Individual & Family Plans (IFP) Operations Compliance Senior Manager - Remote - Cigna Healthcare

Cigna Healthcare

1d • Remote

About The Position

GENERAL PURPOSE: The IFP Operations Compliance Senior Manager will be a member of the Cigna IFP Operations leadership team; responsible for the multiple functions that align within the Operations Compliance team including: Regulatory Intake, Risk Assessment, and Prioritization Vendor Compliance IFP Marketplace Liaison (FEE & SBE) Market Conduct Exams Privacy Incident Investigation and Compliance IFP & SGP AZ Product Availability Grids (PAGs) SBC Calculator iComply Regulations Review & Assessment Marketplace Integrity & Affordability IFP Operations Risk Management (i.e., proactive identification of segment risks, Corrective Action Plans (CAPs), Onspring risk management tracking, etc.) RESPONSIBILITIES: Primary responsibility (1 of 2) is to lead the IFP Operations Compliance team, including daily leadership, 1:1 meetings, formal check-ins, goals/objectives, Career Development Plans, training and onboarding. Primary responsibility (2 of 2) is to ensure the quality of the IFP operational processes are fully compliant with State and Federal requirements. Responsibilities include participation with the New Law Implementation process, Business Implementation for new regulations, iComply regulations review and assessment, State & Federal mandate reviews and impacts, and IFP Regulatory Portfolio funding request intake, risk assessments and prioritization. Partner to support other Cigna IFP team members in development of guidelines and best practices. Lead change by influencing and educating Business and IT partners. Crosstrain employees in best practices through knowledge share sessions. Train employees on processes, documentation requirements and tools to improve consistency, reduce complexity and ensure capacity needs and deliverables are supported. Ensure proper documentation and communication venues are created to support the standardization of process and procedures within team, including training, education and knowledge share. Manage on-boarding, partner knowledge share, educational material development and maintenance and team SME development. Collaborate with business partners to ensure compliant solutions and deliverables. Manage resource and capacity planning. Manage own assignments in addition to staff assignments. Partner in metrics reporting. Work closely with the Business partners to ensure continuous improvement: Participate in business strategy and planning activity. As applicable, assist in defining project plans, dependencies, risk mitigation, and project status reports for complex or cross-functional processes. Participate in knowledge share development and execution. Provide insight into solutioning and best practices for process/procedure standardization. Support development and implementation of training and education tools. Provide and/or coordinate instructor-led training – self or partner coordination. Provide timely and technically appropriate written communication to stakeholders when necessary. Provide alternative solutions as necessary to assist in problem resolution.

Requirements

• Bachelor's degree preferred.
• 10+ years of risk and compliance experience.
• Expertise in the Cigna Healthcare organization, business processes and workflows to facilitate execution of initiatives.
• Familiarity with Cigna Healthcare products and benefits.
• Understanding of Cigna Healthcare systems and data repositories.
• Previous employee management experience, including strong people leadership skill sets.
• Proven ability to motivate employees and provide tools for success, both individually and as a team.
• Ability to work in a fast paced, demanding and rapidly changing environment.
• Ability to lead, manage and influence teams in a heavily matrixed environment.
• Ability to lead cross-functional teams and drive results with strong sense of urgency
• Detail oriented, with proven prioritization, time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards).
• Ability to tie together complex issues and implement solutions to meet the needs of the global matrix.
• Ability to negotiate with peers and senior leaders to come to agreed upon and productive solutions to business problems.
• Strong oral, written, presentation and communication skills.
• Exceptional interpersonal, consulting and relationship management skills.
• Ability to foster collaboration, value other perspectives and gain support and buy-in for organizational proposals.
• Strategic and creative thinker with ability to think outside the box and translate strategies into actions/requirements/implementation.
• Can convey complex information in an understandable way to various audiences.
• Strong business acumen, with proven ability to leverage knowledge base to quickly come up to speed in new business areas and new types of projects.
• Process-oriented with quality mindset.
• Strong organization and planning skills.
• Demonstrated ability to drive results.
• Embraces change and drives through ambiguity.
• Customer-orientation and customer insight/experience skills.
• Ability to interpret and synthesize data and insights.
• Strong problem-solving skills; solution identification & development.
• Ability to perform contingency planning.
• Ability to interact effectively with all levels of the organization.
• Emotional Intelligence - Demonstrated strong EQ as evidenced by the ability to understand other people, what motivates them and how to work cooperatively with them. Proven track record of resilience, empathy, strong listening skills and the ability to work through challenging business situation in a highly collaborative way to drive the right business outcomes. Possesses strong self- awareness and curiosity.
• Communication - Exceptional executive presence in written and verbal communications. Poise in front of large, senior audiences. Strong persuasion skills and effective communicator; ability to create and communicate a compelling vision internally and externally.
• Anticipatory - Demonstrated results in being able to think strategically, anticipate future consequences and trends, and incorporate them into both a short-term and long-term organizational plan.
• Business Acumen - Strong business acumen and ability to make connections with broad experience within the Provider ecosystem. Demonstrated ability to influence across a matrixed organization and develop trusting working partnerships with internal and external business partners.
• Drive for Results - Proven track record of exceeding goals and a bottom-line orientation; evidence of the ability to consistently make good decisions through a combination of analysis, wisdom, experience, and judgment; high level of business acumen, the ability to balance the delivery of programs.
• Strategic Vision and Agility - Ability to think strategically, anticipate future consequences and trends, and incorporate them into the organizational plan.
• Leadership and Organization - Exceptional capacity leading and influencing cross-functional teams; ability to connect staff both on an individual level and in large groups; capacity to enforce accountability, develop and empower top-notch leaders from the bottom up, cultivate entrepreneurship, and learn the strengths and weaknesses of the team to put people in a position to succeed.
• Customer Focus - Is dedicated to meeting the expectations and requirements of clients; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind.
• Matrix Management/Relationship Building - Enterprise thinker with proven ability to influence across a matrix environment. Ability to develop strong relationships across all levels of the organization, and with external partners.
• Action Oriented - Enjoys working hard in a fast paced, dynamic environment; able to act and react as necessary, even if limited information is available; not afraid to take charge of a situation; can overcome resistance to leadership.
• 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.

Responsibilities

• Lead the IFP Operations Compliance team, including daily leadership, 1:1 meetings, formal check-ins, goals/objectives, Career Development Plans, training and onboarding.
• Ensure the quality of the IFP operational processes are fully compliant with State and Federal requirements.
• Participate with the New Law Implementation process, Business Implementation for new regulations, iComply regulations review and assessment, State & Federal mandate reviews and impacts, and IFP Regulatory Portfolio funding request intake, risk assessments and prioritization.
• Partner to support other Cigna IFP team members in development of guidelines and best practices.
• Lead change by influencing and educating Business and IT partners.
• Crosstrain employees in best practices through knowledge share sessions.
• Train employees on processes, documentation requirements and tools to improve consistency, reduce complexity and ensure capacity needs and deliverables are supported.
• Ensure proper documentation and communication venues are created to support the standardization of process and procedures within team, including training, education and knowledge share.
• Manage on-boarding, partner knowledge share, educational material development and maintenance and team SME development.
• Collaborate with business partners to ensure compliant solutions and deliverables.
• Manage resource and capacity planning.
• Manage own assignments in addition to staff assignments.
• Partner in metrics reporting.
• Work closely with the Business partners to ensure continuous improvement
• Participate in business strategy and planning activity.
• Assist in defining project plans, dependencies, risk mitigation, and project status reports for complex or cross-functional processes.
• Participate in knowledge share development and execution.
• Provide insight into solutioning and best practices for process/procedure standardization.
• Support development and implementation of training and education tools.
• Provide and/or coordinate instructor-led training – self or partner coordination.
• Provide timely and technically appropriate written communication to stakeholders when necessary.
• Provide alternative solutions as necessary to assist in problem resolution.

Benefits

• health-related benefits including medical, vision, dental, and 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 and paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees