Program Management Senior Advisor - Cigna Healthcare - Remote
The Cigna Group · US
Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week: Bloomfield, CT, Chattanooga, TN, Denver,...
Job description
Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ. Role Description: The Program Management Senior Advisor (an individual contributor role) is a senior operational leader responsible for ensuring the accurate, compliant, and high‑quality execution of regulatory‑driven benefits alignment across reimbursement rules, prior authorization, and medical policy implementation. This role translates complex regulatory, legal, product, and policy requirements into disciplined execution, bringing structure to ambiguity and driving coordinated delivery across highly matrixed, cross‑functional teams. Additional responsibilities will include Vendor Management, facilitation of proof-of-concept initiatives, and vendor process oversight. Serving as a central liaison for the Payment Integrity team , the Senior Advisor manages regulatory questions and inquiries; coordinates the timely collection of required information; and ensures responses and implementations meet legal, regulatory, quality, and documentation standards. With a strong emphasis on quality, acc...