RN Clinical Program Sr. Advisor. Northeast New York, New Jersey or Connecticut Area - Hybrid

Cigna

Full-time - Mid Level

Hybrid

Insurance Carriers and Related Activities

About the position

The Clinical Program Sr. Advisor at Cigna Healthcare plays a crucial role in enhancing healthcare quality and affordability while ensuring customer satisfaction. This position involves collaborating with Network Provider Partners, Clients, and Key Stakeholders to execute strategic priorities that align with organizational goals related to client growth, retention, and value-based provider performance. The advisor will leverage clinical insights to support initiatives that improve healthcare outcomes and drive cost efficiency.

Responsibilities

• Apply knowledge of business segment strategies and healthcare industry trends to deliver clinical insights and consultancy.
• Consult regularly with provider partners to drive improved performance and success in quality and affordability.
• Manage relationships with Value-Based Provider Partners and ensure effective action plans are developed and enacted.
• Conduct assessments of provider partner infrastructure and clinical capabilities.
• Engage with network partners to influence practice redesign and support Population Health Management.
• Facilitate client meetings to educate and support Cigna's integrated value proposition.
• Connect Clinical Operations teams with Network Provider Partners to improve collaboration and care integration.
• Participate in local market committees to analyze opportunities and execute initiatives for cost reduction.
• Act as a Clinical Subject Matter Expert, participating in cross-functional teams to improve organizational effectiveness.
• Provide consultative guidance and recommendations to the Client Account Team to enhance customer engagement and affordability.
• Ensure client understanding and satisfaction with Cigna's programs and services.
• Collaborate with matrix partners to execute strategies for growth and program engagement.
• Resolve complex clinical issues and non-standard client benefit requests.
• Support cultural training and vendor integrations for a seamless client experience.

Requirements

• Active and unrestricted Nursing License.
• Bachelor's degree required; Advanced Degree preferred.
• Minimum of three years of clinical practice experience.
• Proven industry experience in a Health Sector related field.
• Strong leadership, organizational, critical thinking, and execution skills.
• Ability to work effectively in a matrixed environment.
• Proven ability to build strong relationships and influence diverse teams.
• Excellent oral and written communication skills, including formal presentations.
• Proficient in Microsoft Office applications.
• Requires intermittent travel within assigned market.

Nice-to-haves

• Experience in health insurance or healthcare delivery systems.
• Familiarity with value-based care models.
• Experience in client engagement and relationship management.

Benefits

• Health insurance coverage
• Dental insurance coverage
• 401k retirement savings plan
• Flexible scheduling options
• Paid time off and holidays
• Professional development opportunities