Quality Review and Audit Sr. Manager - US Employer - Evernorth - Remote

Candidates who reside within 50 miles of the following locations may be asked to work in person: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, and Scottsdale, AZ. 

As the Quality Review and Audit Senior Manager, you will provide strategic leadership and oversight for the Quality Readiness and Performance Solutions Team within the Operations Insights Delivery team. This highly visible executive role is pivotal in shaping and executing quality strategies that drive operational excellence and elevate performance across Customer Service Operations.

Key Responsibilities:

• Lead and develop a management team overseeing multiple layers of Quality Reviewers and Quality Supervisors ensuring alignment with enterprise objectives and fostering a culture of high performance
• Engage regularly with direct reports and key business stakeholders to set direction, review performance, and drive continuous improvement through robust coaching and enablement frameworks
• Serve as the executive authority for Quality processes, adjudicating complex quality rebuttals and ensuring program execution meets the highest standards
• Facilitate cross-functional collaboration with supervisors and matrix partners, leading strategic meetings, overseeing financial planning, and delivering in-depth performance analysis
• Champion organizational change by evolving the Quality model to meet dynamic business needs and ensuring the adoption of best practices across the enterprise
• Apply comprehensive business acumen and a broad perspective to develop innovative solutions that address complex challenges and advance organizational goals
• Deliver executive-level presentations and complex visual analyses for senior leadership, ensuring clarity and actionable insights
• Demonstrate exceptional communication and executive presence in all interactions, effectively engaging audiences and influencing outcomes at all organizational levels.

Qualifications:

• High School Diploma or equivalent required
• Bachelor’s degree or advanced degree highly preferred
• 5+ years’ senior management or equivalent leadership experience, with a proven track record in quality assurance and operational leadership required
• Ability to interface with varying levels of leadership
• Deep expertise in Cigna US Employer products (Medical, Dental) and contact center operations preferred
• Demonstrated excellence in data analysis, strategic decision-making, and complex problem-solving
• Superior relationship-building skills and the ability to influence cross-functional teams and enterprise-wide initiatives
• Mastery of Microsoft Word, Excel, and PowerPoint for executive reporting and analysis
• Ability to thrive in a dynamic, virtual environment, managing multiple priorities and adapting to evolving business needs

Work Environment:
This is a virtual, work-from-home role, operating primarily within standard business hours, with flexibility as required by business priorities.

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.

For this position, we anticipate offering an annual salary of 110,400 - 184,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.