Strategic Clinical Programs Leader

Cigna Healthcare

New York (NY)

Remote

USD 96,000 - 159,000

Full time

7 days ago

Be an early applicant

Get a reply from this employer

Your resume and cover letter, tailored to exactly what they’re hiring for.

Get past ATS filters

Benefits offered by this job

Health benefits

401(k)

Tuition reimbursement

Paid time off

Job summary

The Cigna Group seeks an experienced Clinical Program Manager in New York to advise top management on complex program matters, coordinating with multiple organizations and educating stakeholders to enable care coordination and an optimal patient experience.

You will act as SME, lead strategic projects, mentor teams, partner with internal/external stakeholders, and translate clinical benefit requirements into actionable plans. This role offers a competitive salary and comprehensive benefits.

Qualifications

Current U.S. Pharmacist License, Pharm.D.
Managed care, the PBM industry, or pharmaceutical sales preferred.
Proven leadership skills, team-orientation, a proactive management style and strong commitment to client service a must.
Knowledge of PBM industry/Managed care/Value Based healthcare industry is desirable.

Responsibilities

Act as a subject matter expert (SME) in areas relevant to the team.
Leads, coaches, and develops by providing mentorship to members within the team.
Acts as a strategic business partner to various stakeholders both internal/external.
Lead and execute large strategic projects designed to enhance operating effectiveness and drive overall change.
Identify business improvement opportunities using data, feedback, and analysis.
Execute and deliver processes with a forward thinking ability to present solutions and identify efficiencies.
Participates and contributes in formal and informal training programs and professional development activities.
Serve as business owner to necessary client work that involve operational and implementation benefits changes.
Understand client's existing clinical benefit and business philosophy to help avoid unnecessary clarifications.
Accurately capture and document clinical benefit requirements in collaboration with business stakeholders.
Provide excellent customer service and act as a trusted client advisor.
Work with internal partners to ensure all implications of requested clinical benefit requirements are vetted, understood and communicated as necessary.
Consult with team members, SMEs and specialized teams as necessary, Client Benefit Administrators (CBA), Clinical Application Teams (DCRS, FRS, CRS, Criteria), Account Teams, Product Owners.
Manages and tracks all requests to ensure timelines are met.
Develop a deep understanding of claims adjudication system and associated clinical applications.
Leads the development, preparation, and presentation of project plan including execution and delivery for each client(s) assigned.