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Clinical Program Senior Advisor (Clinical Solutions, Chief Medical Office) - Cigna Healthcare - Hybrid (Finance)



This position reports to Cigna Health Care's Clinical Team/Chief Medical Officer. It supports the creation of innovative and patient-centered clinical products and solutions to improve patient outcomes, experience, and value.

Incumbent will play a key role in developing clinical solution strategy based on insights, designing, enhancing, and maintaining evidence-based programs, and driving execution and results. Collaborates across the Cigna enterprise, with clinical team members and matrix partners in areas including Product, Technology, Data & Analytics, and Operations. May focus on specific clinical conditions/topic areas across the care continuum (e.g., wellness, chronic condition, acute health needs) and particular program types (e.g., health coaching, case management, digital tools/engagement)

Responsibilities:

Clinical Strategy:

  • Develop and maintain subject matter expertise related to aligned program(s)/solutions, clinical topic focus areas, and understanding of internal/external landscape, strategy and business objectives
  • Gather, analyze, and synthesize key insights/research (e.g., data/analytics, clinical research, industry, competitive, market, key stakeholder, operational/current state program/solution performance/opportunities)- to apply insight-driven approach
  • Evaluate vendors for partnership opportunities based on established criteria
  • Contribute to ideation, innovation and thought leadership, with best practice approaches
  • Assist leadership with strategy and multi-year roadmap development; set SMART objectives; Lead strategic planning process and meetings
  • Support and contribute to the enterprise portfolio submission process and influence prioritization

Clinical Design and Development:

  • Lead the design and development of new solutions, pilots, enhancements and process improvements - with best practice, evidence-based approaches and methodologies (e.g., behavioral science, design thinking).
  • Design components to include workflows/customer journeys, identification/stratification criteria, clinical program content/digital content, evidence-based guidelines, assessments, care plans, interventions, customer communication(s)
  • Develop/partner on clinical operational standard operation procedures (SOPs) and Training
  • Contribute to clinical value messaging to support marketing
  • Create clinical program/solution scorecards and KPIs, program evaluation criteria and measurement plans

Execution and Monitoring:

  • Utilize/promote 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/solutions and initiatives
    • Manage intake and prioritization of actions to support program goals
    • Ensure that program-level success metrics/KPIs/scorecards are established and measured; identify opportunities for action, enhancement, improvement
    • Create, enhance and maintain playbooks and repeatable framework(s)
    • Ensure creation of and maintenance of sharepoint(s) /information management
  • Ensure appropriate actions are taken to implement key initiatives effectively; may serve as project manager for initiatives and/or provide project management oversight and partnership as clinical program lead
  • Effectively prepare for and facilitate various governance meetings, project status/communication meetings, and work sessions.
  • Utilize/promote 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
  • Facilitate effective decision making
  • Ensure timely, quality, collaborative execution and adequate 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 US Employer, Health Services, Pharmacy, and IFP Product/Solutions, EviCore, Accredo, Clinical Operations, Network/Provider contracting, Analytics, Technology, 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 (Nursing, Public Health, Healthcare Administration, or related field preferred); Master's or advanced certifications (e.g., AI, Informatics) are a plus.
  • 3+ years in clinical program design and development with proven success.
  • Skills & Knowledge:
    • Strong understanding of healthcare and population health.
    • Experience with project management; Agile knowledge is a plus.
    • Ability to move from strategy to implementation.
    • Strong problem-solving, critical thinking, and communication skills.
    • Comfortable working independently and in cross-functional teams.
    • Skilled in MS Office (PowerPoint, Excel, Word); Jira and Confluence experience is a plus.
  • Personal Traits:
    • Action-oriented, accountable, and detail-focused.
    • Adaptable to change and ambiguity.
    • Strong relationship-building and collaboration skills.
    • Able to manage multiple priorities and meet deadlines.
  • Travel: Occasional travel (up to 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. Apply

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