Vice President Provider Operations & Technology- Evernorth Health Services

Flexible Location: Bloomfield, CT, Chattanooga, TN, St. Louis, MO, Scottsdale, AZ, Denver, CO.

* Willing to consider other locations.

OVERVIEW:

The Vice President Provider Operations & Technology will serve as an essential part of the Provider Solutions & Operations (PS&O) leadership team, developing a provider operations & technology 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 operations & technology.  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 operations and technology 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:

• Responsible for leading the overall Operations and Technology strategy for the provider data assets of the PS&O organization

• Develop and execute a provider operations & technology strategy that will result in industry-leading accuracy, experience and compliance for all stakeholders.

• Establish an Operations & Technology Governance process, which will create and implement enterprise-wide guidelines, controls and decision-making processes regarding the ingestion and maintenance of Provider Data.

• Leverage technology, data science and analytics to fuel differentiated value to stakeholders.

• Responsible for roadmap for all Operations & Technology provider data initiatives.

• Drive efficiency through improved process, automation, utilization of lower cost resources & implementation of policy changes.

• Collaborate closely with technology team in aligning operational processes and technology development to deliver solutions that will exceed client expectations while reducing operating costs substantially.

• Ensure operational readiness and proper execution of initiatives with cross functional impacts.

• Work with other teams to improve and create operational efficiencies through automation.

• Develop an internal reputation as a leader and change agent who drives results while maintaining PS&O strong entrepreneurial spirit and team morale.

• Focus on aligning operational processes and technology development to deliver solutions that will exceed client expectations while reducing operating costs substantially.

• Lead and identify opportunities (through artificial intelligence and other technology-enabled platforms) and drive innovation in 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.

• Develop frameworks and methodologies for integrating and normalizing diverse data sets, ensuring consistency and accuracy.

• Collaborate with cross-functional teams to define data governance policies, data standards, and data architecture frameworks.

LEADERSHIP AND COLLABORATION:

• Effectively lead a diverse set of operational functions in a manner that is aligned with PS&O’s core tenants of trust, transparency and servant-leadership.

• Collaborate with cross-functional divisions, including development, delivery, operations, legal/compliance, clinical, business segments, etc., to ensure data needs a