Transformational Director of Clinical Operations

3 weeks ago


St Louis, Missouri, United States The Cigna Group Full time
Job Overview

The Cigna Group invites a seasoned leader to drive strategic growth in our Clinical Operations department. As a Transformational Director, you will spearhead our Coverage Review Operations, fostering a culture of excellence and driving business outcomes. This pivotal role demands a visionary leader with a proven track record of transforming teams and driving results in a fast-paced, dynamic environment.

Key Responsibilities

As a key member of our leadership team, you will be responsible for:

  • Strategic Oversight: Provide direction and accountability for executing prior authorization reviews and direct member reimbursement claims in alignment with client benefit intent policies and regulatory requirements.
  • Team Leadership: Foster a high-performing team by effectively communicating with members having varying levels of coverage review and direct member reimbursement subject matter expertise.
  • Insight-Driven Decision Making: Gather data-driven insights and make informed decisions to drive business growth and strategic partnerships.
  • Operational Excellence: Own operational results and outcomes, ensuring seamless delivery of services to clients.
  • Global Service Partnerships: Manage and motivate global service partners to achieve operational performance, service level agreements, and strategic objectives.
Requirements

To succeed in this role, you will need:

  • Leadership Experience: A minimum of 8 years of experience in leading large teams and overseeing broad-scale operations.
  • Strategic Vision: A proven track record of developing and executing core operations functions and strategies.
  • Collaboration and Communication: Excellent collaboration and communication skills, with the ability to work effectively with cross-functional partners and stakeholders.
  • Business Acumen: Strong business acumen and financial management skills, with the ability to prioritize multiple projects and manage timelines.
  • Industry Knowledge: A general understanding of healthcare and health insurance businesses, including regulatory guidelines and compliance.
What We Offer

We offer a competitive salary of $140,000 per year, plus benefits and opportunities for professional growth and development.

Why Join Us?

At The Cigna Group, we are committed to delivering exceptional healthcare experiences to our clients and customers. As a Transformational Director of Clinical Operations, you will have the opportunity to make a meaningful impact on our business and contribute to our mission of improving healthcare outcomes.

We are an equal opportunities employer and welcome applications from diverse candidates. Please note that the salary range may vary based on location and other factors.



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