Senior Director, Coverage Review Client Operations - Evernorth Health Services (Hybrid)

Job description

The Senior Director, Coverage Review Client Operations is an enterprise leadership role accountable for setting the strategic direction, operational standards, and regulatory integrity of Coverage Review client‑facing operations across Evernorth / Cigna Healthcare. This role provides executive ownership of complex, highly regulated operational capabilities that directly support Account Management and external clients, with a strong emphasis on Medicare programs, appeals and reconsiderations, Independent Review Entity (IRE) support, Coverage Review implementations, and Prior Authorization (PA) research. Operating at an enterprise level, this leader translates regulatory, client, and market requirements into scalable operating models that balance compliance, service excellence, and operational efficiency. The Senior Director serves as an accountable executive partner to Account Management, Compliance, Clinical, Legal, Product, and Technology leaders, ensuring consistent execution, audit readiness, and a differentiated client experience across multiple lines of business. Scope & Impact: Executive ownership of enterprise Coverage Review Client Operations supporting a diverse portfolio...