Operating Effectiveness Lead Analyst

Your role will include:

1) Transformation Value Delivery

Lead cross-functional LSS projects end-to-end (charter control), converting VOC into CTQs and measurable outcomes (DPMO , FTR , NPS , AHT , rework ).
Drive Lean/Kaizen interventions-waste elimination, standard work, mistake-proofing, visual management-embedded into run-ops and IHDS delivery.
Quantify and track benefits with IHDS portfolio governance and financial partners.

2) International Health Domain Compliance

Improve quality across global claims adjudication, enrolment, billing, provider/network medical review workflows supporting International Health lines of business.
Ensure rigorous compliance with HIPAA, GDPR, and Cigna privacy/security standards for cross-border PHI/PII; support internal/client audits and enterprise security reviews.

3) Quality Systems Controls

Design/optimize QMS for International Health ops: risk-based sampling, QA scorecards, calibration routines, and auto-scoring opportunities.
Establish SPC dashboards early-warning indicators; run FMEA on top failure modes; maintain rock-solid control plans with 95% adherence.

4) Analytics Insights

Apply advanced analysis (root cause, hypothesis testing, regression/segmentation, DoE where warranted) to pinpoint drivers of denials, rework, leakage, and CX friction.
Partner with BI (Power BI/Tableau) to build role-based views tracking SLA, quality, cost, and IHDS portfolio health.

5) People Leadership Change

Coach/certify Green Belts, upskill QA/ops teams on LSS and data literacy; facilitate Kaizens/rapid improvement bursts.
Lead change management (ADKAR/PROSCI), aligning with IHDS cadence (e.g., intake, prioritization, PI) to sustain adoption.

Your Abilities:

The ideal candidate blends deep healthcare domain understanding (HIPAA/PHI handling, payer/provider processes) with hands-on expertise in process excellence, change management, and stakeholder engagement across global, high-volume operations. The role drives defect reduction, cost/outcome improvements, regulatory compliance, and client satisfaction using structured methods (DMAIC/DMADV), analytics, and robust control systems.

Required Skills and Qualifications:
- Bachelor s degree in Engineering, Healthcare Administration, Statistics, or related field; Master s preferred.
- Certified Lean Six Sigma Black Belt (ASQ/IASSC or equivalent); COPC/ISO knowledge a plus.
- 8-12 years total experience with 5+ years in healthcare BPO/RCM/payer/provider processes.
- Proven track record delivering multiple high-impact projects with quantified benefits in a high-volume
operations environment.
- Strong knowledge of HIPAA, PHI handling protocols; exposure to payer policies and US healthcare revenue
cycle preferred.
- Proficiency with statistical tools (Minitab/R/Python-analysis), BI (Power BI/Tableau), and Excel at advanced
level

About The Cigna Group