Behavioral Clinical Excellence Program Management Advisor - Evernorth - Remote

The Clinical Excellence Program Management Advisor serves as a strategic individual contributor responsible for leading initiatives that advance clinical excellence and optimize clinical delivery within Behavioral Clinical Operations.

This role serves as a key connector between Behavioral Clinical Operations, Verint AQM, and Talent Enablement, translating clinical priorities into actionable programs and processes that drive quality, efficiency, and innovation.

This role leads cross-functional efforts, facilitates stakeholder engagement, and ensures alignment with organizational goals to improve clinical delivery and member experience.

Core Responsibilities


* Lead clinical improvement initiatives to enhance clinician acumen, workflows, and clinical delivery within Behavioral Clinical Operations


* Translate clinical priorities into actionable, high-quality initiatives supported by data and analytics


* Act as the primary liaison between Behavioral Clinical Operations, Verint AQM, and Talent Enablement to align on clinical quality goals, data insights, and improvement strategies


* Ensure seamless communication and coordination between operational and quality teams to support clinical excellence


* Facilitate the Clinical Quality Meeting, ensuring alignment with organizational goals and stakeholder priorities


* Lead the Clinical Value Ambassadors group, fostering a culture of clinical innovation, collaboration, and peer engagement across all Behavioral Clinical Operations departments


* Collaborate with cross-functional teams to identify and implement solutions that improve efficiency, member experience, and clinical outcomes


* Maintain the clinical accomplishments, ownership, and initiatives grid to ensure accomplishments are thoroughly highlighted and initiatives pertaining to Clinical Excellence are being prioritized

Minimum Qualifications


* Master level independent clinical/counseling license with 5-7 years post licensure experience


* 5+ years of post-license mental health and substance use disorder experience is required; as well as at least one year as a Care Manager in managed care environment and previous precepting experience


* Exemplary research, analytical and problem-solving skills with excellent attention to detail


* Ability to balance best clinical outcomes and practices with finite resources


* Demonstrated ability to assess complex issues, recommend changes, and resolve problems


* Experience in leading/managing projects and change management


* Independent, organized, and highly consultative business partner


* Enterprise thinker with proven ability to influence across a matrix environment.

Ability to develop relationships across all levels of the organization


* Previous leadership experience preferred but not required

Travel


* Up to 25% travel required

If you will be working at home occasionally or permanently, the internet connection must be o...