Senior Advisor, Care Solutions (Medical Drug Management) - Evernorth Health Services - Hybrid (Finance)
Join our Care Solutions team and help shape the future of healthcare delivery. As a Clinical Program, Sr. Advisor, you will lead the development, implementation, and management of clinical programs that improve health outcomes for millions of patients. This role offers a unique opportunity to influence product strategy, collaborate across departments, and drive innovation in clinical services.
Key Responsibilities
- Manage clinical programs throughout their lifecycle, including market strategy, product direction, clinical design, program outcomes, reporting, client satisfaction, and future innovation.
- Serve as the subject matter expert and source of truth for stakeholders involved in clinical product development and management.
- Contribute to the strategic direction of core clinical products and services, including criteria development, clinical rule design, and outcome measurement.
- Collaborate with cross-functional teams, including Technology, Knowledge Solutions, Operations, Marketing, Billing/Finance, Legal, Sales Enablement, and Account Management.
- Deliver presentations internally and externally to support Care Solutions products and explain complex clinical concepts.
- Demonstrate a strong work ethic, integrity, and a collaborative, team-oriented mindset.
- Communicate effectively by creating strategic agendas, leading meetings, keeping stakeholders informed, and escalating key issues to leadership.
- Licensed clinician in good standing (Pharmacist, Nurse, Nurse Practitioner, Medical Doctor, Doctor of Osteopathy, or other applicable clinical roles).
- Minimum of 5 years of relevant experience.
- Experience in utilization management preferred.
- Proficiency in Microsoft Office applications.
- Strong verbal, written, and presentation communication skills.
- Ability to manage multiple tasks, prioritize effectively, and resolve complex issues.
- Project management experience and analytical mindset focused on goal-setting and measurement.
- Willingness to learn medical claim billing, clinical rule automation, reporting, and analytics tools.
- Ability to work independently and collaboratively.
- Basic financial analysis skills.
- Excellent customer service skills.
- Clinical expertise across the medical and pharmaceutical landscape preferred.
- Experience with clinical informatics and EMR systems preferred.
The Care Solutions department develops and manages programs and services that empower our customers to deliver better health outcomes. As part of this team, you'll gain firsthand insight into how healthcare products are built, launched, and managed to improve care for millions of patients.
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 116,200 - 193,600 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 Group .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
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.
The Cigna Group 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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
