MIRS Issue Management Project Management Operations Risk Advisor - Cigna Healthcare - Remote

About the position

The MIRS Issue Management Project Management Operations Risk Advisor at Cigna Healthcare is responsible for managing the Medicare Issue Remediation System (MIRS), ensuring that compliance-related issues are addressed promptly and effectively. This role involves collaboration with compliance partners and functional leaders to drive issue resolution using standard project management techniques. The advisor is expected to possess a strong understanding of Medicare operations and regulations, and to navigate organizational dynamics to influence and facilitate teams in problem-solving efforts.

Responsibilities
• Manage a portfolio of MIRS issues, ensuring clear and effective status updates.
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• Ensure issues are solved timely with high quality.
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• Escalate barriers appropriately, as needed.
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• Develop collaborative partnerships with Compliance MBS, functional leaders and SMEs.
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• Be a trusted ally and expert on best practices for working within the MIRS system and in solving MIRS issues.
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• Utilize effective and standard project management tools and techniques.
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• Maintain an appropriate balance of flexibility and consistency to accommodate changes while avoiding counter-productive distractions and scope creep.
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• Maintain essential documentation, data and reporting for each MIRS issue.
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• Create effective communication and reporting mechanisms that meet the needs of the target audience.

Requirements
• At least 5 years of demonstrated experience in Medicare operations & regulations.
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• Project Management certification or experience.
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• Change Management experience.
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• Experience in Process Engineering/Process Improvement/Lean Six Sigma.
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• Experience in conducting Root Cause Analysis and Impact Analysis.
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• Experience in building Remediation Plans and driving teams to complete such plans.
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• Effective verbal and written communication skills (e.g., email, PowerPoint).
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• Experience in facilitating meetings and engaging with individuals at all levels of the organization.
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• Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook, and SharePoint).
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• Working knowledge of other tools and platforms used within MA Ops (e.g., Claims Platforms, MHK, ServiceNow, SharePoint) is a plus.

Nice-to-haves

Benefits
• Comprehensive health-related benefits including medical, vision, and dental.
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• Well-being and behavioral health programs.
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• 401(k) with company match.
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• Company paid life insurance.
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• Tuition reimbursement.
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• Minimum of 18 days of paid time off per year.
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• Paid holidays.

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