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Program Management Advisor – Out-of-Network Protection Team

Program ManagerProgram ManagerOtherRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

90 days ago

Salary

$95.4K - $159K / year

Seniority

Senior

Bachelor DegreeExperience acceptedEnglish

Job Description

Program Management Advisor – Out-of-Network Protection Team

The Cigna Group

• Develop, execute, and maintain the ONPT knowledge management strategy, including tools, best practices, policies, procedures, and reusable processes • Create and maintain tools, reports, and job aids that drive operational improvements, including operating manuals and centralized data repositories • Recommend and lead the development of systemic monitoring tools, controls, and processes to detect and address defects • Manage operational readiness for ONPT projects, including requirements gathering, prioritization, testing, and implementation; partner with Development and IT teams • Analyze and translate data to identify improvement opportunities, with a focus on efficiency and automation • Perform vendor security activities, including onboarding, access management, equipment issuance, and returns • Act as a subject matter expert liaison between IT and the business for system releases impacting non‑par operations • Provide actionable insights and recommendations to leadership related to people, process, and technology • Deliver consistent operational performance reporting across ONPT operations • Monitor efficiency and recommend improvements related to claims flow between Service Operations, ONPT, and vendors • Identify and prioritize issues and process gaps that contribute to customer abrasion

Job Requirements

  • Bachelor’s degree or equivalent relevant work experience
  • Strong background in Medicare and Commercial lines preferred
  • Experience with reporting and/or automation tools preferred
  • Experience leading operational readiness activities or managing multi‑component initiatives across teams
  • Experience in benefits and claims administration and/or project or relationship management preferred
  • Strong knowledge of non‑par programs preferred
  • Advanced knowledge of Cigna products, lines of business, and claim systems required
  • Demonstrated ability to take ownership and deliver results with minimal supervision
  • Strong written and verbal communication skills; ability to work in a highly matrixed environment
  • Proven analytical, problem‑solving, and project management skills

Benefits

  • Health-related benefits including medical, vision, and dental
  • Well-being and behavioral health programs
  • 401(k)
  • Company paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days of paid time off per year
  • Paid holidays

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