Senior Clinical Program Manager

Job not on LinkedIn

🔥 0 minutes ago

🗿 South Dakota – Remote

🗿 South Dakota – Remote

💵 $125.2k - $208.6k / year

⏰ Full Time

🟠 Senior

🏥 Clinical Operations

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Lead onshore pharmacists and onshore/offshore analysts implementing clinical intent accurately and on time • Champion lessons learned, operational consistency, and continuous process improvement • Oversee clinical installation workflows, reporting, quality assurance, job aids, SOPs, tools, issue escalations, and training plans • Partner with technical and business leads to develop, maintain, and enhance clinical implementation management processes • Lead deployment, enablement, and operational support for enterprise initiatives affecting clinical implementation • Oversee hiring, mentoring, performance management, corrective action, professional development, and continuing education • Promote team development through knowledge sharing, training, and special projects • Coordinate cross-functional resources to resolve complex issues and deliver results for partners and clients • Assess opportunities to apply AI-enabled tools, Copilot agents, automation, or workflow orchestration to reduce manual operational work • Promote AI fluency through training, change management, adoption practices, and feedback loops • Champion responsible adoption of team-led agents with business, clinical, technology, AI enablement, compliance, and operations stakeholders • Identify agent use cases supporting clinical setup, drug list management, reporting, documentation, intake, issue resolution, quality review, and operational readiness

🎯 Requirements

• Active pharmacist license required • Bachelor’s degree in Pharmacy required; PharmD preferred • 5+ years of Pharmacy Benefit Management (PBM) experience preferred, including experience with clinical criteria implementation • First Databank experience desired • Proficiency working with Microsoft Excel files required • 7–10 years of healthcare industry experience preferred • Ability to work effectively in a highly matrixed environment • Strong communication, interpersonal, and collaboration skills • Ability to manage multiple priorities, deadlines, and competing demands in a fast-paced environment • Ability to navigate and influence effectively within a complex organization • Ability to lead teams through systems, workflows, and processes • Strong negotiation, problem-solving, analytical, and decision-making skills • Ability to operate effectively in an environment with ambiguity • Ability to organize work, hold others accountable, and manage timelines • Experience identifying, evaluating, or implementing automation, AI-enabled tools, workflow orchestration, or digital workforce capabilities • Ability to translate operational pain points into practical automation or agent use cases, including business requirements, acceptance criteria, controls, and success metrics • Working knowledge of responsible AI principles, including human oversight, data protection, governance, risk management, and change adoption • Ability to lead teams through technology-enabled process transformation while balancing innovation, quality, compliance, and operational stability • Experience with Agile development methodology • Experience managing small to mid-sized teams • Advanced proficiency with Microsoft Office • Ability to clearly document business requirements • Standard business hours • For home working, cable broadband or fiber internet service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Remote work at home occasionally or permanently, subject to cable broadband or fiber internet with at least 10Mbps download/5Mbps upload • Tobacco-free policy