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The Sr. Manager of Operating Effectiveness will oversee the activity of the quality regulatory assurance (QRA) department and staff, developing, implementing robust regulatory & quality procedures. This role will help direct monitoring of state and federal regulation, preparing compliance positions with respect to product impact, pricing impact, development of policy forms, and guidelines for Underwriting and Sales. Helps oversee the development and filing of contract language and policy forms to support compliance and quality activities, new product development, state health care reporting and changes to existing products. Provides direction and guidance to staff relative to the implementation, monitoring, investigation, evaluation and reporting quality & compliance policies, audits programs, continuous improvements and issues. Utilizes in-depth professional knowledge but is guided by functional practices and well defined management precedents.
ESSENTIAL FUNCTIONS
Develops, implements, and manages processes to ensure CSD meets state and federal regulations
Identifies and sets appropriate quality standards, parameters, and metrics
Conduct internal audits and QRA procedures
Review and approve all updates on Distribution procedures
Communicates quality standards and parameters to QRA team and other appropriate staff.
Coordinates and participates in product testing processes as well as CSD audits.
Maintain quality assurance for the distribution sites, support manufacturing audits, quality agreements, RGA front & backend processing.
Maintains compliance with federal, state, local, and organizational laws, regulations, guidelines, and policies.
Direct the team toward continued process improvement activities to drive efficiencies across CSD.
Determine resource alignment across the COE teams and capabilities.
Manage the career and leadership development of teams.
QUALIFICATIONS
Bachelor’s degree in business related field preferred, high school diploma or GED required
6+ years of relevant work experience, 2-3 years of leadership experience preferred
Knowledge and understanding of Quality Assurance department role experience preferred
SAP warehouse system experience preferred
Highly self-directed and focused on achieving goals
Proficient in identifying potential exceptions (Regulatory compliance, Product Quality and Patient Safety)
Proven experience mentoring and coaching others, either cross-functionally or directly
Experience working cross-functionally and promoting collaborative partnerships to drive results
Proven ability to communicate effectively to various audiences/levels
Strong willingness to collaborate with others on team to identify and solve problems
Complex problem solving capability and experience
Ability to work under pressure and meet deadlines
Proficiency in Microsoft Office suite including Excel, Power Point and Word
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.