Client Solutions Strategist- Evernorth- Remote

Cigna

United States

Remote

USD 110,000 - 150,000

Full time

5 days ago
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Job summary

CarePathRx, part of Evernorth and The Cigna Group, seeks a Client Solutions Strategist to lead revenue cycle strategy for home infusion, ambulatory infusion, and specialty pharmacy clients. You will guide operational optimization, financial performance, and strategic technology implementations.

Responsibilities include assessments, modeling, payer contract evaluations, and cross‑functional collaboration to drive sustainable improvements and growth.

Qualifications

  • 4+ years healthcare revenue cycle management experience.
  • 2+ years in home infusion, ambulatory infusion, specialty pharmacy, or DME/HME.
  • Understanding of infusion payer requirements and denial management.
  • Ability to develop actionable recommendations and implement solutions.
  • Strong analytical, project management, and communication skills.
  • Bachelor’s degree preferred in business/healthcare/finance.

Responsibilities

  • Conduct revenue cycle assessments to identify inefficiencies and opportunities.
  • Analyze KPIs, benchmarks, and trends to provide recommendations.
  • Advise on infusion reimbursement, payer requirements, billing operations.
  • Support process improvements including workflow redesign and automation.
  • Provide revenue cycle guidance during system implementations and go-live.
  • Collaborate with clients and internal stakeholders to define needs.
  • Develop project deliverables and executive recommendations.
  • Keep current with industry trends and technologies for improvement.
  • Support business development and client relationships.

Skills

Healthcare RCM
Infusion experience
Payer requirements
Workflow optimization
Analytical skills
Project management
Communication skills
Independent work

Education

Bachelor's degree in business/healthcare/finance
High School Diploma or GED

Tools

Epic Willow Home Infusion
Epic Resolute Professional Billing
CareTend

Job description

Client Solutions Strategist

Help healthcare organizations turn complex revenue cycle challenges into stronger performance and better patient support. As a Client Solutions Strategist, you will guide home infusion, ambulatory infusion, and specialty pharmacy clients through practical, data-driven improvements. You will partner with leaders to reduce risk, improve reimbursement, strengthen operations, and build solutions that support long-term growth.

CarePathRx is part of Evernorth, the health services division of The Cigna Group. Together, we bring ambitious thinking, compassionate partnership, and deep expertise to the organizations and patients we serve.

Position Summary

The Client Solutions Strategist provides strategic leadership, operational expertise, and consulting services to healthcare organizations specializing in home infusion, ambulatory infusion, and specialty pharmacy services.

This position is responsible for advising clients on all aspects of revenue cycle management (RCM), business office operations, reimbursement strategy, financial performance, and operational optimization. Key responsibilities include comprehensive revenue cycle assessments, financial modeling, payer contract evaluations, system implementation advisory, workflow redesign, and the development of sustainable operational improvements.

Client Solutions Strategist partners with client leadership and cross‑functional teams to identify opportunities, mitigate operational and financial risks, improve revenue cycle performance, and implement strategies that support organizational growth.

Client Solutions Strategist also provides strategic guidance for technology implementations and optimization initiatives, including Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, and other infusion management platforms.

Client Solutions Strategist contributes to the organization's advisory strategy, business development efforts, and industry thought leadership.

Essential Responsibilities
  • Conduct revenue cycle assessments to identify operational inefficiencies, reimbursement risks, and opportunities to improve financial performance.
  • Analyze financial and operational KPIs, industry benchmarks, and trends to develop actionable recommendations.
  • Provide subject matter expertise in infusion reimbursement, payer requirements, billing operations, and revenue cycle optimization.
  • Support process improvement initiatives, including workflow redesign, standardization, automation, and development of best practices.
  • Provide revenue cycle guidance during system implementations, conversions, and optimization initiatives, including configuration, testing, training, and go‑live support.
  • Collaborate with clients and internal stakeholders to identify business needs, resolve challenges, and implement sustainable solutions.
  • Develop project deliverables, operational assessments, executive reports, and recommendations to support client decision‑making.
  • Maintain knowledge of industry trends, regulatory changes, and emerging technologies to identify opportunities for innovation and improvement.
  • Support client relationships, business development initiatives, and organizational growth through subject matter expertise and industry engagement.
Qualifications
Required
  • Minimum of 4 years of healthcare revenue cycle management experience, including 2 years in home infusion, ambulatory infusion, specialty pharmacy, or Durable/Home Medical Equipment (DME/HME).
  • Strong understanding of reimbursement (preferably infusion) payer requirements, billing operations, denial management, and accounts receivable.
  • Experience evaluating operational workflows, analyzing performance metrics, and identifying opportunities for process improvement.
  • Demonstrated ability to develop actionable recommendations and implement sustainable operational solutions.
  • Strong analytical, problem‑solving, project management, and communication skills.
  • Ability to work independently, manage multiple priorities, and collaborate effectively with clients and cross‑functional teams.
  • High School Diploma or GED required. Bachelor's degree in business, healthcare administration, finance, or a related field preferred.
Preferred
  • Experience providing consulting or advisory services to healthcare organizations.
  • Experience with Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, or comparable infusion management systems.
  • Experience supporting system implementations, workflow redesign, testing, training, and operational optimization.
  • Knowledge of Medicare, Medicaid, commercial payer reimbursement methodologies, and managed care contracting.
  • Experience developing executive reports, financial analyses, standard operating procedures, and operational recommendations.
  • Familiarity with healthcare automation, emerging technologies, and revenue cycle performance benchmarking.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fibe

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