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Quality & Performance Assurance Director, Client Service & Operations - Evernorth - Remote
Remote / Online - Candidates ideally in
Bloomfield, Hartford County, Connecticut, 06002, USA
Listed on 2026-08-15
Bloomfield, Hartford County, Connecticut, 06002, USA
Listing for:
The Cigna Group
Remote/Work from Home
position Listed on 2026-08-15
Job specializations:
-
Quality Assurance - QA/QC
Regulatory Compliance Specialist
Job Description & How to Apply Below
Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, and Scottsdale, AZ._*
* ** Role Summary*
* The Director of
** Quality & Performance Assurance,
** reporting to the Senior Director Client Operations Enablement, is responsible for leading and modernizing the Client Service & Operations quality ecosystem through a risk-aligned, data-informed, and performance-driven approach. This leader will evolve the function beyond traditional inspection and audit activity into an integrated quality management capability that strengthens operational integrity, improves business performance, and enables scalable growth.
This role will partner closely with Operational Risk & Controls Governance, SOC1/SOX Measurement Operations, Client Operations leadership, and Operations Enablement to ensure quality programs are aligned to enterprise risk, control effectiveness, operational readiness, and continuous improvement priorities.
The ideal candidate is a strategic quality leader with deep operational quality expertise, strong business acumen, and demonstrated success modernizing quality programs, simplifying complex ecosystems, implementing scalable governance models, and leveraging technology and automation to improve effectiveness and efficiency.
** Key Responsibilities*
* ** Quality Strategy & Operating Model Modernization*
* + Lead the transformation of the quality function from a traditional inspection-based model to a modern, risk-aligned quality management system.
+ Design and maintain a quality framework aligned to operational, client, regulatory, and financial risk priorities.
+ Rationalize and simplify existing quality programs, identifying opportunities to eliminate redundancy, consolidate overlapping activities, and improve effectiveness.
+ Establish a scalable quality operating model that supports both peak-season execution and long-term continuous improvement.
** Risk-Aligned Quality Governance*
* + Partner with Operational Risk & Controls Governance leadership to align quality programs to operational risks, control objectives, and enterprise governance expectations.
+ Ensure quality activities and inspection strategies support the validation of critical operational controls and business outcomes.
+ Collaborate with SOC1/SOX Measurement Operations to ensure appropriate integration and delineation between formal control measurement activities and broader operational quality programs.
+ Maintain clear mapping between risks, controls, quality programs, and validation methodologies.
** Quality Program Optimization & Effectiveness*
* + Evaluate effectiveness of current quality programs, methodologies, tooling, and sampling approaches.
+ Establish standardized quality methodologies, calibration practices, governance routines, and quality effectiveness measures.
+ Define quality standards and measurable success criteria across all quality programs and reviewer populations.
+ Lead proactive root cause analysis and trend identification efforts to reduce operational defects and improve prevention strategies.
** Quality Technology & Innovation*
* + Drive modernization of quality tooling, automation, and AI-enabled quality capabilities.
+ Evaluate opportunities for workflow automation, intelligent sampling, Copilot/agentic AI solutions, and digital quality management technologies.
+ Partner with technology and business teams to pilot and scale innovative quality solutions that improve efficiency and insight generation.
** Performance Insights & Business Partnership*
* + Deliver actionable quality insights and risk intelligence to operational and executive leadership.
+ Serve as a strategic advisor to business leaders on operational quality trends, risk exposure, process performance, and readiness implications.
+ Partner with all Enablement functions (e.g., Learning Strategy, Training, Coaching, Knowledge and Content Management) to strengthen feedback loops between quality findings and performance improvement actions.
** Organizational Leadership & Capability Development*
* + Lead and develop a high-performing quality organization…
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