Lead Analyst, Nurse Quality Clinical Management

🔥 14 hours ago

🏈 Alabama, Alaska, +16 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🌺 Hawaii – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ☕ Washington – Remote

💵 $77.3k - $128.8k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• support the Quality Management Program through multiple clinical, service and operational activities • driving continuous quality improvement in patient safety and improvements in efficiency and effectiveness • supporting activities to measure clinical programs and service processes and outcomes • reviews, investigates and monitors assigned clinical and quality activities • follow up with internal medical executives/directors, external health care professionals/facilities, and individual customers • presentation to the Peer Review Committees • implement partnerships and participate in initiatives focusing on reducing health disparities • collect and analyze data, develop studies and reports to workgroups and support quality committee activities • review clinical metrics and data and monitor for patient safety • support provider performance measurement activities • define and document policies, standard operating procedures, workflows and processes • participate and lead special workgroups and process improvement teams as needed • support regulatory compliance activities as needed

🎯 Requirements

• Bachelor’s degree preferred • RN or LPN • Three to five years of quality review and improvement experience preferred • Managed care or other health and service care delivery service related experience • Experience with NCQA and/or other accreditation standards, quality management preferred but not required • Strong oral and written communication skills • Excellent time management, project management, organizational, research, analytical, communication and interpersonal skills

🏖️ Benefits

• medical, vision, dental, and well-being and behavioral health programs • 401(k) • company paid life insurance • tuition reimbursement • a minimum of 18 days of paid time off per year • paid holidays • eligibility to participate in an annual bonus plan