Find out exactly what skills, experience, and qualifications you will need to succeed in this role before applying below.
OVERVIEW :
As an enabler of Enterprise Strategic Priority for Medicare Advantage Growth, the Dedicated Medicare Operating Model (DMOM) program will drive a competitive administrative cost structure while delivering consistent, compliant operational performance.
This will be accomplished through the implementation of a new operating model transformation across people, process, and technology.
The Medicare Systems IT Project Management Senior Director is responsible for leading the delivery execution of the engineering for the DMOM platform.
Responsibilities include the leadership of the end-to-end delivery of the core platforms for the Government Medicare Advantage business.
The leader will work with the delivery areas to address technical decisions, delivery planning, quality engineering, production implementation and ongoing support of the platform.
This individual will work with business, technology, and solution teams to develop and execute the technology strategy for core business capabilities.
This individual must possess a strong understanding of business processes and capabilities, both functional and end-to-end, and prioritize the engineering of critical business processes and capabilities.
This individual will be responsible for working closely with the business and technology leadership to share status, concerns and recommendations.
The leader will be responsible for financial and budgetary management for multi-million-dollar budgets.
RESPONSIBILITIES :
Coordinate with Business leadership to understand all aspects of business needs.
Provide regular status reports to business and technology leadership on current concerns, challenges and issues, including recommendations for resolution.
Provide leadership direction for engineering teams delivering on highly complex technology ecosystems.
Financial / budget management.
Leadership for Architecture, Delivery, Quality Engineering and Production Support organizations.
Matrix management of both internal and third-party vendors for on-time delivery of integrated delivery plans.
Management of third-party partners for delivery and program management.
Work with product owners to define acceptance criteria.
Coordinate with Product Owner, Technical Leads, Product Managers and QA on readiness for release and timeline.
Provide recommendations for Go / No Go release decisions.
REQUIRED SKILLS : Bachelor’s Degree.
Bachelor’s Degree.
AWS Cloud Engineering.
Previous Medicare experience in Enrollment, Membership, Migration and Fulfillment functions.
Deep understanding of SDLC processes, agile development.
Experience managing Onshore and offshore teams.
Knowledgeable with high complexity, high volume transaction healthcare claim environment.
Preferred experience working for a program involving a highly matrix organization within a heavily integrated environment.
Strong knowledge of data model / database design concepts and working knowledge of SQL.
Experience working with multiple groups, both internally and externally clients, engineering and product management teams.
Excellent attention to detail, with strong analytical and problem-solving skills.
Excellent written and oral communication skills.
Professional and credible in front of business and technology leadership and customers.
Ability to work with shifting priorities to meet project requirements; self-motivated.
Knowledge of Agile principles.
Budget, cost and profitability management skills.
Knowledge of resource management tools.
Strategic Thinking : Ability to juggle multiple goals and deadlines in the context of the big picture.
Team Leadership & Development : Ability to mentor, coach and effectively transfer expertise to others.
Facilitation, Negotiation & Problem Resolution Skills : Ability to build a strong network and relationships at executive levels with technology and solutions, customers and vendor groups.
20-25% of travel may be necessary.
CORE COMPETENCIES :
Influential Leadership
Enterprise Mindset
Driving Change
Managing Vision and Purpose
Negotiation
Customer Centric Thinking
Professional Savvy
Motivating Others
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.
For this position, we anticipate offering an annual salary of 170,300 - 283,900 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email : [email protected] for support.
Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco / nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco / nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
These states include : Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
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Remote working / work at home options are available for this role.
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