Own the end-to-end medical complaint lifecycle, ensuring timely, high-quality responses and sustainable corrective actions
Job Summary
Own the end-to-end medical complaint lifecycle, ensuring timely, high-quality responses and sustainable corrective actions.
Support clinical policy governance across service lines, partnering with stakeholders to develop, harmonize, and maintain evidence-based clinical policies.
The Cigna Group offers a comprehensive range of benefits, including medical, vision, dental, well-being programs, 401(k), tuition reimbursement, and a minimum of 18 days of paid time off per year.
Matching Summary
Own the end-to-end medical complaint lifecycle, ensuring timely, high-quality responses and sustainable corrective actions.
Salary
Base: 95,500 - 159,100 USD / yearly; Bonus/Equity: Annual bonus plan; Benefits: Comprehensive range of benefits including medical, vision, dental, well-being programs, 401(k), tuition reimbursement, 18+ days PTO, paid holidays
Skills & Requirements
Must-have
Complaint lifecycle management
Clinical policy development
Root cause analysis
Service recovery
Data integrity and reporting
Policy education and training
Nice-to-have
Elite service mindset
Adaptable and collaborative approach
Fast-paced dynamic environment
Continuous improvement focus
Key Requirements
Bachelor's degree required
Project management or process improvement experience required
2+ years clinical policy experience
5+ years healthcare experience
Experience with C360 preferred
Experience with SAIGlobal, Tableau, Microsoft Office