Operations Support Director (Claim) - Evernorth

Cigna Group • Chattanooga, TN

20h • Hybrid

About The Position

The Operational Support Director is responsible for leading and managing small to large cross-functional project implementation within Provider Operations, focusing on claim functions and initiatives. This role supports execution of the claim roadmap, refines project scope, and provides inputs on business cases in partnership with Operations, Capacity, Finance and Technology teams. The Director leads teams of operations experts and subject matter specialists, ensuring effective identification, prioritization, and implementation of new capabilities to auto adjudication, system enhancements, and automation opportunities, while providing oversight for existing operational capabilities required for success. Additionally, the Director is expected to drive continuous process improvement, foster a culture of innovation, and ensure alignment with organizational goals and regulatory requirements.

Requirements

• High School Diploma or GED required.
• Bachelor’s degree in Business, Operations Management, or a related field preferred.
• 8+ years progressive leadership experience within Medical Claims Operations with demonstrated success leading enterprise-wide initiatives , cross-functional teams, and large-scale operational change.
• Proven ability to operate at a director level , influencing senior and executive leaders and aligning diverse stakeholders to shared objectives.
• Deep experience in operational transformation, automation strategy, system modernization, and scaling innovation.
• Strong track record of delivering complex initiatives with measurable business impact in highly regulated environments.
• Demonstrated success working within highly matrixed organizations , partnering with operations, technology, finance, and risk leaders.
• Strategic thinker with the ability to translate vision into executable, results-driven plans.
• Exceptional stakeholder management, communication, and executive presence.
• Strong risk management mindset with the ability to operate effectively in ambiguous, fast-paced environments.
• Ability to manage multiple competing priorities while maintaining focus on enterprise outcomes.
• Excellent written, verbal, and active listening skills.

Responsibilities

• First Line of Defense for Production Support : Serve as the primary escalation point for production support needs, ensuring rapid response and resolution to system health issues impacting claim operations.
• Subject Matter Expert Management : Develop, manage, and mentor teams of subject matter experts to support initiatives across Provider Operations, ensuring expertise is leveraged for both project delivery and ongoing operational improvements.
• Stakeholder Communication & Collaboration : Proactively communicate and collaborate with a diverse range of stakeholders—including Operations, IT, Finance, and external partners—to align on priorities, share updates, and drive consensus on system enhancements and automation opportunities.
• Automation & System Enhancement : Define and lead the multi-year automation roadmap, prioritizing initiatives based on business needs and technical capacity, while identifying and mitigating risks and supporting change management efforts.
• Capability Oversight : Oversee Auto Adjudication, (AA) performance and enhancement efforts across all claim platforms, ensuring operational readiness and compliance.
• Governance & Controls : Partner and define requirements, develop automations, and own post-implementation controls and governance for sustained productivity, quality, and service gains.
• Compliance & Operational Oversight : Ensure compliant implementation and provide operational oversight for both frontend and back-office systems.
• Release Management : Lead system release cycles, including testing, validation, and control processes to maintain system integrity and support continuous improvement.
• Risk Management : Identify potential operational risks, implement mitigation strategies, and ensure contingency plans are in place to minimize disruptions.
• Budget Oversight : Identify opportunities for cost savings while maintaining high standards of service delivery.

Benefits

• Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• We also offer 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: Director
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees