Job details
Job type full-time
Full job description
Job description
Focuses on providing technical expertise across multiple disciplinesRecognized internally as “the go-to person” for the most complex clinical program management assignmentsRepresents company externally and serves as conduit to educate and enable care coordination between stakeholders resulting in an optimal healthcare experience and customer satisfactionServes as clinical advisor to the sales organization, providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction.
This role is flex/wfh which allows most work to be performed at home or on occasion at a cigna office locationEmployees must be fully vaccinated if they choose to come onsite.
Essential functions
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 which may include taking, developing, and/or conducting sessions
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
Skills
Ability to multi task and communicate effectively
Microsoft office with a strong understanding of excel and access
Written and verbal communication (listening, feedback; translating complex ideas/processes), collaboration, analytical thinking/critical thinking, results-oriented and organizational skills
Must have the ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skills
Ability to learn multiple internal reporting and analytic tools for client management
Provide project and administrative support to the team and escalate issues, risks, concerns as needed
Education and qualifications
Current u.sPharmacist license, pharm.d.
Proven leadership skills, team-orientation, a proactive management style and strong commitment to client service a must
Minimum of 3 years experience preferred in managed care or with previous pbm experience
This position is not eligible to be performed in colorado.
About cigna
Cigna corporation exists to improve livesWe are a global health service company dedicated to improving the health, well-being and peace of mind of those we serveTogether, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millionsThrough our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovationWhen you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s livesWhat difference will you make?
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: seeyourself@cigna.com for supportDo not email seeyourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
