Clinical Program Senior Manager

Job not on LinkedIn

🕒 Yesterday

🗿 South Dakota – Remote

🗿 South Dakota – Remote

💵 $125.2k - $208.6k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 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 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, escalations, and team training • 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 processes for AI-enabled tools, Copilot agents, automation, and workflow orchestration opportunities • 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 operational 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 in an operational environment • Ability to translate operational pain points into practical automation or agent use cases, including defining 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 • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload for home-based work

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits starting day one • Vision benefits starting day one • Dental benefits starting day one • Well-being and behavioral health programs starting day one • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence