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Clinical Integration Engagement Specialist at Cigna

Posted in General Business 30+ days ago.

Type: Full-Time
Location: Nashville, Tennessee





Job Description:

Cignahas a track record of developing trustedrelationships with providers and offeringservices that support their efforts to improve population health, to enhance patient satisfaction, and to succeed in value-based arrangements. For that reason, we are in the process of building a team to focus on advancing key work in this area for our company, CareAllies.

As a Cigna company, CareAllies is supported by an extensive and successful history of innovative value-based collaborations in supporting over 250 physicians and health system organizations across the United States. A natural extension of our patient health engagement services, our provider solutions focus connects care between patients and providers to improve health, affordability and patient experience. We work closely with providers to accelerate their transition to value-based care and to uniformly manage the long-term health of their patients in a multi-payer environment. Our consultative approach emphasizes physician engagement, delivery system organization and culture change, actionable data and analytics, as well as patient health engagement to support treatment plans.

Role Summary:

At CareAllies, we strive to help our customers save money and improve health. We achieve this through our next generation service experience and consumer health engagement solutions. We offer a personalized and proactive comprehensive service model focused on removing barriers, enabling success and building confidence for internal team and external customers.

This role serves as the engagement specialist for the Clinical Data Integration (CDI) program and the Desktop Application initiative. In this role, the candidate will play a part in enabling the business to achieve their objectives through the effective integration of clinical data into our population health tools ensuring the data is available for business use, and working closely with our provider partners to implement the Desktop Application to receive data insights at the point of care.

As third-party vendors, HIE/HIO, and prioritized providers are identified as potential targets, the engagement specialist will be responsible to guide the integrated party through the CDI program to achieve data access and utilize the specific clinical data needed for the CDI program. The candidate will establish data quality and testing standards, cultivate relationships internally and externally, and monitor performance. The engagement specialist will manage the internal and external relations on an on-going basis and perform as a functional bridge amongst external vendors, the greater Population Health Solutions (PHS), and internal Cigna teams.

The candidate will ensure enterprise-wide needs for due diligence, risk assessment, and continuing vendor monitoring are being accomplished.They will also work with the PHS and Cigna teams to develop and streamline processes to evaluate and approve vendors as well as track, measure, and report vendor performance.The candidate will troubleshoot all vendor problems and present to management, as required, along with identifying improvement areas internally as they collaborate closely with all internal stakeholders to prepare solutions.


  • Stimulate steady process enhancement to present increasing operational efficiency in entire business partner processes.

  • Support to explore expansion across new business lines.

  • Ability to effectively communicate at all levels of the organization, converting complex challenges into simplified options and recommendations

  • Knowledge of, and experience implementing project management disciplines

  • Experience in managing technology projects leveraging agile/iterative delivery methodologies

  • Experience in managing project performance against a defined cost, scope, schedule baseline

  • Ability to form strong business relationships and partner across the enterprise for effective cross-functional project delivery

  • Ensure smooth lines of communication from the project to our delivery team and vice versa

  • Help manage project changes with core project team and facilitate estimates and communication of delivery alignment.

  • Participate in Agile ceremonies like release planning, sprint demos, and other specific team meetings as needed

  • Work with product managers to ensure alignment to roadmap and scope and partner on external communication to our stakeholders.

  • Manage matrixed resources to ensure that committed scope is delivered within committed timelines, at or under budget.

  • Help manage project costs and Core Clinical allocations to be in line with budgeted amount

  • Collaborates with the team to develop/manage project plans for production release implementation

Qualifications:

Solid understanding of health insurance, customer messaging/design and project management. B.A. degree, Masters or equivalent experience. 5+ years of experience in cross-functional roles in health insurance industry preferred.


  • Bachelor's Degree highly preferred; MBA, PMI Certification or Six Sigma training also valued.

  • 3+ year's experience in vendor management

  • Team player with proven ability to foster and manage working relationships within a matrix environment to obtain buy-in and drive results.

  • Creative thinker with ability to think outside the box and translate ideas into actions

  • Strong problem solving skills

  • Excellent oral, written presentation and communication skills. Attention to detail and quality

  • Demonstrated ability to drive results with sense of urgency in a rapidly changing environment

  • Intermediate to advanced skills using Microsoft Office Suite (Word, Excel, PowerPoint, SharePoint, etc.)

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 69,500 - 115,800 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna .

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.





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