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Cigna Group

Sells health coverage and pharmacy benefits

Head of Solutions and Onboarding

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeBengaluru, Karnataka, IndiaNo salary listedHybrid

About the Job

Requirements

  • A minimum of 12 years leading large operational healthcare insurance, claims, enrollment, eligibility operations, subrogation, or policy administration.
  • Proven experience delivering complex operational outcomes at scale.
  • Demonstrable success in people leadership, coaching, and organizational development.
  • A strong strategic and operational execution background.
  • Ability to influence and engage diverse audiences through communication.
  • Stakeholder management across multiple functions and levels.
  • Strong analytical ability and data-driven work, including Excel and business intelligence tools.
  • Experience driving service improvement and customer-focused enhancements.
  • Organizational, planning, and prioritization skills.
  • Ability to manage ambiguity and lead teams through change.
  • Negotiation, problem-solving, and process-improvement skills.
  • Ability to manage operational budgets, cost structures, and financial targets for claims operations.
  • Ability to drive cost efficiency and improve claims cost ratio.
  • Flexibility, adaptability, and resilience.
  • Interpersonal skills that foster trust and collaboration.
  • A continuous-improvement mindset.

Responsibilities

  • Create and execute the department's multiyear strategy and roadmap.
  • Communicate strategic priorities to stakeholders and ensure teams remain aligned.
  • Translate organizational strategy into operational objectives and success measures.
  • Lead digital transformation, automation, and process-reengineering initiatives to improve accuracy, turnaround time, and customer satisfaction.
  • Drive a performance culture focused on innovation, continuous improvement, and service excellence.
  • Manage day-to-day departmental operations across locations.
  • Ensure productivity, turnaround time, quality, and customer-satisfaction targets are met.
  • Own the department capacity plan, monitor staffing needs, and proactively address risks.
  • Drive operational discipline, performance management, and continuous improvement.
  • Implement global standard operating procedures, key performance indicators, and operational frameworks for predictable and scalable delivery.
  • Optimize resource utilization, productivity, and quality through planning and governance.
  • Oversee end-to-end group onboarding operations, including policy setup, membership updates, renewals, and endorsements.
  • Oversee end-to-end Cigna Solution operations for subrogation partners, including administration, eligibility membership updates, and claims processing.
  • Drive adherence to service-level agreements, accuracy targets, turnaround times, and process-quality benchmarks.
  • Coach, motivate, and develop leaders and teams across the department; provide performance management and succession planning across management layers.
  • Promote a positive culture, high engagement, and a collaborative team environment.
  • Ensure effective recruitment, onboarding, development, and retention practices.
  • Lead, coach, and develop large operational teams and build leadership capability.
  • Partner with cross-functional and global stakeholders to drive integrated outcomes.
  • Contribute to organizational transformation initiatives and lead department-level change.
  • Identify opportunities to enhance processes, customer experience, and operational efficiency.
  • Partner with cross-functional leaders and external partners.
  • Maintain communication channels with internal and external stakeholders to ensure seamless delivery.
  • Use data insights to challenge performance and drive evidence-based decision-making.
  • Produce management information, operational reports, and trend analysis.
  • Ensure compliance with risk, audit, and operational governance frameworks.
  • Quantify and communicate the operational impact of enhancements and issues.
  • Ensure adherence to regulatory requirements, audit standards, and internal controls.
  • Establish governance mechanisms to mitigate operational, regulatory, and financial risks.

About the Company

Cigna Group

Sells health coverage and pharmacy benefits

The Cigna Group sells health coverage and pharmacy services to employers, health plans and individuals, and most of its business runs through Evernorth, its health services arm. Evernorth owns Express Scripts, one of the largest pharmacy benefit managers in the U.S., which negotiates drug prices and processes prescriptions for plan sponsors, plus the specialty pharmacy Accredo. Its Cigna Healthcare unit sells medical, dental and behavioral coverage, mostly to employers that fund their own plans, and earns premiums and administrative fees, while Evernorth earns service fees and drug margins. The company was formed in 1982 through the merger of Connecticut General and INA and is based in Bloomfield, Connecticut.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Bloomfield, CT
Founded
1982

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