Senior Director, Quality & Testing - PBS Operations

Job Description: Senior Director, Quality & Testing - PBS Operations

Reports To: Vice President, Client Services Operations

Position Summary:

The Senior Director of Quality & Testing provides strategic leadership and operational oversight for the Quality & Testing function within PBM Operations.

This role is responsible for shaping and executing a comprehensive testing strategy that supports the Commercial Division, Health Plan Division, Cigna, and Centene lines of business.

The ideal candidate will bring deep expertise in quality assurance and testing, a strong executive presence, and the ability to influence both internal and external stakeholders.

Key Responsibilities:

Strategic Planning and Execution


* Develop and implement long-term , forward-thinking strategic plans for the Quality & Testing function.


* Align testing strategies with organizational goals and evolving business needs.


* Monitor industry trends and integrate best practices into strategic initiatives.

Leadership and Management


* Provide visionary leadership to a large, diverse team of quality and testing professionals.


* Make strategic decisions using expert knowledge and authority.


* Foster a culture of accountability, innovation, and continuous improvement.


* Mentor and develop team members to build leadership capacity and technical expertise.

Client and Stakeholder Engagement


* Serve as a key liaison with internal and external stakeholders to ensure alignment on quality and testing objectives.


* Build and maintain strong relationships with clients to understand their needs and deliver exceptional service.


* Communicate effectively with executive leadership and cross-functional teams to drive collaboration.


* Serve as point of escalation for the team and internal partners on issues of concern.

Business Operations


* Oversee benefit validation testing, claims compare testing, functional testing, and end-to-end (E2E) testing strategy.


* Oversee operational efficiency and resource allocation within the Quality & Testing function.


* Ensure compliance with regulatory requirements and internal policies.


* Utilize data-driven insights to optimize processes and improve service delivery.


* Manage a team of approximately ~70 FTE and up to 600 contractors, depending on seasonal needs.

Scope & Influence:

High-impact role with significant influence on organizational success.

Strong executive presence with the ability to influence internal and external partners.

Accountable for driving strategic initiatives across multiple lines of business.

Acts as a thought leader and trusted advisor in Quality & Testing across the PBM.

Qualifications:


* At least 10+ years progressive management experience including proven experience in leading large-scale Quality & Testing and/or operations functions, preferably within PBM or healthcare.


* Bachelor's degree or equivalent experience is required.


* D...