Clinical Program Senior Advisor (Clinical Solutions, Chief Medical Office) - Cigna Healthcare - Hybr

This position reports to Cigna Health Care's Clinical Team/Chief Medical Officer.

It supports the creation of innovative and patient-centered clinical products and solutions to improve patient outcomes, experience, and value.

Incumbent will play a key role in developing clinical solution strategy based on insights, designing, enhancing, and maintaining evidence-based programs, and driving execution and results.

Collaborates across the Cigna enterprise, with clinical team members and matrix partners in areas including Product, Technology, Data & Analytics, and Operations.

May focus on specific clinical conditions/topic areas across the care continuum (e.g., wellness, chronic condition, acute health needs) and particular program types (e.g., health coaching, case management, digital tools/engagement)

Responsibilities:

Clinical Strategy:


* Develop and maintain subject matter expertise related to aligned program(s)/solutions, clinical topic focus areas, and understanding of internal/external landscape, strategy and business objectives


* Gather, analyze, and synthesize key insights/research (e.g., data/analytics, clinical research, industry, competitive, market, key stakeholder, operational/current state program/solution performance/opportunities)- to apply insight-driven approach


* Evaluate vendors for partnership opportunities based on established criteria


* Contribute to ideation, innovation and thought leadership, with best practice approaches


* Assist leadership with strategy and multi-year roadmap development; set SMART objectives; Lead strategic planning process and meetings


* Support and contribute to the enterprise portfolio submission process and influence prioritization

Clinical Design and Development:


* Lead the design and development of new solutions, pilots, enhancements and process improvements - with best practice, evidence-based approaches and methodologies (e.g., behavioral science, design thinking).


* Design components to include workflows/customer journeys, identification/stratification criteria, clinical program content/digital content, evidence-based guidelines, assessments, care plans, interventions, customer communication(s)


* Develop/partner on clinical operational standard operation procedures (SOPs) and Training


* Contribute to clinical value messaging to support marketing


* Create clinical program/solution scorecards and KPIs, program evaluation criteria and measurement plans

Execution and Monitoring:


* Utilize/promote established program and project management methodologies and best practices for effective governance, meeting preparation and management, execution, and monitoring results
+ Establish, support and iterate on governance structure, meeting cadences, and communication strategy to align with and inform key stakeholders on assigned programs/solutions and initiatives
+ Manage intake and prioritization of actions to support progr...