Vice President Provider Data Operations- Evernorth Health Services

Flexible Onsite Location: Bloomfield, CT, Chattanooga, TN, St.

Louis, MO, Scottsdale, AZ, Denver, CO.



* Willing to consider other onsite locations.

OVERVIEW :

The Vice President Provider Data Operations will serve as an essential part of the Provider Solutions & Operations (PS&O) leadership team, developing a provider data strategy to unlock Cigna's strategic plans leveraging networks and provider data capabilities for growth and monetization.

Reporting to the Senior Vice President of PS&O, the Vice President will be primarily responsible for overseeing the end-to-end process of provider data ingestion and maintenance.

Additionally, will partner with other leaders across Technology and Operations to ensure that Cigna's capabilities and strategic partnerships are resulting in industry leading provider data capabilities and experience for all critical stakeholders.

Their expertise will guide the organization's evolution to dramatically improved accuracy and compliance through enhanced data collection methodologies, and technologies.

The long-term goal will be to simplify, accelerate and improve all facets of provider data across the organization.

Successful candidates will be able to articulate the differentiating value they will bring to the organization and how their experience can activate the overall vision of our provider data strategy.

Candidates must be adept at change management, have a strong understanding of transformative technologies, and the ability to build strong teams and influence results in a highly matrixed environment.

They must consciously and strategically balance possibilities with reality, which may involve a phased implementation of ideas and initiatives.

The successful candidate will have a track record of building a network of champions for effective execution, both in and outside the organization.

RESPONSIBILITIES:


* Lead the Operations Teams responsible for provider data, inclusive of (but not limited to) credentialing, onboarding, loading, maintenance, network build and new solution delivery.


* Develop and execute on a provider data strategy that will result in industry-leading accuracy, experience and compliance for all stakeholders.


* Establish a Provider Data Governance process, which will create and implement enterprise-wide guidelines, controls and decision-making processes regarding the ingestion and maintenance of Provider Data.


* Develop and execute the provider data strategy, focusing on data needs specific to organizational priorities and business units (i.e.

Operations, Growth Segments, Regulatory/Compliance, etc.).


* Oversee the collection, integration, and quality assurance of diverse provider data sources, including proprietary data sets, third party data, research data, and alternative data.


* Collaborate with Operations and Technology leads to identify opportunities (through artificial intelligence and other technology-enabled platforms) and drive innovation in prov...