Your role will include:
1) Transformation & Value Delivery
Lead cross‑functional LSS projects end‑to‑end (charter → control), converting VOC into CTQs and measurable outcomes (DPMO↓, FTR↑, NPS↑, AHT↓, rework↓).
Drive Lean/Kaizen interventions—waste elimination, standard work, mistake‑proofing, visual management—embedded into run‑ops and IHDS delivery.
Quantify and track benefits with IHDS portfolio governance and financial partners.
2) International Health Domain & Compliance
Improve quality across global claims adjudication, enrolment, billing, provider/network & medical review workflows supporting International Health lines of business.
Ensure rigorous compliance with HIPAA, GDPR, and Cigna privacy/security standards for cross‑border PHI/PII; support internal/client audits and enterprise security reviews.
3) Quality Systems & Controls
Design/optimize QMS for International Health ops: risk‑based sampling, QA scorecards, calibration routines, and auto‑scoring opportunities.
Establish SPC dashboards & early‑warning indicators; run FMEA on top failure modes; maintain rock‑solid control plans with ≥95% adherence.
4) Analytics & Insights
Apply advanced analysis (root cause, hypothesis testing, regression/segmentation, DoE where warranted) to pinpoint drivers of denials, rework, leakage, and CX friction.
Partner with BI (Power BI/Tableau) to build role‑based views tracking SLA, quality, cost, and IHDS portfolio health.
5) People Leadership & Change
Coach/certify Green Belts, upskill QA/ops teams on LSS and data literacy; facilitate Kaizens/rapid improvement bursts.
Lead change management (ADKAR/PROSCI), aligning with IHDS cadence (e.g., intake, prioritization, PI) to sustain adoption.
Your Abilities:
The ideal candidate blends deep healthcare domain understanding (HIPAA/PHI handling, payer/provider processes) with hands-on expertise in process excellence, change management, and stakeholder engagement across global, high-volume operations. The role drives defect reduction, cost/outcome improvements, regulatory compliance, and client satisfaction using structured methods (DMAIC/DMADV), analytics, and robust control systems.
Required Skills and Qualifications:
• Bachelor’s degree in Engineering, Healthcare Administration, Statistics, or related field; Master’s preferred.
• Certified Lean Six Sigma Black Belt (ASQ/IASSC or equivalent); COPC/ISO knowledge a plus.
• 8–12 years total experience with 5+ years in healthcare BPO/RCM/payer/provider processes.
• Proven track record delivering multiple high-impact projects with quantified benefits in a high-volume
operations environment.
• Strong knowledge of HIPAA, PHI handling protocols; exposure to payer policies and US healthcare revenue
cycle preferred.
• Proficiency with statistical tools (Minitab/R/Python—analysis), BI (Power BI/Tableau), and Excel at advanced
level
About The Cigna Group
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Skills Required
- Bachelor's degree in Engineering, Healthcare Administration, Statistics, or a related field
- Master's degree
- Certified Lean Six Sigma Black Belt from ASQ, IASSC, or equivalent
- COPC or ISO knowledge
- 8-12 years of total professional experience
- At least 5 years of experience in healthcare BPO, revenue cycle management, payer, or provider processes
- Proven record delivering multiple high-impact projects with quantified benefits in a high-volume operations environment
- Strong knowledge of HIPAA and PHI handling protocols
- Exposure to payer policies and United States healthcare revenue cycle
- Proficiency with statistical tools including Minitab, R, or Python
- Proficiency with business intelligence tools including Power BI or Tableau
- Advanced Microsoft Excel skills
Cigna Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Cigna and has not been reviewed or approved by Cigna.
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Strong & Reliable Incentives — Strong bonus outcomes are frequently highlighted, with annual bonuses described as really good alongside above-average salary levels. Stock or long-term incentive elements are also noted as part of the overall package in some roles.
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Leave & Time Off Breadth — Time-off benefits are portrayed as a meaningful part of total rewards, including generous PTO and flexibility that can enhance the perceived value of compensation. Flexible work-from-home arrangements are repeatedly linked with satisfaction about the overall package.
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Healthcare Strength — Health coverage is described as broad in design, with preventive care often covered at no charge in-network and options like virtual care and wellness incentives. A large provider network and strong digital tools are positioned as practical advantages when using benefits.
Cigna Insights
What We Do
At Cigna, we're more than a health insurance company. We are your partner in total health and wellness. And we’re here for you 24/7 – caring for your body and mind. As a global health service company, Cigna's mission is to improve the health, well-being, and peace of mind of those we serve by making health care simple, affordable, and predictable. Our values are the core of our culture. Our values guide how all 74,000 of us around the world work together, serve our customers, patients, clients, communities, and deliver on our mission.
