
Senior Customer Operations & Experience Advisor, Individual Dental
Posted Sep 18

Posted Sep 18
This is a fully remote position, open to applicants in Pennsylvania.
• Oversee cross-functional customer operations and experience projects for Individual Dental Operations.
• Act as the representative for Customer Operations in business planning, portfolio discussions, and enterprise initiatives.
• Assess changes in business, product, digital, and technology to determine their impact on customers, contact center requirements, dependencies, and risks.
• Function as a subject matter expert on customer operations processes, addressing complex operational challenges.
• Direct operational readiness for regulatory, product, digital, technology, and customer experience modifications that affect contact centers.
• Organize training, knowledge management, standard operating procedures, talking points, onboarding, communication, and frontline support.
• Collaborate with internal contact center leaders and external service providers on operational needs and implementation strategies.
• Track readiness dependencies, highlight gaps, escalate risks, and manage resolutions.
• Spearhead improvement initiatives aimed at minimizing avoidable contacts, enhancing call routing, boosting first-contact resolution, and improving customer experience.
• Examine call drivers, customer feedback, service trends, and operational performance in partnership with Analytics, Contact Center Operations, Product, and Digital teams.
• Enhance self-service features, digital experiences, and customer interactions.
• Assist with artificial intelligence, automation, analytics, and other technology-driven customer operations solutions.
• Establish metrics, reporting, and feedback systems to assess initiative outcomes.
• Lead or assist in customer outreach and retention efforts.
• Supervise the administration of customer incentive and rewards programs, including planning, implementation, vendor coordination, communication, reporting, and issue resolution.
• Manage program workflows, funding requirements, business rules, support processes, and launch readiness.
• Create and sustain operational communications, business guidance, process documentation, standard operating procedures, talking points, and knowledge content.
• Direct or organize training strategies and readiness materials for internal teams and outsourced service partners.
• Oversee compliance and training reporting, identify gaps, and coordinate remediation efforts.
• Recognize and escalate operational risks, control weaknesses, readiness issues, and unresolved dependencies.
• Support operational reviews, audits, and compliance inquiries.
• Represent Customer Operations in portfolio planning, prioritization, and business-case development.
• Convert strategic initiatives into operational plans and oversee implementation across functional areas.
• Provide leadership with updates on readiness status, decisions, risks, and necessary actions.
• Bachelor's degree in Business Administration, Operations, Healthcare Administration, Communications, or a related field, or an equivalent combination of education and relevant professional experience.
• Extensive experience in customer operations, contact center operations, customer experience, business readiness, operational improvement, or a related area.
• Proven experience in leading intricate, cross-functional initiatives with internal teams and external service providers.
• Strong understanding of contact center operations, including training, knowledge management, customer communications, standard operating procedures, escalation processes, and operational readiness.
• Experience in translating product, regulatory, technology, or business requirements into actionable operating processes and frontline guidance.
• Demonstrated capability to analyze customer and operational data, spot improvement opportunities, and formulate actionable recommendations.
• Experience in supporting vendor-managed operations, including operational planning, implementation coordination, issue resolution, and performance enhancement.
• Knowledge of process improvement, change implementation, business requirements, risk management, and operational controls.
• Experience in crafting executive-ready communications, business cases, operational documentation, and implementation updates.
• Ability to juggle multiple complex initiatives, priorities, dependencies, and stakeholders in a dynamic business environment.
• Strong written, verbal, facilitation, influencing, and relationship management skills.
• Capability to work effectively across Operations, Product, Digital, Analytics, Training, Compliance, Technology, Finance, and vendor organizations.
• Preferred experience in healthcare, insurance, benefits administration, or regulated service operations.
• Preferred but not required experience in dental insurance or dental benefits administration.
• For remote work, a cable broadband or fiber optic internet connection with at least 10Mbps download/5Mbps upload is required.
• Remote work may be occasional or permanent, contingent on having cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload.
• A tobacco-free policy is in place; a qualifying smoking cessation program may allow employment in certain states.
• Reasonable accommodations are available for the online application process.
• Equal employment opportunity protections are provided.
• Consideration will be given to qualified applicants with criminal histories, consistent with applicable ordinances.
Mercor
Mission Lane
ICF
The Cigna Group
Get handpicked remote jobs straight to your inbox weekly.