Program Management Advisor – Out-of-Network Protection Team
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Job Description
Program Management Advisor developing knowledge management strategy and operational improvements at Cigna Healthcare. Collaborating with internal teams and vendors to enhance service experiences in non-par programs.
Responsibilities:
- Develop, execute, and maintain the ONPT knowledge management strategy, including tools, best practices, policies, procedures, and reusable processes
- Create and maintain tools, reports, and job aids that drive operational improvements, including operating manuals and centralized data repositories
- Recommend and lead the development of systemic monitoring tools, controls, and processes to detect and address defects
- Manage operational readiness for ONPT projects, including requirements gathering, prioritization, testing, and implementation; partner with Development and IT teams
- Analyze and translate data to identify improvement opportunities, with a focus on efficiency and automation
- Perform vendor security activities, including onboarding, access management, equipment issuance, and returns
- Act as a subject matter expert liaison between IT and the business for system releases impacting non‑par operations
- Provide actionable insights and recommendations to leadership related to people, process, and technology
- Deliver consistent operational performance reporting across ONPT operations
- Monitor efficiency and recommend improvements related to claims flow between Service Operations, ONPT, and vendors
- Identify and prioritize issues and process gaps that contribute to customer abrasion
Requirements:
- Bachelor’s degree or equivalent relevant work experience
- Strong background in Medicare and Commercial lines preferred
- Experience with reporting and/or automation tools preferred
- Experience leading operational readiness activities or managing multi‑component initiatives across teams
- Experience in benefits and claims administration and/or project or relationship management preferred
- Strong knowledge of non‑par programs preferred
- Advanced knowledge of Cigna products, lines of business, and claim systems required
- Demonstrated ability to take ownership and deliver results with minimal supervision
- Strong written and verbal communication skills; ability to work in a highly matrixed environment
- Proven analytical, problem‑solving, and project management skills
Benefits:
- Health-related benefits including medical, vision, and dental
- Well-being and behavioral health programs
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
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