Job Description
About the position
- Responsibilities
- Apply knowledge of business segment strategies and healthcare industry trends to deliver clinical insights and consultancy.
- Consult regularly with provider partners to drive improved performance and success in quality and affordability.
- Manage relationships with Value-Based Provider Partners and ensure effective action plans are developed and enacted.
- Conduct assessments of provider partner infrastructure and clinical capabilities.
- Engage with network partners to influence practice redesign and support Population Health Management.
- Facilitate client meetings to educate and support Cigna's integrated value proposition.
- Connect Clinical Operations teams with Network Provider Partners to improve collaboration and care integration.
- Participate in local market committees to analyze opportunities and execute initiatives for cost reduction.
- Act as a Clinical Subject Matter Expert, participating in cross-functional teams to improve organizational effectiveness.
- Provide consultative guidance and recommendations to the Client Account Team to enhance customer engagement and affordability.
- Ensure client understanding and satisfaction with Cigna's programs and services.
- Collaborate with matrix partners to execute strategies for growth and program engagement.
- Resolve complex clinical issues and non-standard client benefit requests.
- Support cultural training and vendor integrations for a seamless client experience.
- Requirements
- Active and unrestricted Nursing License.
- Bachelor's degree required; Advanced Degree preferred.
- Minimum of three years of clinical practice experience.
- Proven industry experience in a Health Sector related field.
- Strong leadership, organizational, critical thinking, and execution skills.
- Ability to work effectively in a matrixed environment.
- Proven ability to build strong relationships and influence diverse teams.
- Excellent oral and written communication skills, including formal presentations.
- Proficient in Microsoft Office applications.
- Requires intermittent travel within assigned market.
- Nice-to-haves
- Experience in health insurance or healthcare delivery systems.
- Familiarity with value-based care models.
- Experience in client engagement and relationship management.
- Benefits
- Health insurance coverage
- Dental insurance coverage
- 401k retirement savings plan
- Flexible scheduling options
- Paid time off and holidays
- Professional development opportunities
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