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Senior Advisor for Operational Excellence in Pharmacy Benefits Management
2 months ago
POSITION SUMMARY
As a vital member of the Process Governance team, you will have the chance to shape the Pharmacy Benefit Management (PBM) sector through a commitment to customer-focused service delivery and operational excellence. This position will enable you to demonstrate your skills in leading, facilitating, and advancing business process enhancement initiatives, directly impacting members, clients, and providers. The ability to influence and drive transformation is essential in this role. You will actively contribute to the organization’s pursuit of superior quality. A passion for problem-solving and the capacity to identify innovative solutions will be crucial for your success.
In this role, you will engage with senior leadership in operations on key projects and collaborate with a diverse range of cross-functional partners.
If you excel in a dynamic and adaptable work environment, the PBM Operations team will be an excellent match for you.
This position requires in-office attendance and necessitates the flexibility to work onsite three days a week if you are within a commutable distance to a designated facility.
Primary Responsibilities
- Directs and oversees cross-functional process enhancement initiatives, utilizing best practices and a variety of methodologies and tools.
- Assists in the design of new business processes across multiple teams.
- Evaluates and measures the effectiveness of current business processes and formulates sustainable, repeatable, and quantifiable future state solutions.
- Documents existing workflows and performs root cause analysis to pinpoint areas of concern.
- Collaborates with business partners to prioritize opportunities and propose solutions that enhance quality and service.
- Communicates project progress and risks to stakeholders and leadership.
- Contributes to the development of work instructions, job aids, and training materials.
Key Qualifications
- Bachelor's degree in Business, Finance, Health Administration, or a related field preferred; Master's degree is a plus.
- Minimum of 8 years of experience in process improvement design and development.
- Six Sigma, Lean, or a related certification preferred.
- Familiarity with project management methodologies; PMP certification preferred.
- Strong analytical skills, with the ability to conduct data analysis, summarize findings, and utilize data to support proposed solutions.
- Proven critical and strategic thinking abilities; adept at identifying, assessing, and resolving issues.
- Strong business acumen and a demonstrated ability to quickly understand new business areas and concepts.
- Excellent time management and organizational skills.
- Capacity to navigate ambiguity, embrace change, and work independently as well as collaboratively with colleagues at all levels.
- Exceptional communication (oral and written), presentation, and facilitation skills.
- Proficient in documenting detailed meeting summaries for dissemination to relevant audiences.
- Ability to effectively engage with all professional levels, including senior/executive leadership, stakeholders, and partners.
- Proficient in MS Office applications, particularly Excel, PowerPoint, and Visio.
For those working from home occasionally or permanently, a reliable internet connection through a cable broadband or fiber optic service provider with speeds of at least 10Mbps download and 5Mbps upload is required.
We anticipate offering an annual salary of 105,900 USD, contingent on relevant factors such as experience and geographic location.
This role is also expected to be eligible for participation in an annual bonus plan.
We prioritize your health, balance, and security. That's why we provide a comprehensive range of benefits focused on supporting your overall well-being. From day one of your employment, you will have access to various health-related benefits, including medical, vision, dental, and well-being programs. Additional offerings include a 401(k) plan with company match, company-paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off annually, and paid holidays. For more information on our employee benefits programs, please visit our company website.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, develops pharmacy, care, and benefit solutions aimed at enhancing health and vitality. We are committed to relentless innovation to make the prediction, prevention, and treatment of illness and disease more accessible to millions.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions, 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.
The Cigna Group maintains a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
