Behavioral Clinical Excellence Program Management Advisor - Evernorth - Remote

The Cigna Group

71d • $93,300 - $155,500

About The Position

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.

Requirements

• 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

Nice To Haves

• Previous leadership experience preferred but not required

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

Benefits

• Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year
• Paid holidays
• Annual bonus plan eligibility

What This Job Offers

• Career Level: Senior
• Education Level: Master's degree