Senior Supervisor, Individual Dental Operations
C
Cigna HealthcareHealthcare Insurance
United StatesFull-TimeSenior
Salary not disclosed
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Job Details
- Experience
- 5+ years of experience in healthcare, insurance operations, quality assurance, audit, compliance, customer service, claims, enrollment, or related business functions.
- Required Skills
- Data AnalysisCustomer serviceComplianceQuality AssuranceStakeholder management
Requirements
- Bachelor's Degree or equivalent business experience required.
- 5+ years of experience in healthcare, insurance operations, quality assurance, audit, compliance, customer service, claims, or enrollment.
- 2+ years of leadership or supervisory experience preferred.
- Strong understanding of Individual and Family Plan operations, dental products, and operational workflows.
- Proven experience supporting quality assurance, audit activities, complaints, grievances, escalations, or regulatory inquiries.
- Knowledge of Federal Exchange, State-Based Exchange, or Department of Insurance environments preferred.
- Strong analytical skills with demonstrated ability to identify trends and conduct root cause analyses.
- Excellent verbal and written communication skills.
- Ability to function effectively in complex, fast-paced, and highly regulated environments.
- Must maintain an internet connection via cable broadband or fiber optic provider with at least 10Mbps download/5Mbps upload speeds.
Responsibilities
- Lead quality assurance activities and establish audit methodologies, monitoring programs, and reporting processes.
- Oversee the intake, investigation, and resolution of complex customer escalations, complaints, and Department of Insurance inquiries.
- Support internal, external, and regulatory audit activities by coordinating evidence collection and remediation.
- Monitor compliance with Federal Exchange, State-Based Exchange, and Department of Insurance requirements.
- Analyze operational data and conduct root cause analyses to identify trends and process improvement opportunities.
- Partner with cross-functional teams, including Operations, Compliance, and Vendor Management, to improve performance.
- Coach, mentor, and develop a team responsible for quality, audit, and customer issue resolution.
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