RN Clinical Program Sr. Advisor, Hartford, CT (Metro Area) at 091 Cigna Health & Life Ins. Co. in Memphis, Tennessee

Job Description:

Position Summary:                                                                                                                                 

The Clinical Program Sr. Advisor, as part of the Market Facing Clinical Organization, is closely aligned with Network Provider Partners, Clients and Key Stakeholders to support improved healthcare quality and affordability while ensuring customer satisfaction. The Clinical Program Sr. Advisor executes on strategic priorities to meet organizational goals related to Client Growth and Retention, Total Medical Cost and Value-Based Provider Performance.

Responsibilities include:

• In partnership with the Medical Executive, applies fundamental knowledge of business segment strategies, distribution channels and healthcare industry trends to deliver clinical insights and consultancy in support of Network, Sales, and local market Affordability strategies.


• As a clinical point of contact for Cigna's Value-Based Provider Partner/s, is responsible for the relationship with the ECC (Embedded Care Coordinator/s), interacting onsite and virtually to ensure an effective Key Focus Action Plan (KFAP)  is developed and enacted to drive optimal performance and achievement of value based goals


• In partnership with Medical Executive and Collaborative Care (CCC) Program Team, consults regularly with the provider partner on performance results, engagement and KFAP activities that drive CCC program success in quality, affordability and experience of care. Presents to Provider Partner Leadership at the direction of or in lieu of the Medical Executive


• Conducts value-based provider partner infrastructure integrity assessments, influencing adoption of advanced practice tenets and clinical capabilities that support PHM and clinical integration integral to long term success


• Facilitates Network Provider supported Client/Producer meetings and events to educate, inform and support Cigna's integrated value and Connected Care strategy


• Serves as liaison to enable the connection between Cigna’s Clinical Operations teams and our Network Provider Partners,  identifying  pathways to improve collaboration and  integrated/coordinated care that optimize outcomes for our Network, Clients and Customers


• As member of the local market TMC (Total Medical Cost) team, conducts opportunity analysis and executes on initiatives to drive trend and COGs reduction that improve customer/client Affordability 


• As Clinical SME and healthcare industry expert, participates in cross-functional teams at the local or national level, identifying and implementing actions that improve organizational or enterprise effectiveness and Affordability.  


• As clinical advisor to the Client Account Team (Sales, Underwriting, Client Reporting, Wellness, Operations / others), provides data analysis, clinical insights, consultative guidance and recommendations for clients, that positively impact customer engagement, client affordability, persistency and growth.


• In collaboration with matrix partners ( i.e. Sales, CAM, Clinical Operations, Health and Wellness, CHE) executes on strategies and solutions to meet Growth and Persistency, Program Engagement and Affordability targets


• Facilitates resolution to complex clinical issues and non-standard client benefit requests


• Ensures client understanding and satisfaction with Cigna programs, products and services


• Partnering with Sales and Clinical Operations, supports cultural trainings, readiness assessments, vendor integrations and audits to ensure a seamless onboarding and continued positive client experience

• Candidate must reside in the Hartford, CT (Metro Area)

Qualifications:

• Active and unrestricted Nursing License


• Required Bachelor’s degree, Advanced Degree preferred

• Minimum of three (3) years of clinical practice experience

• Proven industry experience in  a Health Sector related field (Health Insurance; Healthcare Professional and/or Delivery System Entities or Allied Health Industry)

• Strong Leadership, Organizational, Critical Thinking and Execution skills


• Can work effectively in a matrixed environment


• Proven ability to build strong relationships, foster collaboration and influence diverse teams


• Excellent oral and written communication skills, including formal presentations for all levels of management


• Proficient in using Microsoft and Technology/Software applications

• Requires travel (may vary by assignment) up to 50% of time

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make?  To see our culture in action, search #TeamCigna on Instagram.

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.