Posted in General Business 11 days ago.
Type: Full-Time
Role Summary :
The Director of Regulated Markets is responsible for Coverage Review and Determinations for Medicare Part B and Part D, Medicaid, Marketplace or Healthcare Reform (HCR) and Commercial. This position will have business and product ownership, including strategic direction, project support of technical requirements to ensure ongoing compliance, Center for Medicare and Medicaid (CMS) Audit support and end-to-end ownership of Coverage Review letters, including Commercial.
The role will be responsible for ensuring CDAG/ODAG requirements meet legal and compliance requirements as well as the needs of clients and business partners. This position will be responsible for a team of individuals that lead multiple projects and initiatives that reach across the organization as well as ongoing day-to-day product management. This role will require strategic planning, managing stakeholder priorities, overseeing delivery, execution and oversight of daily operations. This individual will work with cross-functional partners and leaders to build trusted relationships that enable business objectives to be met. The ideal candidate will have a broad based knowledge of Regulated Markets, a strategic mindset, the ability to influence and drive change and the capability to create and drive new processes.The successful leader will exemplify Cigna's high-performance culture and have the ability to operate in a sometimes ambiguous and high-paced environment. A successful candidate must be comfortable in an environment of dynamic change and evolution .
In its current capacity, the Director will be expected to manage a team of 8 individuals (3 direct reports; 5 indirect).
Essential Functions:
Qualifications:
Required Competencies/Behaviors:
* * * This is a hybrid role and will require the ability to work in person. * * *
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.
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.
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