Quality Review And Improvement Sr. Manager
Current• Leads nation-wide, remote team. Collaborates across Evernorth's business units including pharmacy benefits and fulfillment, contact centers, claims, care management, and many others.• Builds and owns quality strategy for all Evernorth Federal contracts ($15B annual revenue) covering 19M members of one of Evernorth's largest clients, the US Department of Defense and the Department of Veterans Affairs. Improved government quality scores over tenure (CPAR). Implemented 5 contracts over tenure with contractual deliverables contributing well over $1M. • Accountable for $6M in performance guarantees annually.• Leads large, in-person/virtual problem solving/strategy events for PBM clients. Oversees quality control development to eliminate client business issues.• Won Evernorth Pinnacle Awards and earned leadership training opportunities for high achievers.• Identified as Finalist for Cigna's Shark Tank