Senior Manager - Medicare Advantage Provider Directory Operations and Accuracy

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The Cigna Group

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Description

• Oversee the accuracy of the provider directory for Medicare Advantage plans. • Lead cross-functional teams in tracking and forecasting directory accuracy. • Manage internal audits and external vendors to ensure high-quality data. • Develop and implement processes for accuracy of provider data. • Collaborate with internal teams and manage external vendors to resolve discrepancies. • Manage the continuous improvement of teams and vendors to enhance accuracy. • Develop and oversee reporting framework to track key metrics. • Generate regular reports to senior leadership, identifying trends and areas for improvement. • Partner with other teams to ensure timely and accurate updates to the directory. • Lead, coach, and develop a team of provider directory specialists and analysts.

Requirements

• Bachelor’s degree in healthcare administration, business, data management, or related field. • Master’s degree preferred. • 5+ years of experience in provider directory operations, network management, and/or healthcare data management. • Experience with Medicare Advantage preferred. • Experience managing offshore teams and/or external vendors. • Experience leading cross-functional teams and managing large, complex projects. • Strong analytical skills with expertise in data management, quality assurance, and audit processes. • Strong leadership skills, with experience managing teams in a dynamic environment. • Excellent communication and collaboration skills. • Proficiency in healthcare data tools and platforms (e.g., Excel). • Knowledge of CMS guidelines and regulatory requirements for Medicare Advantage provider directories.

Benefits

• Comprehensive range of health-related benefits (medical, vision, dental). • Well-being and behavioral health programs. • 401(k) with company match. • Company paid life insurance. • Tuition reimbursement. • Minimum of 18 days of paid time off per year. • Paid holidays.