complex medical economics questions using diverse data sources in this fast-paced role.Responsibilities:Identify, monitor, and analyze healthcare cost drivers, utilization patterns, and...


  • Nashville, Tennessee, United States HCA Healthcare Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Case Management Senior Business Analyst opening with HCA Healthcare today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Healthcare, offers a total rewards package that supports the...


  • Nashville, Tennessee, United States HCA Healthcare Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Case Management Senior Business Analyst opening with HCA Healthcare today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Healthcare, offers a total rewards package that supports the...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Segment Marketing Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Segment Marketing Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Segment Marketing Manager, which is a Band 4 Management Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you,...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Segment Marketing Manager, which is a Band 4 Management Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you,...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is...


  • Nashville, Tennessee, United States The Cigna Group Full time

    The job profile for this position is Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is...


  • Nashville, Tennessee, United States HCA Healthcare Full time

    Description IntroductionDo you have the career opportunities as a Senior Business Analyst you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nations leading provider of healthcare services, HCA Healthcare.BenefitsHCA Healthcare, offers a total rewards package that supports the health,...