Clinical Program Manager – Clinical Operations Support, Custom Services

Job not on LinkedIn

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $106k - $176.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Clinical Operations

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • 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

• Lead, coach, and develop clinical operations analysts and support resources • Oversee Clinical Operations Support Services, Specialty, Analyst Support Services, and Custom Support Services activities • Manage operational support for specialty programs, Pathwell, preventive programs, and other high-maintenance clinical initiatives • Develop new operational processes, establish sustainable maintenance models, and transition ownership to operational teams • Gather requirements, assess operational impacts, and develop implementation approaches with matrix stakeholders • Drive continuous improvement through automation and AI solutions • Oversee and support Rx Configuration PBAB requests, including exception review, consultation, risk and feasibility assessment • Ensure accurate and timely execution of custom client requests, utilization management setups, drug list maintenance, and operational support services • Develop and maintain standard operating procedures, job aids, governance processes, and team documentation • Manage issue resolution, escalations, risk identification, and corrective action plans • Collaborate with technology, product, implementation, and operational partners on products, enhancements, and strategic initiatives • Support audit readiness, quality reviews, compliance activities, and operational controls • Monitor operational performance, service levels, capacity, and workload distribution • Lead cross-functional projects and organizational initiatives • Identify staffing, training, and development needs and build team capabilities • Foster collaboration, accountability, adaptability, innovation, and continuous improvement

🎯 Requirements

• Pharmacy degree (BSPharm or PharmD) • Active pharmacist license in good standing • Five or more years of healthcare, pharmacy benefit management, clinical operations, or related experience • Relevant experience supporting custom client programs and solutions within pharmacy benefit management or clinical operations • Strong understanding of high-level-of-effort products and the operational processes required to maintain them • Two or more years of leadership or people-management experience • Demonstrated ability to lead operational teams in a highly matrixed environment • Strong project management, organizational, analytical, and problem-solving skills • Excellent verbal and written communication skills • Ability to manage multiple priorities and competing deadlines • Ability to influence stakeholders across business, operational, and technical organizations • Proficiency with Microsoft Office, including Excel and PowerPoint • Home internet connection through cable broadband or fiber optic service with at least 10 Mbps download/5 Mbps upload if working at home

🏖️ Benefits

• Annual bonus plan eligibility • Medical insurance • Vision insurance • Dental insurance • 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

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