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RN Quality Clinical Management Senior Advisor - Work from Home, Anywhere, USA

The Cigna Group
Pennsylvania Work at Home, United States, United StatesRemotefull_timeVerifiedPosted 10 Jun 2025
💰 $177,600/yr($106,600/yr$177,600/yr)

About the role

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Overview:

This position works collaboratively with multiple teams within quality and the broader enterprise to drive clinical outcomes and reduce gaps in care. As part of the Enterprise Quality & Accreditation team, this enterprise focused position works with a variety of matrix partners including but not limited to:  IT,  Interoperability Team, Office of Intelligent Automation, Innovation team, Market Medical Executives, the Health Equity Team, Sales and Network partners, Data and Analytics, and key Operations Partners to execute projects to improve the health and well-being of the customers we serve.  This position is responsible for working in a highly matrixed organization in a collaborative manner and exhibiting behaviors, attitudes and actions that demonstrate a high level of teamwork to drive clear and quantifiable results.

Role Summary:

Individual will have accountability to lead major projects aimed to improve health outcomes and patient experience.  Project management responsibilities for planning, overseeing, and leading projects from ideation through to completion. Requires interaction with a range of internal and external stakeholders, most often managing several projects simultaneously. This will include definition and scoping of projects, alignment with business sponsors and key stakeholders, project execution, and communication of progress and risks. The position will support various types and sizes of projects, ranging in content including, but not limited to: system enhancements/integration/enablement, clinical care pilots, new process and technology creation/scalability and rollout, provider-focused enablement initiatives, and initiatives to improve patient experience.

Responsibilities:

  • Leads mid-sized to large, time-limited projects or components of a larger project and directs one or more teams of business subject matter experts involved in the evaluation of systems requirements and/or the development of new procedures/processes/or policy solutions to address highly complex business needs.
  • Provides counsel and advice to top management on significant Business Project Management matters, often requiring coordination between organizations.
  • Assesses impact and implications from a cost, efficiency, contractual, privacy, legal and/or regulatory standpoint.
  • Determines requirements, plans projects, establishes priorities and monitors progress.
  • Identifies and facilitates process design changes related to on-going projects.
  • May coordinate with other project owners on enterprise projects with large scope
  • Actions have significant impact on key department and enterprise objectives.
  • Focuses on providing thought leadership and technical and clinical expertise across multiple disciplines.
  • Recognized internally as “the go-to person” for the most complex clinical improvement assignments.
  • Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.
  • Uses deep professional knowledge and acumen to advise functional leaders.
  • Leads project planning sessions and leverages established project methodology to define and develop project plans
  • Develops and maintains project plans that consider the business objectives, key milestones, timelines, resource impacts and task sequencing required to deliver the desired value of each project.
  • Identifies and develops relationships with internal and external stakeholders to achieve project objectives.
  • Coordinates with cross discipline team members to make sure that all parties are on track with project requirements, deadlines, and schedules.
  • Monitors progress against project goals and objectives and implements communication and reporting mechanisms to manage issues, risks and timely delivery of initiative results.
  • Ensures the timely and quality development of all deliverables for the project.
  • Coordinates project steering committee meetings and communicates status to the leadership team.
  • Ensures appropriate use of tools to track and monitor the alignment of goals, progress against goals, and the financial performance of assigned projects.
  • Identifies opportunities to optimize and improve processes where applicable.
  • Conducts post project evaluations and identifies successful and unsuccessful project elements.
  • Leads, directs, and oversees the development and implementation of clinical initiatives, special proje

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Company

The Cigna Group

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