Coverage Review Operations - Director

Are you a driven and experienced leader with a passion for improving healthcare operations? Look no further! Cigna is seeking a Coverage Review Operations Director to oversee our coverage review processes and drive operational excellence. As the Director, you will play a crucial role in ensuring the accuracy and efficiency of our coverage review operations, ultimately helping us provide the best possible care for our customers. We are seeking someone with a strong background in healthcare operations, a strategic mindset, and a proven track record of successfully leading and managing teams. If you are ready to take on a challenging and rewarding role at a leading healthcare company, we want to hear from you!

1. Oversee and manage the coverage review processes for Cigna, ensuring accuracy and efficiency in operations.
2. Develop and implement strategies to drive operational excellence and improve the overall performance of coverage review operations.
3. Lead and manage a team of employees, providing guidance, support, and feedback to ensure a high-performing and motivated workforce.
4. Continuously analyze and assess the effectiveness of coverage review operations, identifying areas for improvement and implementing necessary changes.
5. Collaborate with cross-functional teams, including medical management, claims, and customer service, to ensure seamless and efficient processes.
6. Stay up-to-date on industry trends, regulations, and best practices related to healthcare operations, and apply this knowledge to drive innovation and improvement within the coverage review processes.
7. Develop and maintain relationships with key stakeholders, including healthcare providers and vendors, to ensure smooth and effective operations.
8. Create and maintain performance metrics and reports to monitor the success and impact of coverage review operations.
9. Participate in budget planning and resource allocation to support the growth and success of coverage review operations.
10. Foster a culture of continuous learning and development within the team, providing opportunities for growth and advancement.
11. Represent Cigna and the coverage review operations at industry events, conferences, and meetings.
12. Ensure compliance with all relevant laws, regulations, and company policies within the coverage review operations.

According to JobzMall, the average salary range for a Coverage Review Operations - Director in St. Louis, MO, USA is $110,000-$150,000 per year. However, this can vary depending on the specific company, industry, and level of experience of the individual in the role.

Cigna Corp. provides medical, dental, disability, life and accident insurance and related products and services to businesses, governmental and non-governmental organizations and individuals. It operates through following segments: Global Health Care; Global Supplemental Benefits; Group Disability and Life; Other Operations; and Corporate.