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Medicare Stars and Risk Adjustment Manager - Work from home at Cigna

Posted in Management 30+ days ago.

Type: Full-Time
Location: Memphis, Tennessee





Job Description:

Remote, Work from home

PRIMARY FUNCTION:

This position is responsible for leading and evolving the team of business analysts and advisors that are supporting projects across the Stars and Risk Adjustment teams.  This position is also directly responsibility for the oversight and execution of incoming projects that will be served to grow and enhance the department to a sustainable state. 

MAJOR RESPONSIBILITIES


  • Build a sustainable team of analysts and advisors to execute strategic initiatives focused on department interventions and enhancements

  • Manage the strategy and collaborative process to prioritize the analyst and advisors focus with a goal of maximizing overall Stars and Risk Adjustment performance

  • Work with matrix leadership across the organization to successfully prioritize and assist in the execution of business needs

  • Seek to actively understand current processes to drive innovations for sustainable and scalable enhancements

  • Maintain and monitor the Stars and Risk Adjustment Enablement intake system including prioritization, assignment and oversight of work based on team bandwidth

  • Provide mentorship and guidance to direct reports for continued growth and development

  • Host regular cadence touch points with direct team and leadership to promote transparency and project progress

  • Share metrics and performance with business leaders, identifying key opportunities or process changes required

  • Assist in a variety of projects related to the analysis of claims, clinical and financial data, with a focus on improving financial performance and health outcomes


  • Partner with specialists to develop proposed actions based on analysis from subject matter experts in products payer reports.

  • The ongoing education of industry and project management techniques to grow and evolve the team to best incorporate into the business units

Summary of Qualifications


  • Bachelor degree preferred, or 3 years minimum management experience

  • Proven ability to lead business analyst team

  • Medicare Advantage - preferred

  • Preferred experience in implementing and building new teams

  • Strong ability to evaluate, interpret and manipulate data

  • Project management and organizational excellence experience

  • Excellent verbal and written communication skills; ability to prepare and deliver presentations to managers and clinicians

  • Strong people management skills

This role is Work from home (WFH) which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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.





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