VP Clinical Operations (Sr. Director) at Cigna in Bloomfield, Connecticut

Job Description:

Position Description

Development and execution of the overall clinical operations strategy to maximize the performance of the 4 clinical businesses, in partnership with the Operations leadership and Clinical leadership team. This role is responsible for planning, coordinating, directing and monitoring all operational and financial aspects of clinical operations in partnership with the Chief Medical Officer. This role will provide effective leadership to various managers, supervisors, and clinic staff while overseeing the delivery of quality, cost-effective patient care in partnership with medical leadership. Manages financial efficiencies that support reduced operational costs and higher net profit results while ensuring operational quality. Partners will clinical leadership to align and lead with an emphasis on quality, performance improvement, productivity, and bottom-line results. Provides overall direction and leadership to Clinical service lines, with an emphasis on quality, performance improvement, productivity, and bottom-line results.

The role has a collaborative relationship with Medical Directors who provide clinical operational leadership oversight and guide clinical care model evolution. It is expected that this individual will have a deep knowledge of care delivery and Clinical understanding of models within a risk-based payment and value-based care model. The successful candidate will be responsible and accountable for planning, coordinating, directing and monitoring all operational and financial KPIs.

Develops new operations procedures and systems and enhances existing processes to achieve optimal efficiency.

Essential Job Functions

• Accountable for function and performance of daily clinical operations in conjunction with dyad partner (Primary+ Chief Medical Officer), working closely with SLT, product, clinical and operational leaders to support the day-to-day clinical activities ( clinical operations includes activities relating to the delivery of care and supporting business activities )


• Drive and execute the Primary+ strategy and operating plan with a focus on enabling clinical activities and performance ( focus on connections to and operations of physical sites of care and value-based care enablement from a clinical operations perspective)


• Accountable for designing, implementing and evaluation of clinical operating activities to drive efficiencies across the businesses


• Optimize clinical operations to ensure high provider productivity, access to care, quality of care patient retention and experience


• Design, implement, and continuously improve operating model across the lines of business/products/service to improve strategic, financial, performance, and growth outcomes for all while supporting delivery of high-quality patient care.


• Lead cross-functional development of a strategic growth plan that will help drive quality, collaboration and excellence within a clinical operating environment


• Develop and implement integration plan for Primary+ across platforms and products.


• Structure/clinical model and design operating roadmap


• EHR


• Practice Partners/ design workflows/handoffs


• Support product/ tech roadmap prioritization for clinical ops


• Optimize clinical operations, finances, and customer service levels; develop and execute long range, strategic and operational plans for clinical activities; measure success through key performance metrics, including productivity and quality, partnering as a dyad with CMO for holistic outcomes


• Enhance the quality, access, safety, and efficiency of patient services and increase patient satisfaction with a focus on performance excellence and high reliability.


• Lead Clinical Shared Services (nursing, MAs, Care Coordinators)


• Additional Clinical Operations alignment opportunities within legacy MDLIVE and Workplace based on business needs.

Education and Experience

• Bachelor's degree in business or related discipline required; MBA preferred.


• 5-7years in a leadership experience, preferably with a large organization and multi-site locations.


• 5-7 years previous experience in clinical process management preferred including progressive management roles.


• Excellent leadership skills including ability to think strategically and execute for results.


• Proven ability to innovate and drive large organization change.


• Experience working in a large highly matrixed organization, with proven ability to develop internal enterprise relations, and external relationships.


• Excellent presentation and communication skills.


• Strong business and financial background with a sense of urgency and a desire to achieve top line results.


• Experience working in a large highly matrixed organization, with proven ability to develop internal enterprise relations, and external relationships.


• Excellent presentation and communication skills.


• Strong business and financial background with a sense of urgency and a desire to achieve top line results.

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 Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.