Jobs
>
Glasgow

    Payment Integrity Project Effectiveness Manager - Glasgow, United Kingdom - The Cigna Group

    The Cigna Group
    The Cigna Group Glasgow, United Kingdom

    6 days ago

    Default job background
    OTHER
    Description

    Payment Integrity Project Effectiveness Manager

    The job profile for this position is Payment Integrity Project Effectiveness Manager, which is a Band 4 Management Career Track Role.

    Excited to grow your career?

    We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply Our people make all the difference in our success.

    Role Summary:

    As the Payment Integrity Project Effectiveness Manager you will be directly supporting Cigna's affordability commitment within Cigna International's business. This role is responsible for managing a team of project analysts, overseeing project initiatives impacting Payment Integrity and supporting the operational effectiveness of the Payment Integrity (PI) function. As an experienced Project Manager, and critical thinker, you will have significant experience articulating business complexity in the form of business processes and requirements and will be responsible for overseeing and contributing to project governance, outcomes, and ensuring decisions are documented, allowing for traceability and auditability. The role includes working across all International Healthcare Books of Business to ensure alignment and efficiencies within delivery, to raise risks, issues, perform analysis, track outcomes, and best practices. Working from home, he/she will work in partnership with the PI leadership team to optimise operational efficiency, project delivery and overall performance.

    Responsibilities:

    • Support the Payment Integrity business strategy and responsible for executing departmental plans and priorities.
    • Responsible for oversighting various US Cost Containment initiatives being delivered through third parties including Enterprise and ensuring a pipeline of new activities to continue to enhance cost containment opportunities across all international books of business.
    • Accountable for maintaining an overview to inform through governance on the status and progress of PI affordability incremental initiatives. Support PI business owners with engagement with PMO to ensure timely delivery, the documentation of perceived risk and collation of mitigation actions.
    • Accountable for overseeing the continued development of the HealthCloud solution bespoke for PI.
    • Responsible for owning the front-door change process for PI, ensuing business requests are reviewed, resourced and allocated.
    • For initiative impacting PI, ensuring all business acceptance testing is performed and approved to enable business improvement, adoption, implementation, and execution of processes.
    • Examines performance results for problem determination and takes appropriate corrective actions, reporting through appropriate governance.
    • Works cross-functionally within PI to improve the operational effectiveness of project and incremental initiative opportunities.

    Skills and Requirements:

    • Proven track record of leading global and remote operational teams.
    • Ability to work in an Agile framework.
    • Knowledge of US healthcare delivery systems and provider business models, including competitor offerings on product, network, and payment integrity propositions would be a benefit.
    • Knowledge of US standard claims medical coding (CPT, ICD10, HCPC) and regulatory billing rules.
    • Demonstrated experience in seeking out, building and nurturing strong relations with third parties.
    • Exceptional stakeholder management and proven ability to develop strong working relationships within a fast-paced, matrix organization.
    • Superior problem solving, decision-making, project management skills.
    • Minimum of 5 years of health insurance or health care provider experience, and/or customer service or related experience.
    • Commercial experience operating effectively under pressure and delivering results.
    • Excellent communication skills, both written and verbal and high level of financial acumen.
    • Strong reporting and analytical skills with ability to create and improve reporting packs and methodologies.
    • Strong organization skills with the ability to balance multiple priorities at once and deliver on tight timelines.
    • Experience of operational risk management, including internal and external risk and compliance reporting.
    • Dedicated to meeting the expectations and requirements of internal and external customers, excellent at building effective relationships and gaining trust and respect.
    • Flexibility to meet with global teams across varying time zones effectively.
    • Confidence to deal with internal stakeholders and ability to work across cross-functional teams.

    About Cigna Healthcare

    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.

    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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

  • STV Group plc

    Insights and Effectiveness Manager

    5 days ago

    STV Group plc Glasgow, United Kingdom

    STV is Scotland's home of news, entertainment and drama, serving audiences with quality content on air, online, and on-demand. Multi-genre production company STV Studios - one of the UK's leading content businesses - has an impressive track-record of success across a wide range o ...

  • STV Group plc

    Insights and Effectiveness Manager

    1 week ago

    STV Group plc Glasgow, United Kingdom

    STV is Scotland's home of news, entertainment and drama, serving audiences with quality content on air, online, and on-demand. Multi-genre production company STV Studios - one of the UK's leading content businesses - has an impressive track-record of success across a wide range o ...

  • STV Group plc

    Insights and Effectiveness Manager

    6 days ago

    STV Group plc Glasgow, United Kingdom

    STV is Scotland's home of news, entertainment and drama, serving audiences with quality content on air, online, and on-demand. Multi-genre production company STV Studios - one of the UK's leading content businesses - has an impressive track-record of success across a wide range o ...

  • The Cigna Group

    Broker Sales Effectiveness Manager

    6 days ago

    The Cigna Group Glasgow, United Kingdom OTHER

    BUSINESS TITLE · BROKER SALES EFFECTIVENESS MANAGER, GIH · POSITION/JOB PROFILE/BAND/CAREER STEP · The job profile for this position is Sales Effectiveness Analyst, which is a Band 3 Senior Contributor Career Track Role. · POSITION SUMMARY · We are looking for a highly motivated, ...

  • Cigna

    Broker Sales Effectiveness Manager

    2 weeks ago

    Cigna Glasgow, United Kingdom Full time

    BUSINESS TITLE · BROKER SALES EFFECTIVENESS MANAGER, GIH · POSITION/JOB PROFILE/BAND/CAREER STEP · The job profile for this position is Sales Effectiveness Analyst, which is a Band 3 Individual Contributor Career Track Role. · POSITION SUMMARY · We are looking for a highly motiva ...

  • WGM Engineering Ltd

    Transport Manager

    2 days ago

    WGM Engineering Ltd Glasgow, United Kingdom Full time

    WGM Engineering is one of Scotland's leading engineering solution providers and performing responsibly is integral to our success and sustainability. We are committed to delivering projects and services whilst ensuring that we meet our customer and society needs, whilst managing ...

  • University of Glasgow

    Deputy Head of Management Accounts

    4 days ago

    University of Glasgow Glasgow, United Kingdom

    **Job Purpose** · Reporting to the Head of Management Accounts, this senior role is responsible for the strategic and operational management and development of the central Management Accounting team in delivering an efficient, effective and quality financial service to all stakeh ...

  • Pars Foods

    Administration Assistant

    1 week ago

    Pars Foods Glasgow, United Kingdom

    Hours - 40 (Mon - Fri 8am - 4pm) · This contract, as temporary maternity cover, will terminate upon the return of the employee on maternity leave. · Reports to - Office Manager · **Job Description**: · Ensures effective management of office procedures and support the Office Manag ...

  • University of Glasgow

    Construction and Framework Surveyor

    1 week ago

    University of Glasgow Glasgow, United Kingdom

    **Job Purpose** · Supporting the Construction and Framework Commercial Manager, the Construction & Framework Surveyor (C&F Surveyor) will be responsible for providing a full range of professional contract and quantity surveying services related to the University's new build and r ...

  • Verastar Limited

    Head of Risk

    1 week ago

    Verastar Limited Glasgow, United Kingdom

    **Role Profile** · Supported by the General Counsel, the Head of Risk Management will deliver and implement an effective Enterprise Risk Management (ERM) strategy, enabling our Group, which has five regulators - Ofcom, Ofgem, Ofwat, WICS and the FCA - to minimise operational and ...

  • NHS Scotland

    Deputy Head of Corporate Governance

    1 week ago

    NHS Scotland Glasgow, United Kingdom

    A rare and exciting opportunity has arisen for an exceptional, forward thinking, Senior Administrator to work within the NHS Golden Jubilee Corporate Governance department. · Reporting directly to our Head of Corporate Governance and Board Secretary, this role will help provide e ...

  • GAP Group LTD

    Credit Control Team Leader

    5 days ago

    GAP Group LTD Glasgow, United Kingdom Full time

    Our team is the best in the industry - is it time for you to join us? · The Role: · Based in our Head Office, the Credit Control Team Leader will manage and direct our team of Credit Controllers and Credit Control Administrators, ensuring efficient and effective credit control of ...

  • Red The Consultancy

    Hseq Superintendent

    3 days ago

    Red The Consultancy Glasgow, United Kingdom

    Our global shipping client is recruiting for a HSEQ Superintendent to join their team in Glasgow. · The HSEQ Superintendent supports the Gas Operations with responsibilities in communication, monitoring, and implementation of HSSE & QA policy to ensure the effectiveness of the in ...

  • Conrad Consulting

    Associate Director

    1 week ago

    Conrad Consulting Glasgow, United Kingdom

    **£65,000 - £70,000 (Permanent)**: · **Glasgow, Scotland**: · My client is an internationally known multi disciplinary construction consultancy. Due to an ever expanding workload my client are looking to add to their successful Project Management team with the appointment of an A ...

  • GEA Group

    Field Service Supervisor

    2 days ago

    GEA Group Glasgow, United Kingdom

    **Field Service Supervisor**: · **Job information**: · **Reference number**: · JR · **Job function**: · Service · **Position type**: · Full time · **Site**: · Glasgow · Suite 2, Glasgow, Lanarkshire, G4 9XA · - The role will be predominantly site based with approximately 2-3 day ...

  • City Facilities Management (UK)

    Tactical Buyer

    1 week ago

    City Facilities Management (UK) Glasgow, United Kingdom

    Salary · - ** Competitive** · - Location · - ** Glasgow** · - Shift Pattern · - ** Days** · - This is a _ · - permanent_ · - , _ · - full time_ · - vacancy_ · - that will close _ · - in 15 days_ · - at 23:59 BST_ · - . _ · **The Vacancy** · **Role Title** · Tactical buyer · **Dat ...

  • H&MV Engineering

    Environmental Advisor

    1 week ago

    H&MV Engineering Glasgow, United Kingdom

    Job Summary: · As an Environmental Advisor, you will be responsible for providing expert advice, guidance, and support to ensure compliance with environmental regulations, promote sustainable practices, and minimize our environmental impact. You will work closely with various dep ...

  • CCA Recruitment Group

    Internal Recruitment Account Manager

    3 days ago

    CCA Recruitment Group Glasgow, United Kingdom Full time

    This role can be based in Glasgow - Manchester or Newcastle. · PURPOSE OF JOB · CCA Recruitment have a great role for an Internal Account Manager for a key client of ours. · The Account Manager plans, coordinates, and directs the service delivery for one of our Financial Service ...

  • University of Glasgow

    Head of Accommodation Services

    1 week ago

    University of Glasgow Glasgow, United Kingdom

    **Job Purpose** · The Head of Accommodation is responsible for providing strategic leadership and direction of the Accommodation Service, and to lead a team responsible for delivering a professional and effective function to enhance the student experience via direct management of ...

  • Scottish Prison Service

    Prisoner Services Assistant

    1 week ago

    Scottish Prison Service Glasgow, United Kingdom

    You will provide an effective and efficient tuck shop style service to the prisoner population. This will involve working within a warehouse environment preparing prisoner orders, delivering them to residential areas of the prison in all weather conditions and with direct contact ...