Medicare Operations Program Management Senior Advisor - Remote - Cigna Healthcare

Reporting to the Risk Adjustment Strategy and Operations Leader, this role serves as leading and managing all activities related to Cigna's Corporate Integrity Agreement (CIA).

Serves as the main point of contact for internal teams to drive performance and deadlines related to deliverables related to Corporate Integrity Agreement as well as key compliance related deliverables.

Identify gaps in operational infrastructure to ensure the delivery within expected timeframes, establish critical measures to track performance to goals, identify additional critical operational metrics to support improved execution and performance, collaborate with vendors and legal and compliance teams to drive execution.

Role Components


* Collaborating with matrix partners to ensure execution of key deliverables


* Engaging and influencing the organization to prioritize around the established CIA deliverables.


* Influencing operational performance and the impact to CIA deliverables, including socializing and communicating the overall requirements, strategy and direction


* Identifying and championing additional opportunities/efficiencies around CIA requirements and other key compliance initiatives, including exploring operational solutions that drive efficiency in process.


* Facilitating and actively participating in monitoring vendor performance related to these initiatives and identifying roadblocks to success


* Monitoring operational proxy metrics, tracking and trending metric performance, and identifying gaps/opportunities to improve

Primary Responsibilities

Lead projects from end to end using best practices and disciplines.

Partner with cross-organizational areas in implementing project initiatives.

Provide leadership and guidance to the project team and across multiple areas.


* Responsible for delivering small to large scale project initiatives.


* Collaborate with leadership teams on all aspects of the day-to-day operations to build and manage a detailed project plan, with key milestones, priorities,dependencies/sequencing,from inception to closure.

Plan will incorporate tasks that represent all work needed for a successful implementation.


* Identify, track, mitigate and escalate (when appropriate) project risks, issues, and decisions.

Develop contingency plans and triggers to invoke.


* Drive to delivery timelines, while also adapting to a dynamic work environment; set priorities to best support organization performance and impact.


* Provide transparent and accurate project status reporting at all times, in alignment with stakeholder and sponsor input.


* Identify and develop relationships with cross-enterprise teams and key stakeholders to establish and monitor progress against goals and objectives, and a clear vision to achieve goals.


* Understand communication dynamics and build/execute a plan to meet stakeholder needs.


* Ensure funding and resources are prioritized and secured to facilitat...