Cigna Medicare Clinical Operations Program Management Lead Analyst- Remote- Cigna Healthcare

Cigna - Bloomfield, CT

Full-time - Mid Level

Remote - Bloomfield, CT

Insurance Carriers and Related Activities

About the position

The Cigna Medicare Clinical Operations Program Management Lead Analyst is responsible for overseeing all CMS deliverables related to Clinical Operations. This role involves leading audit activities, serving as a liaison with Compliance, and implementing process improvements. The analyst will manage operational readiness processes to ensure successful project implementations and will track key project milestones while addressing risks and resource needs.

Responsibilities

• Responsible for all CMS deliverables for Clinical Operations.
• Leads all internal/external audit activities.
• Serves as liaison with Compliance.
• Creates and implements process improvements and updates.
• Establishes and manages operational and business readiness processes for funded projects and operational changes.
• Participates in business requirements to ensure applicability to operational areas during changes.
• Tracks key project and release milestones, escalating risks and confirming mitigation plans.

Requirements

• Operations experience preferred in Utilization Management.
• Experience in the use of project management methodologies and tools is a plus.