Clinical Policy Lead Analyst, Clinical Content - EviCore - Remote

Clinical Policy Lead Analyst:

Summary:

• Create and maintain technical assessments and evidence-based policy for clinical programs through evaluation of published literature.
• Serve as primary author of evidence-based for program-specific clinical guidelines
• Monitor peer-reviewed, published evidence-updates for relevant clinical programs
• Maintain evidence tables and apply evidence-grading to literature
• Apply evidence updates to clinical guidelines
• Maintain library of relevant literature
• Maintain policy library through regular assessments and updates and revise and maintain clinical guidelines in the content management system
• Present revised clinical guidelines to the Medical Advisory Committee (MAC)
• Present to external stakeholders as needed
• Work with internal stakeholders related to clinical guideline development, maintenance, and implementation
• Act as a subject matter expert for programs and guidelines assigned
• Partner with internal and external subject matter experts to assimilate current practice standards into clinical policy, reconciling with published literature
• Ensure downstream operational representation, such as branching logic, is consistent with the intent of the clinical policy as approved by MAC
• Provide thought leadership and subject matter expertise for complex projects, working across business units
• Engage in cross-enterprise projects through ICOG aimed at creating optimal health care experiences

Minimum Qualifications: 

• Degree in Nursing or Healthcare related field (e.g.: Public Health, Healthcare Administration)
• Minimum of 3 years of experience in medical writing, clinical or policy research, literature evaluation and peer-reviewed publications.

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 74,400 - 124,000 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.