Partnerships & Controls Director

• Design and implement control frameworks that reinforce accountability, sound decision‑making, and operational integrity across functional areas
• Lead closed file review (CFR) campaigns and drive continuous process improvements across Provider, Member and Clinical domains
• Implement quality assurance initiatives and ensure adherence to internal standards and expectations
• Develop and maintain financial and operational control mechanisms to support IH and IHDS annual savings targets
• Monitor savings performance, identify delivery risks, and guide corrective actions
• Provide senior leadership with clear reporting on control effectiveness, performance trends, and risk exposure
• Establish controls and standards for resource allocation, capacity planning, and alignment with strategic priorities
• Validate workforce and vendor utilisation relative to approved budgets and operational requirements
• Monitor forecasting processes and escalate risks to delivery or quality
• Develop health services control structures that promote evidence‑based practices and cost‑effective care delivery across markets
• Collaborate with medical directors and health services teams to enhance utilization management, case management, and quality improvement programs
• Support initiatives that reduce avoidable medical costs and strengthen overall health outcomes
• Define control standards for provider contracting, partnership agreements, and Cigna Links operational oversight
• Validate adherence to contractual obligations and performance expectations
• Monitor KPIs, identify performance gaps, and communicate actions needed to leadership
• Establish control standards for provider call centre operations, GOP, claims management, and reconciliation processes
• Collaborate with Strategy & Transformation to automate workflows and strengthen system validation rules to improve customer & provider experience
• Monitor dashboards, identify operational risks, and escalate concerns appropriately
• Establish operational and analytical controls for PI programs to ensure effective fraud, waste, and abuse safeguards
• Validate and refine detection, sampling, analytics, and recovery methods for accuracy and effectiveness
• Review performance reporting and highlight control weaknesses requiring intervention

• Bachelor’s degree required
• advanced degree preferred (healthcare administration, business, or clinical discipline)
• Significant experience in the health insurance industry including leadership roles in multi-disciplinary operations
• Proven experience designing and monitoring operational and financial controls tied to performance outcomes
• Strong understanding of provider contracting, operational process design, and partnership frameworks
• Demonstrated accountability with ability to drive execution individually and through teams
• International experience and cross cultural fluency is essential
• Excellent communication, facilitation, and leadership skills with strong stakeholder management across countries and functions
• Strong analytical, decision making, and problem solving skills
• Excellent verbal and written skills in English, proficiency in other languages preferred but not essential
• Willingness to travel internationally

Proficiency in other languages

• High visibility with International Health SLT, CEOs, COO IHDS, IHDS SLT
• Opportunity to shape global partnership and control standards across markets
• Meaningful influence on operational strategy and performance improvement across international regions