Payment Integrity Project Effectiveness Manager

hace 6 meses

Madrid, España The Cigna Group A tiempo completo

**Payment Integrity Project Effectiveness Manager**

The job profile for this position is Payment Integrity Project Effectiveness Manager, which is a Band 4 Management Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply Our people make all the difference in our success.

**Role Summary**:
As the Payment Integrity Project Effectiveness Manager you will be directly supporting Cigna’s affordability commitment within Cigna International's business. This role is responsible for managing a team of project analysts, overseeing project initiatives impacting Payment Integrity and supporting the operational effectiveness of the Payment Integrity (PI) function. As an experienced Project Manager, and critical thinker, you will have significant experience articulating business complexity in the form of business processes and requirements and will be responsible for overseeing and contributing to project governance, outcomes, and ensuring decisions are documented, allowing for traceability and auditability. The role includes working across all International Healthcare Books of Business to ensure alignment and efficiencies within delivery, to raise risks, issues, perform analysis, track outcomes, and best practices. Working from home, he/she will work in partnership with the PI leadership team to optimise operational efficiency, project delivery and overall performance.

**Responsibilities**:

- Support the Payment Integrity business strategy and responsible for executing departmental plans and priorities.
- Responsible for oversighting various US Cost Containment initiatives being delivered through third parties including Enterprise and ensuring a pipeline of new activities to continue to enhance cost containment opportunities across all international books of business.
- Accountable for maintaining an overview to inform through governance on the status and progress of PI affordability incremental initiatives. Support PI business owners with engagement with PMO to ensure timely delivery, the documentation of perceived risk and collation of mitigation actions.
- Accountable for overseeing the continued development of the HealthCloud solution bespoke for PI.
- Responsible for owning the front-door change process for PI, ensuing business requests are reviewed, resourced and allocated.
- For initiative impacting PI, ensuring all business acceptance testing is performed and approved to enable business improvement, adoption, implementation, and execution of processes.
- Examines performance results for problem determination and takes appropriate corrective actions, reporting through appropriate governance.
- Works cross-functionally within PI to improve the operational effectiveness of project and incremental initiative opportunities.

**Skills and Requirements**:

- Proven track record of leading global and remote operational teams.
- Ability to work in an Agile framework.
- Knowledge of US healthcare delivery systems and provider business models, including competitor offerings on product, network, and payment integrity propositions would be a benefit.
- Knowledge of US standard claims medical coding (CPT, ICD10, HCPC) and regulatory billing rules.
- Demonstrated experience in seeking out, building and nurturing strong relations with third parties.
- Exceptional stakeholder management and proven ability to develop strong working relationships within a fast-paced, matrix organization.
- Superior problem solving, decision-making, project management skills.
- Minimum of 5 years of health insurance or health care provider experience, and/or customer service or related experience.
- Commercial experience operating effectively under pressure and delivering results.
- Excellent communication skills, both written and verbal and high level of financial acumen.
- Strong reporting and analytical skills with ability to create and improve reporting packs and methodologies.
- Strong organization skills with the ability to balance multiple priorities at once and deliver on tight timelines.
- Experience of operational risk management, including internal and external risk and compliance reporting.
- Dedicated to meeting the expectations and requirements of internal and external customers, excellent at building effective relationships and gaining trust and respect.
- Flexibility to meet with global teams across varying time zones effectively.
- Confidence to deal with internal stakeholders and ability to work across cross-functional teams.

**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

  • Payment Integrity Project Senior Analyst

    hace 1 semana

    Madrid, España Cigna Health And Life Insurance Company A tiempo completo

    .Payment Integrity Project Senior AnalystExcited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our...

  • Payment Integrity Project Senior Analyst

    hace 2 días

    Madrid, España Cigna A tiempo completo

    .The job profile for this position is Project Senior Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...

  • Payment Integrity Project Senior Analyst

    hace 1 semana

    Madrid, España Cigna Health And Life Insurance Company A tiempo completo

    .Payment Integrity Project Senior AnalystExcited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our...

  • Payment Integrity Project Senior Analyst

    hace 1 semana

    Madrid, España Cigna Health And Life Insurance Company A tiempo completo

    Payment Integrity Project Senior AnalystExcited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our...

  • Payment Integrity Project Senior Analyst

    hace 3 días

    Madrid, España Cigna A tiempo completo

    The job profile for this position is Project Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for...

  • Payment Integrity Project Senior Analyst

    hace 3 días

    Madrid, España Cigna A tiempo completo

    The job profile for this position is Project Senior Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...

  • Payment Integrity Project Senior Analyst

    hace 2 días

    Madrid, España Cigna A tiempo completo

    The job profile for this position is Project Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for...

  • Product Owner

    hace 1 mes

    Madrid, Madrid, España Cigna A tiempo completo

    Job Summary:The Payment Integrity Project Senior Analyst role is a Band 3 Senior Contributor Career Track position within the International Markets business. As a key member of the Payment Integrity team, you will be responsible for supporting the maintenance of the Health Cloud environment and other relevant projects.Key Responsibilities:Manage the intake...

  • Product Owner

    hace 1 mes

    Madrid, Madrid, España Cigna A tiempo completo

    Job SummaryThe Payment Integrity Project Senior Analyst role is a key position within the Payment Integrity team, responsible for supporting the maintenance of the Health Cloud environment and other relevant projects within the International Markets business.This role requires a strong analytical mindset, excellent communication skills, and the ability to...

  • Senior Project Analyst

    hace 1 mes

    Madrid, Madrid, España Cigna A tiempo completo

    Job Summary: As a Payment Integrity Project Senior Analyst working on the Payment Integrity team, you will be accountable for supporting the maintenance of the Health Cloud environment for the Payment Integrity team and other relevant projects within the International Markets business.Key Responsibilities:• Manage the intake form process for all Health...

  • Payment Methods Integration Project Manager

    hace 1 mes

    Madrid, España Virtuagym A tiempo completo

    .As Virtuagym keeps on growing, we are now looking for a new face to complement our team. As Payment Methods Integration Project Manager you will be joining our Global CS Team. Will you join us to create a healthier and happier world?This is a remote position in Spain, where you will be working for our Amsterdam office. You will be hired remotely through the...

  • Payment Methods Integration Project Manager

    hace 1 mes

    Madrid, Madrid, España Virtuagym A tiempo completo

    Job Description: As Virtuagym continues to grow, we are seeking a skilled Payment Methods Integration Project Manager to join our Global CS Team. This role will involve collaborating with multiple teams to ensure seamless integration of payment solutions and provide exceptional customer support.Key Responsibilities:* Act as the point of contact for all VG...

  • Project Development Manager

    hace 6 meses

    Madrid, España Executive Integrity A tiempo completo

    Location: Madrid - Sector: Solar Power - Job type: Permanent - Salary: Up to £60000.00 per annum - Job Reference: BBBH1107_1701074901 Job title: Project Development Manager Location: Madrid, Spain ( hybrid ) Whom are we recruiting for? What will you be doing? - Work towards solar project opportunities and manage the development of solar projects -...

  • Subrogation Analyst

    hace 6 meses

    Madrid, España The Cigna Group A tiempo completo

    **Excited to grow your career?** We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. **Role Summary**: As...

  • Payment Methods Integration Project Manager

    hace 1 mes

    Madrid, España Virtuagym A tiempo completo

    As Virtuagym keeps on growing, we are now looking for a new face to complement our team. As Payment Methods Integration Project Manager you will be joining our Global CS Team. Will you join us to create a healthier and happier world?This is a remote position in Spain, where you will be working for our Amsterdam office. You will be hired remotely through the...

  • Payment Integrity Quality Review and Audit Specialist

    hace 1 semana

    Madrid, Madrid, España The Cigna Group A tiempo completo

    Quality Review and Audit ExpertiseCigna International's Payment Integrity Team seeks a skilled Quality Review and Audit Expert to support the company's affordability commitment. As a key member of this team, you will directly contribute to ensuring the accuracy and integrity of payment processes worldwide.Key Responsibilities:• Identify and prevent...

  • Business Integrity Manager

    hace 1 mes

    Madrid, Madrid, España Norgine A tiempo completo

    About the RoleNorgine is a leading healthcare organisation that transforms lives with innovative healthcare solutions. We are seeking a highly skilled Business Integrity Manager to join our team.The successful candidate will report to the General Manager and be a member of the Business Integrity team. The core responsibility of this role is to ensure that...

  • Project Installation Manager

    hace 1 mes

    Madrid, España Project Installation Manager A tiempo completo

    We are searching for a Project Installation Manager in Madrid, Spain.Work : 100%Start : ImmediatePositiontype : PermanentSalary : based on experienceResponsibilities :Organising the Installation work (To be described in the Project Installation Management Plan) and Manages Installation Work Package (QCD).Monthly Work Package review with PM to control,...

  • Project Installation Manager

    hace 1 mes

    Madrid, España Project Installation Manager A tiempo completo

    We are searching for a Project Installation Manager in Madrid, Spain.Work : 100%Start : ImmediatePosition type : PermanentSalary : based on experienceResponsibilities :Organising the Installation work (To be described in the Project Installation Management Plan) and Manages Installation Work Package (QCD). Monthly Work Package review with PM to control,...

  • Salesforce Effectiveness Manager

    hace 1 mes

    Madrid, Madrid, España Abbott A tiempo completo

    About AbbottAbbott is a global healthcare leader, creating breakthrough science to improve people's health. We're always looking towards the future, anticipating changes in medical science and technology.Working at AbbottAt Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life.You will...