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The Cigna Group

Network Operations Senior Supervisor - Evernorth - Remote

The Cigna Group

13d ago

No Phone Required$76k - $126kOperationsUnited Stateshimalayas
Network-OperationsOperations-SupervisorHealthcare-OperationsProvider-Data-ManagementRemote-OperationsSenior

Job Description

26002978 - Network Operations Senior SupervisorThe National Ancillary Sr. Supervisor is responsible for the coordination, oversight and management of processes that ensure National Ancillary loading is completed timely and accurately. The Sr. Supervisor works closely with National Contracting and Cigna Service Operations Department to meet business objectives and Key Performance Indicators (KPIs). The National Ancillary Sr. Supervisor oversees the National Ancillary loading team. This team ensures accurate and timely loading of provider data into consuming claim and directory systems. The Sr. Supervisor is responsible for staff performance, development, oversight of projects, initiatives, and other activities. Supervisor is also responsible for understanding the capacity of the team to be able to shift resources to accommodate daily assignments and assigned projects when appropriate.ResponsibilitiesEnsure Provider data is loaded into consuming systems timely and accuratelyDevelop expertise in Cigna’s source systemsCollaborate National Contracting teams on intake, loading process and provider data requirementsEngage with matrix partners in Capacity Planning and Workforce Management, Reporting and Analysis and Network Solutions and Delivery to ensure that loading processes meet the needs of Cigna National Ancillary Providers.Directly responsible for performance and development of the National Ancillary loading team. Responsible for coaching, supporting, and mentoring the team. Direct and advise the team on daily operations and critical enterprise projects to ensure the entire team tasks are completed with high quality standardsServe as a point of escalation for calls requiring a higher degree of expertise or discretion to resolve provider tax related issues and ensure timely resolutionHigh level responsibility for projects and initiatives. Ensure milestones and deadlines are met. Evaluates project status and resource utilization to implement team’s effectiveness. Functions as Lead for some projects as appropriate Works closely with Leadership to understand and support Cigna’s provider data strategyReview data to determine trends and improvement opportunitiesQualificationsBachelor’s degree or higher strongly preferred or equivalent work experience required1+ years of supervisory experience preferred5+ years using FSS, PWB, Proclaim, SAM, PMHS, Facets, HCPM, IS2, and SANP requiredStrong attention to detail with an understanding process modeling preferredPrior experience in the healthcare industry and knowledge of provider data requiredUnderstanding of Excel and MS Word requiredStrong analytical skills and a proven ability to work in a dynamic and team-oriented environmentProven ability to develop and maintain positive matrix partner working relationshipsDemonstrated ability to contribute to solutions in a positive and proactive mannerExcellent verbal and written communication skillsExcellent organization skills and ability to meet deadlines are requiredAdvanced problem-solving skills and the ability to work collaboratively with other departments to resolve complex issues with innovative solutionsAbility to adapt to a dynamic working environment and make independent decisions 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.For this position, we anticipate offering an annual salary of 75,500 - 125,800 USD / yearly, depending on relevant factors, including experience and geographic location.This role is also anticipated to be eligible to participate in an annual bonus plan.At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll 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 The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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