Vice President - Coverage Review Operations

2 days ago

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The Cigna Group

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10,000+

Description

• Oversee pharmacy utilization management, medical drug management and direct member reimbursement • Build and execute a strategic vision balancing clinical integrity, regulatory compliance, operational efficiency and technology • Lead an expansive team of 1500+ clinical and non-clinical employees • Partner closely with various organizations to ensure operations meet regulatory and accreditation requirements • Drive engagement and accountability with global service partner senior executives

Requirements

• Bachelor's Degree or equivalent work experience • 8+ years of healthcare industry related experience; minimum of 5 years of operations management experience required • Excellent negotiation and influencing skills, including public speaking and presentation skills • Effectiveness leading in highly matrixed organization with process management capabilities • Experience leading a large team overseeing broad scale operations with strong cross functional partnerships • Comfortable dealing with and managing an ever-changing environment; communicates optimism and confidence in the future • Strong business and financial acumen • A passion for employee engagement and leadership development

Benefits

• Several health-related benefits including 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