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Clinical Care Management - Operations Senior Advisor

The job profile for this position is Operations Senior Advisor, which is a Band 4 Senior Contributor Career Track Role.

Role Description:

This position reports into the Cigna Clinical Care Management organization. Incumbent will be responsible for the department’s management process, producing Operational Dashboards, and partnering with clinical leaders to improve processes to meet metric targets. In addition, the incumbent will provide leadership visibility into the health of the department’s project portfolio, along with highlighting and mitigating risks. This role requires program management expertise, both to lead projects individually, as well as guide junior team members. Projects often involve developing new clinical solutions to improve the affordability and quality of care. The incumbent should have health care industry experience, although a clinical background is not needed. The incumbent should be comfortable tackling ambiguous challenges, developing solutions from concept to implementation, and working effectively with matrixed partners.

Responsibilities:

• Strategic Planning:

• Develop subject matter expertise related to aligned program(s) and understanding of internal/external landscape, strategy and business objectives

• Gather, analyze and synthesize key insights/research (e.g., data, industry, market, key stakeholder, operational)

• Provide counsel and advice to top management on strategy and multi-year roadmap development

• Support the enterprise portfolio submission processes

• Management Process:

• Utilize established program and project management methodologies and best practices for effective governance, meeting preparation and management, execution, and monitoring results

• Establish, support and iterate on governance structure, meeting cadences, and communication strategy to align with and inform key stakeholders on assigned programs and initiatives

• Manage intake and prioritization of actions to support program goals

• Ensure that program-level success metrics/KPIs/scorecards are established and measured

• Create, enhance and maintain playbooks and repeatable framework(s)

• Ensure creation of and maintenance of sharepoint(s) /information management

• Execution:

• Collaborate with enterprise partners in the design and development of new solutions, enhancements and process improvements; go-to person for the most complex program management assignments

• Ensure appropriate actions are taken to effectively implement initiatives; may serve as project manager to lead initiatives and/or provide project management oversight and partnership as business/program lead

• Effectively prepare for and facilitate various governance meetings, project status/communication meetings and work sessions.

• Develop/utilize best practice standard project artifacts including charter, team/roles and responsibilities, high level timeline/schedule, issues and risk log, and a master project plan to support milestones and goals

• Manage project plans, track milestones, and monitor execution

• Status reporting and project/program communications

• Effectively communicate with project/business participants and stakeholders by adapting style and messages to diverse audiences

• Manage/escalate and resolve/mitigate issues and risks; Solves complex problems; takes a broad perspective to identify solutions

• Facilitate effective decision making

• Ensure timely, quality, collaborative execution and effective project documentation

• Develop and nurture strong relationships with key matrix partners and effectively collaborate across the Cigna and Evernorth enterprise including but not limited to Commercial, Health Services, Pharmacy and Govt Product/Solutions, eviCore, Accredo, Clinical Operations, Network/Provider contracting, Analytics, IT, Segments.

• Continually improve skills, knowledge and competencies by proactively participating in various internal and external training opportunities and stretch assignments.

Qualifications:

• Bachelor’s degree required; Master’s degree preferred in business or relevant field

• 5+ years of program management/project management and/or applicable business experience, with knowledge of industry best practices:

• Demonstrated ability to drive results and produce quality deliverables

• Strong strategic/critical thinking, analytical, and problem solving skills

• Demonstrates ability to operate with an enterprise mindset

• Action oriented and works with a sense of urgency, acting with speed and purpose

• Highly accountable for contributions to team and organizational results; takes responsibility to execute to meet aggressive timelines.

• Proven ability to learn and apply quickly

• Strong interpersonal skills/high emotional intelligence

• Strong influencing, negotiating and relationship building skills – instills trust; must be a team player with demonstrated ability to work well with others and collaboratively resolve issues

• Strong organizational skills with accurate and precise attention to detail; ability to manage multiple priorities

• Ability to be proactive, take initiative and work independently

• Ability to deal with ambiguity, embracing change and helping others see it as an opportunity with ability to stay focused on goals while adapting to change.

• Comfortable with raising questions, issues, ideas or suggestions to co-workers of all levels across all organizations

• Can maneuver through complex political situations effectively

• Strong communication and presentation skills, with ability to tailor information to multiple levels/audiences

• High proficiency with MS Office- Powerpoint, Excel, Word, Project; demonstrated ability to prepare effective Powerpoint presentations

• Travel potential – 10%

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 The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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.