Operations Advisor - EviCore - Hybrid (Finance)
The Operations Advisor is responsible for working directly with clients on all aspects of new client implementations/projects, client expansions and existing clients implementing new programs. Analyzes business operations and recommends solutions that align with client goals. These solutions may be unique for each implementation. Maintains current knowledge of eviCore programs, platforms and solutions and understands how each can be adapted to meet client objectives. Establishes both tactical and strategic relationships with client Business/Workstream owners, serves as a mentor and subject matter expert, leads the requirements definition process and responsible for the documentation of decisions and the solution. This position will manage multiple, concurrent projects and drive working sessions with clients, with other project team members, to ensure expectations and direction are aligned and timelines are being met. Ability to handle a large volume of work independently and directly with clients on larger, more complex projects. This position also has Project Management responsibilities for unique implementation efforts where the standard implementation methodology must be modified to meet the goals of the program.
Primary Functions
- Manages multiple implementations with cross functional teams.
- Develops project task plan with all key milestones required to achieve business objectives.
- Self-sufficiently develop project approach (key stakeholders, need for sub-teams, phases, operating mechanisms, etc.).
- Objectively plan and execute project kickoff to launch the project.
- Develops risk management plan
- Supports projects that define and implement major process improvements across a department or multiple business functions.
- Supports process improvement events through facilitation
Key Qualifications
- High School Diploma required
- Bachelor's degree preferred
- 10 years relevant project/program management experience with technical implementation work preferred
- Healthcare experience required, Health Plan/Carrier/Payers, preferred
- Strong analytical, planning, problem identification and resolution skills required
- Demonstrated self-initiative
- Excellent communication skills with internal and external partners in various functional areas and at all levels of management.
- Understanding of continuous improvement principles to grasp and communicate "the why" in the process to achieve results.
- Solid leadership skills, demonstrated ability to lead, oversee and motivate cross functional teams in a complex corporate environment.
- Demonstrated ability to deliver against aggressive goals
- Understanding of the healthcare industry and utilization management a plus
- Proven ability to plan for and integrate multiple tasks concurrently as well as work independently
- Ability to identify and engage cross-functional teams in support of project completion, while obtaining buy-in from stakeholders
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 80,600 - 134,300 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 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. For more details on our employee benefits programs, visit Life at Cigna Group .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
