Service Line Leaders are accountable for the performance growth and operational health of assigned service this role youll translate strategy into actiondriving improvements leading Quarterly Business Reviews (QBRs) and standardizing best practices to deliver safe efficient highquality care and a seamless patient experience. Youll bring teams together across the organization to prioritize and execute the initiatives that make the biggest impact across MDLIVE.
What youll do to make a difference:
Own daytoday operations for your service line(s) balancing financial outcomes quality and patient/provider experience
Establish and run the operating cadence with dashboards huddles and weekly/quarterly reviews
Lead QBRs to align partners on performance opportunities and action plans
Partner with Analytics to define metrics set targets explain performance drivers and turn insights into operational improvements
Represent your service line in enterprise initiatives and align with Evernorth and Care Delivery roadmaps
Reduce friction across the digital care journey including eligibility scheduling payments referrals labs and imaging
Collaborate with Network Ops to manage capacity licensure coverage and access goals
Partner with Medical Leadership Nursing Risk & Quality and Analytics to drive provider performance and compliance
Monitor safety quality and performance indicators leading remediation when needed
Support accreditation readiness and quality initiatives
Serve as the subject matter expert for your service lines business continuity plan
Standardize workflows by authoring and maintaining clear operational and process standards that define the MDLIVE way
What youll need to succeed:
Bachelors degree required; masters degree preferred
6 years of experience in consulting product management software implementation clinical operations or clinical strategy
4 years working with or supporting healthcare providers
Proven success leading complex matrixed initiatives
Strong experience building and presenting business cases to senior leaders
Deep understanding of provider and payer performance metrics across quality risk access and revenue operations
Familiarity with accreditation frameworks (e.g. NCQA) and clinical policy operations
Experience with Tableau Excel Smartsheet JIRA and PowerPoint; basic SQL a plus
Willingness to travel approximately 10%
Skills & attributes that set you apart:
Actionoriented adaptable and comfortable leading change
Strong systems thinker who can standardize and scale best practices
Datadriven storyteller with excellent communication and facilitation skills
High ownership mindset with a focus on accountability and results
Empathy for patients and providers with a strong safety and quality orientation
Familiarity with one or more Electronic Medical Record (EMR) systems
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several health-related benefits including medical vision dental and well-being and behavioral health programs. We also offer 401(k) company paid life insurance tuition reimbursement a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs click here.
About Evernorth Health Services
Evernorth Health Services a division of The Cigna Group creates pharmacy care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction prevention and treatment of illness and disease more accessible to millions of people. 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:
Unclear Seniority
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.