About the company
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Quality & Performance Assurance Director, Client Service & Operations - Evernorth based in United States.
Responsibilities
- Lead the transformation of the quality function into a modern, risk-aligned quality management system that supports operational, client, regulatory, and financial priorities.
- Design and maintain scalable quality frameworks, operating models, methodologies, calibration practices, governance routines, and effectiveness measures.
- Evaluate and rationalize existing quality programs, eliminating redundancy and improving consistency, efficiency, and business value.
- Partner with operational risk and controls teams to align quality activities with enterprise risks, control objectives, governance expectations, and critical operational outcomes.
- Collaborate with SOC1/SOX measurement teams to establish clear integration and delineation between formal control measurement and broader operational quality programs.
- Maintain clear relationships between risks, controls, quality programs, sampling approaches, and validation methodologies.
- Lead root cause analysis, trend identification, and proactive defect prevention initiatives to improve operational performance and quality outcomes.
- Drive modernization through quality technology, workflow automation, intelligent sampling, AI-enabled capabilities, and digital quality management solutions.
- Partner with technology and business stakeholders to evaluate, pilot, and scale innovative quality solutions that improve efficiency, consistency, and insight generation.
- Deliver actionable quality insights and risk intelligence to operational and executive leadership, translating complex findings into clear recommendations and strategic actions.
- Act as a strategic advisor on operational quality trends, process performance, risk exposure, and readiness implications.
- Partner with learning, training, coaching, knowledge management, and other enablement functions to connect quality findings with measurable performance improvement.
- Lead, develop, and strengthen a high-performing quality organization through clear role expectations, capability models, performance standards, and talent strategies.
- Optimize workforce utilization and capacity planning across seasonal and non-peak operational periods.
- Foster a culture of accountability, continuous improvement, innovation, simplification, and strong cross-functional partnership.
- Serve as a transformation leader who challenges legacy approaches while balancing risk mitigation, operational simplicity, and business continuity.
Requirements
- Bachelor’s degree required; an advanced degree is preferred.
- 8+ years of experience in operational quality, quality management systems, operational risk, performance assurance, compliance, operational excellence, or a closely related leadership function.
- Proven experience building, redesigning, or modernizing quality management systems at scale within complex operational environments.
- Demonstrated success leading quality transformation initiatives involving automation, digital workflows, AI-enabled capabilities, or other advanced technologies.
- Strong experience establishing calibration frameworks, governance models, measurement standards, and quality methodologies across complex organizations.
- Demonstrated ability to align quality programs with operational risk, enterprise governance, and control environments.
- Experience leading cross-functional quality improvement and operational transformation initiatives.
- Strong analytical, root cause analysis, process optimization, and performance management capabilities.
- Ability to translate complex operational findings into executive-level insights, business recommendations, and actionable strategic plans.
- Excellent executive communication, stakeholder management, influencing, and relationship-building skills.
- Strong business acumen and the ability to balance risk mitigation with operational efficiency and simplicity.
- High emotional intelligence, with the ability to build trust, credibility, and effective partnerships across functions and leadership levels.
- Knowledge of SOC1/SOX control environments and operational risk governance models.
- Experience working in regulated or highly complex enterprise environments is preferred.
- Experience supporting audit, regulatory, or enterprise governance initiatives is preferred.
- Experience with AI-enabled quality assurance, intelligent operations, or workflow automation technologies is preferred.
- Lean Six Sigma or equivalent process improvement certification is a plus.
- Ability to travel up to 25% as needed.
- For remote work, a cable broadband or fiber optic internet connection with minimum speeds of 10 Mbps download and 5 Mbps upload is required.
Conditions
- Annual base salary of $136,900–