Provides expert content/professional leadership on complex Clinical Program Management assignments/projects. Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Uses deep professional knowledge and acumen to advise functional leaders. Focuses on providing thought leadership within Clinical Program Management but works on broader projects, which require understanding of wider business. Recognized internally as a subject matter expert.

Represents company externally and serves as conduit to educate and enable care coordination between stakeholders resulting in an optimal healthcare experience and customer satisfaction. Serves as clinical advisor to the sales organization, providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction. Registered Nurse with a current active licensure and clinical practice experience. Skilled in working with Microsoft Office. Ie: Excel, PowerPoint, etc.

Also, serves as initial contact for clients and their eligible dependents requesting services related to assigned clinical programs. Responsible for customer service and relevant standards such as telephone response time. May make referrals within stated limits. Supports and assists with training for employees. May provide guidance around procedures and workflows. Completes day-to-day tasks without immediate supervision but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members.

Responsibilities:

• Day to day management of assigned clinical programs

• Serves as SME for assigned clinical programs

• Point of contact/liaison with our internal and external partners for assigned clinical programs to remediate questions and issues

• Weekly report related to status of assigned clinical programs

• Reviewing, opening and closing of referrals to clinical programs as needed

• Monitoring vendor mailbox

• Responsible for managing all reports related to assigned clinical programs

• Management of internal & external referrals for assigned markets

• Providing training to other internal teams about clinical programs as needed/requested

Requirements:

• Active RN License

• Minimum 2 years experience

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 Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.