Job Description

Position Summary

The Product Management Senior Advisor for Cost Containment will be responsible for the management and development of the solutions suite, supporting the OON Protection and Payment Integrity programs under the medical Cost Containment products umbrella. This position will provide subject matter expertise to direct product operations, reporting, compliance, marketing, sales, future product development, and client exceptions. The successful individual in this role will have strong analytic, technical, communication, research and decision-making skills. A solid understanding of the healthcare ecosystem and delivery system dynamics is a must. This individual will be adept at working as part of a small team, comfortable handling competing priorities and able to operate in an environment with aggressive timelines and possible ambiguity. Excellent time management, project management, organizational skills, and orientation to detail. This role is an individual contributor but will have demonstrated ability to work with matrix partners and business stakeholders.

Job Responsibilities

• Serve as the primary point of contact for product strategy, day-to-day product operations and development and maintenance of the solution suite.
• Oversee Cost Containment product innovation and development working closely with key matrix partners including Sales, Legal, Medical Economics, Finance, Underwriting, and Network Operations. Produce and present annual Product Roadmap.
• Serve as general subject matter expert to Sales/UW, Brokers/Consultants and Clients by responding to RFls/RFPs, presenting program value and leading all internal/external product trainings.
• Turn data into actionable insights by working with matrix partners to create and deliver relevant dashboard views/reporting of Cost Containment program performance, including program adoption, earnings updates, and industry trends.
• Lead all Program Go-to-Market activities including market message creation, collaterals, and internal/external distribution.
• General solution suite maintenance / management (scorecards, reporting, KnowledgeXchange, FAQs, playbook, etc.).
• Guide matrix partners through issue-resolution support and triage. Engage other partners as needed (i.e. other CC programs, Program Managers).
• Manage the Product mailbox including PBAB submissions, reporting requests, Sales questions, etc.
• Maintain and own all Exception and Opt-Out reports. Report out to matrix partners monthly. Perform quarterly audits of same.
• Identify areas of opportunity to drive efficiency enhancements with current manual processes.
• Facilitate and lead Core Team meetings by setting agenda, taking notes/recording any follow-up items.
• Work with matrix partners on projects as needed, i.e. Portfolio Funding execution.
• Monitor Federal and State legislation impacting Product.
• Work with matrix partners on ASO Agreement and SPD language review and updates.

Skills

• Goal-oriented and personally accountable; resourceful and self-directed.
• Ability to solve problems, identify and remove roadblocks, triage and prioritize issues.
• Strong time management, project management and organization skills.
• Excellent written and oral communication skills; able to present and facilitate dialogue with internal and external customers.
• Ability to effectively collaborate across the organization in a highly matrixed environment.
• Demonstrated the capacity to synthesize complex information from a wide variety of sources into a clear compelling story that helps the organization commit to action.
• Adaptable, flexible, and able to lead/manage through change.
• Strong leadership, interpersonal, relationship, and listening skills.

Qualifications

• Minimum of a Bachelor’s degree in Business, Finance, or similar field, MBA preferred.
• 5+ years’ experience in Product/Analytics/Sales or related field.
• Previous Cost Containment or Network experience with an understanding of industry dynamics and plan benefit design (in-network vs. out-of-network; delivery system; regulatory implications; how we go to market, etc.).
• Ability to deliver in a high-visibility space.
• Ability to work in a heavily matrixed environment.
• Ability to work closely with Executive Level Sales Leaders.
• Success in delivering and/or managing multiple initiatives while remaining detail-oriented and on-track.
• Ability to effectively communicate with Clients, Brokers/ Consultants (comfort in speaking and working externally).

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

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.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Job Tags

Full time, Local area, Work from home, Flexible hours

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