drjobs Senior Process Engineer (NA/ONPT) - Cigna Healthcare

Senior Process Engineer (NA/ONPT) - Cigna Healthcare

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1 Vacancy
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Job Location drjobs

Bloomfield - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

WORK LOCATION: HYBRID / REMOTE

The National Ancillary and Out of Network Protection Team (NA/ONPT) plays a significant role in Cignas Enterprise Affordability strategy. Our team manages over 400 national contracts across US Commercial and US Government lines of business and roughly $9B in annual medical spend across National Ancillary Direct Provider and Non-Par Cost Containment partnerships.

The Program Management Senior Advisor is a key role in driving implementations process improvements and controls in Cignas overall National Ancillary and Out of Network Protection programs which directly address customer and client demands for lower cost and higher quality of care. This role will report to the Program Management Director focusing primarily on stabilizing and Improving delegated UM for the Health plan with our vendor partners.

This role has visibility to and regular interactions with our Senior Leadership team and other key internal and external stakeholders. Work can range in content including (but not limited to) scope and assess analysis organizational realignment medical cost initiatives program implementations performance management or process improvement.

Job Components and Deliverables

PROGRAM MANAGEMENT:

  • Leadership - Balance multiple large complex time limited projects between Cigna and external partners

  • Establishing Goals Engage across matrix partners to set clear measurable goals approved by sponsors

  • Hold People Accountable Develop and manage disciplined work plans and engagement to hold team and matrix partners accountable for delivery

DRIVING SOLUTIONS:

  • Facilitation lead idea sessions around problem resolution to address business needs

  • Requirements Definition lead requirement sessions to produce clear business and technical needs for solution delivery

  • Prioritization - evaluate business-specific requirements

  • Process Modeling - current state future state and drive improvements within said processes

RISK MANAGEMENT:

  • Risk Identification Clearly quantify / qualify risks and engage with impact partners to prioritize related to cost timing and features

  • Mitigation Eliminate barriers to success or develop alternate solutions

  • Communication Early/Frequent communication with leadership and key partners of risk levels and progress

COMMUNICATION:

  • Sponsorship / Senior Level Concise effective communication around progress risks timing and decisions needed at the senior level

  • Team Detailed plans and activities to identify timing and ownership.

  • Organizational Clear effective communication to matrix partners on timing / impact of implementations on their departments.

Cigna Core Competencies

ALIGN:

  • Manages Complexity Making sense of complex high quantity and sometimes contradictory information to effectively solve problems

  • Manages Conflict - Handling conflict situations effectively with a minimum of noise applying knowledge of business and the marketplace to advance the organizations goals

  • Plans and Aligns planning and organizing work to meet commitments aligned with organizational goals

  • Collaborates Building partnerships and working collaboratively with others to meet shared objectives.

INSPIRE:

  • Communicates Effectively developing and delivering multi-modal communications that deliver a clear understanding of the unique needs to different audiences

  • Persuades Use compelling arguments to gain the support and commitment of others

DEVELOP:

  • Nimble Learning Actively learning through experimentation when tackling new problems using both successes and failures as learning fodder.

  • Situational Adaptability Adapting approach and demeanor in real time to match the shifting demands of different situations

  • Tech Savvy Anticipating and adoptinginnovationsinbusiness-buildingdigitalandtechnologyapplications.

DELIVER:

  • Drives Results holding self and others accountable to meet commitments

  • Action-Oriented consistently achieving results even under tough circumstances

  • Optimizes Work Processes Knowing the most effective and efficient processes to get things done with a focus on continuous improvement.

BASIC QUALIFICATIONS:

  • 5 years of Process Engineering and Project Management experience required

  • Background in driving through decision process and using decision tools (Six Sigma CTQS Performance Based Programs) Green or Black belt required.

  • Change Management trained (Prosci - ADKAR preferred)

  • Agile / Traditional requirements development / delivery methodologies

  • Demonstrated experience and mastery in skills listed above

  • Working knowledge of Cigna operations markets and contracts

  • Up to 15% of travel expected for role as needed

MANAGEMENT TOOLS EXPERIENCE Preferred:

  • Six Sigma Tools SIPOC FMEA Process Mapping etc

  • Communications Plan

  • Status Report

  • Project Plans (MS Project)

  • RACI

  • RAID LOG

  • Pathfinder

  • JIRA

  • Tableau


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: for support. Do not email 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.


Required Experience:

Senior IC

Employment Type

Full-Time

Company Industry

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