Senior Supervisor, Individual Dental Operations (Healthcare)

Location: Missouri, work at home. Home internet must use cable broadband or fiber optic service with at least 10 Mbps download and 5 Mbps upload.

Company

Cigna Healthcare, a division of hirify.global, supports customers in navigating the healthcare system and making informed decisions about their health.

What you will do

• Lead quality assurance programs, monitoring activities, audit methodologies, evaluation standards, and operational reporting for the Individual Dental business.
• Manage intake, triage, investigation, tracking, and resolution of complex customer concerns, complaints, grievances, regulatory inquiries, and executive escalations.
• Support internal, external, enterprise, and regulatory audits by coordinating evidence, documentation, business responses, and corrective actions.
• Monitor Federal Exchange, State-Based Exchange, Department of Insurance, and related business requirements.
• Analyze operational data, audit findings, complaints, and quality results to identify root causes and recommend process improvements.
• Lead, coach, and develop a team responsible for quality reviews, audit activities, customer escalations, and complaint resolution.

Requirements

• Bachelor's degree or equivalent business experience.
• At least 5 years of experience in healthcare, insurance operations, quality assurance, audit, compliance, customer service, claims, enrollment, or a related function.
• At least 2 years of leadership or supervisory experience preferred.
• Experience with quality assurance, audits, complaints, grievances, escalations, or regulatory inquiries.
• Knowledge of Individual and Family Plan operations, dental products, customer servicing, and operational workflows.
• Strong analytical, communication, organizational, prioritization, and stakeholder management skills.

Culture & Benefits

• Work-from-home arrangement in Missouri.
• Work in a complex, fast-paced, and highly regulated healthcare environment.
• Collaborate with Operations, Compliance, Risk Management, Customer Service, Vendor Management, and enterprise stakeholders.
• Equal employment opportunity and reasonable accommodation support are available.
• hirify.global maintains a tobacco-free policy where legally permitted.