Senior Advisor – Global Service Partner
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Proclaim Management Senior Advisor overseeing Global Service Partner Operations. Driving operational excellence, vendor management, and financial oversight across service operations.
Responsibilities:
- Overseeing performance, financial management, and strategic partnerships across Global Service Partner sites
- Partnering closely with internal stakeholders and external vendors to drive operational excellence
- Ensure contract and financial discipline, and identify opportunities to optimize and expand outsourced services
- Lead sourcing initiatives to evaluate onshore and offshore vendors, launch new GSP sites, and ensure performance standards are met across existing operations
- Provide ongoing oversight and consultation to Claims GSP sites to improve quality, efficiency, and service outcomes
- Partner with cross‑functional teams to align vendor operations with business priorities
- Identify and evaluate opportunities to outsource new or evolving business processes
- Build and maintain strong, collaborative relationships with GSP partners to drive performance and strategic alignment
- Manage annual operating budgets of $45M–$50M, maintaining results within a ±2% monthly variance
- Review, reconcile, and approve monthly vendor invoices
- Interpret contract terms, support renewals, and ensure vendor compliance with contractual and operational requirements
- Lead transition planning and execution for work migrated to GSP partners
- Develop and implement action plans to improve performance and support continuous improvement initiatives
- Remove operational barriers and ensure teams have the resources needed to deliver quality and efficiency
- Support innovation and process transformation across GSP operations
- International travel required (approximately 5%)
Requirements:
- High School Diploma or GED required
- Bachelor’s degree preferred
- 5+ years of experience in Cigna Claims Operations required
- Experience in Proclaim, Facets, and Dentacom highly preferred
- Proven experience serving as a primary liaison with Global Service Partner is required
- Strong track record of managing vendor performance, driving quality, efficiency, and operational results is required
- Experience with eMOS or similar operational management tools
- Background in Claims Quality programs
- Solid understanding of capacity planning, financial modeling, and invoice reconciliation
- Ability to interpret contract language and contribute to contract negotiations or renewals
- Excellent written and verbal communication skills
- Strong organizational skills with the ability to manage multiple priorities in a fast‑paced environment.
Benefits:
- medical
- vision
- dental
- well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
Similar Jobs
Senior Hiring & Internal Mobility Partner
Senior Hiring & Internal Mobility Partner at SimSpace managing full lifecycle recruiting. Building diverse talent pipelines and championing equitable hiring practices.
Founding Partner – Job Search Coach
Founding Partner activating local markets for Respiris, a B2B career transition service provider. Build relationships with key HR leaders and deliver coaching to individuals navigating job changes.
Global CIO Advisory – Senior Executive Partner
Executive Partner overseeing 28+ member relationships in a global advisory context. Leveraging expertise to deliver strategic service solutions to CIOs and senior IT leaders.
IT Business Partner
IT Business Partner responsible for aligning IT services with business objectives. Driving technology-driven solutions in a collaborative environment at Stewart.
Radon Mitigation Partner
Radon Mitigation Partner handling mitigation projects in Colorado as an independent contractor. Evaluating properties and installing systems based on radon regulations and test results.
IT Partner – data-sovereign AI middleware, central knowledge base, open source, AI, platform architecture
IT Partner gesucht, um eine modulare KI-Middleware-Lösung zu entwickeln. Fokus auf DSGVO-konforme Integration verschiedener KI-Services für KMUs.
Partner – Strategy Consulting
Partner role at a leading strategic consulting firm providing high-level advice to executives. Collaborating on complex projects and contributing to business development efforts.
Human Relations Business Partner
Human Relations Business Partner implementing HR strategies at The Salvation Army. Collaborating with leadership and addressing complex HR issues in Canada.
Affiliate Manager, Mens & Wellness
Affiliate Manager developing and implementing editorial content strategies to drive growth across Men's and Wellness categories. Collaborating with cross-functional teams to secure high-impact placements.
Business Outcomes Partner
Business Outcomes Partner at Basis developing strategic recommendations from data insights. Empowering media operations through collaboration with client teams and cross-functional departments.
Site Care Partner I, SrCRA – FSP, Sponsor Dedicated
Clinical Site Partner focusing on site management and compliance with regulatory standards in a remote role. Collaborating on clinical studies with a dedicated team at Syneos Health.
Onlinemarketing Manager – Fokus Affiliate
Online Marketing Manager handling affiliate marketing strategies for ROSE. Collaborating with teams to enhance brand visibility and performance in a growing industry.
Online Marketing Manager – Affiliate Focus, Part-time
Onlinemarketing Manager focusing on Affiliate channel with a role in budget management. Collaborating in a performance marketing team to enhance brand visibility and sales.
Site Activation Partner
Study Start Up Associate I role facilitating clinical trial initiation and ensuring regulatory compliance at ICON plc. Join a leading healthcare intelligence and clinical research organization with a commitment to inclusion and excellence.
Senior Talent Partner
Senior Talent Business Partner at NorthStar Anesthesia serving as strategic connector between Talent Management and HRBP team. Collaborate on leadership development and talent management initiatives nationally in US.
Executive Partner
Executive Assistant managing operations for executives and entrepreneurs around the world. Involves scheduling, communication, and project coordination with a remote structure.
Global Mobility & Immigration Partner
Global Immigration Partner managing high-volume immigration cases for DoorDash's Global People Operations team. Collaborating with cross-functional teams to ensure timely and compliant processes.
Senior Talent Partner – Part Time, Contract
Recruiter partnering with APAC regional leadership to source and hire top talent. Managing candidate experience and negotiation of employment terms in a remote capacity.
Executive Business Partner – C-Level
Executive Business Partner supporting C-level leaders at A1. Managing priorities and cross-functional work with high professionalism.
Executive Business Partner – C-Level
Executive Business Partner supporting C-level leaders and driving collaboration across teams in a remote setup. Managing complex priorities to enhance operational efficiency.