Vice President, Clinical Transformation & Quality- Evernorth

Evernorth Health Services; Oakdale (PA); Hybrid; USD 120,000 - 160,000; Full time

Job summary

A leading healthcare organization is seeking a Vice President of Clinical Transformation & Quality. This role involves leading initiatives to enhance clinical performance, care delivery, and quality across various business lines. The ideal candidate will have at least 10 years of pharmacy experience and a strong background in clinical leadership and innovation. You'll be responsible for overseeing quality improvement programs and collaborating with legal and risk teams to address regulatory compliance. This is a key leadership position offering a chance to significantly impact patient outcomes and operational efficiency.

Qualifications

• Minimum 10 years of pharmacy experience including leading interdisciplinary teams.
• Experience in complex health systems or integrated care networks.
• Compliance certification or residency training preferred.

Responsibilities

• Lead clinical transformation strategies and advance care delivery.
• Oversee quality improvement programs and ensure regulatory compliance.
• Guide interdisciplinary teams and foster a culture of collaboration.

Skills

Clinical leadership

Innovation

Data analysis

Compliance knowledge

Team collaboration

Education

B.S. or PharmD degree from an accredited School of Pharmacy

Master of Health Administration or related graduate degree

Job description

Vice President, Clinical Transformation & Quality- Evernorth

Join to apply for the Vice President, Clinical Transformation & Quality- Evernorth role at Evernorth Health Services.

As the Vice President of Clinical Transformation & Quality, you will lead enterprise-wide initiatives that strengthen clinical performance, enhance care delivery models, and elevate quality standards across the infusion and specialty pharmacy business lines. You will champion innovation, guide interdisciplinary teams, and develop scalable strategies that improve patient outcomes, operational efficiency, and organizational growth. Your leadership will ensure CarepathRx remains a forward-thinking, patient-centered, and quality-driven organization.

Responsibilities

• Lead clinical transformation strategies that advance care delivery and improve patient outcomes.
• Identify and implement innovative practices that strengthen clinical quality, safety, and operational effectiveness.
• Oversee quality improvement programs, including metric development, data analysis, benchmarking, and performance reporting.
• Drive continuous improvement through evidence-based practices and cross-functional collaboration.
• Ensure adherence to accreditation standards and regulatory requirements across all clinical operations.
• Partner with legal, compliance, and risk teams to proactively address regulatory needs and support clinical integrity.
• Provide strategic guidance to clinical leaders and interdisciplinary teams.
• Foster a culture of accountability, collaboration, learning, and professional development.
• Support growth and marketing teams by aligning clinical strategies with brand objectives and market initiatives.
• Offer clinical insight for marketing content, service line development, and external engagements.
• Represent the organization in industry forums, regulatory discussions, and community leadership initiatives.
• Evaluate, recommend, and support emerging technologies that improve clinical workflows and digital health integration.
• Review and enhance best practices in home infusion and specialty pharmacy to strengthen compliance and operational efficiency.
• Contribute to policy and procedure development and ongoing refinement.
• Provide problem resolution and ongoing oversight that supports partner relations and experience.
• Guide system selection, configuration, and optimization for pharmacy information systems.
• Lead process improvement initiatives that elevate service quality and operational excellence.
• Educate and mentor PharmD students, PGY1 residents, and clinical staff as needed.
• Perform additional responsibilities as assigned.

Required Qualifications

• B.S. or PharmD degree from an accredited School of Pharmacy.
• Minimum 10 years of pharmacy experience.
• Proven experience leading clinical transformation initiatives and interdisciplinary teams.
• Experience working within complex health systems or integrated care networks.
• Compliance certification or residency training.

Preferred Qualifications

• Master of Health Administration or related graduate degree.
• 3+ years of specialty or home infusion experience.
• 3–5 years of management experience.
• Experience with digital health tools, EHR systems, and clinical analytics.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.