Clinical Coordinator Advisor (Finance)
POSITION SUMMARY
The Clinical Coordinator -Advisor position is an exciting opportunity for those looking to use their organizational, administrative and analytical skills to make a positive impact in the managed care arena, while expanding their knowledge of the health care industry. This position assists and supports the delivery of clinical strategy for health plan clients, and is responsible for execution of clinical excellence. Specifically, the Clinical Coordinator will
- Work collaboratively to gather/request data
- Provide analytical findings used in development of clinical strategy
- Lead Clinical Issue Management/Resolution
- Lead the implementation of new clinical solutions and support delivery on commitments
- Assist clinicians with day to day activities needed for delivery and execution on client commitments and projects
This position allows for greater understanding, interpretation, and providing to leadership the current industry trends, and develops skill sets necessary for strategic planning, project management and consultation.
ESSENTIAL FUNCTIONS
- Collaborate with Clinical Account Executive(s) to positively influence client and customer results and experience
- Support and develop reporting to monitor performance metrics, including clinical outcomes, financial trends, and rebate guarantees
- Prepare clinical consultation materials (e.g., P&T presentations, quarterly/annual business reviews, modeling/reporting, etc.)
- Lead the end-to-end management of clinical inquiries, data analytics, and claims research
- Work cross-functionally with Clinical Account Executive(s) to manage risk through continuous communication and quick resolution of problems
- Create administrative and operational efficiencies within the clinical team
- Actively participate in formal and informal training programs and professional development activities
- Effectively contribute to virtual teams, organizational committees, and work groups
QUALIFICATONS
- Bachelor's degree in related field and preferably 3-5 years relevant experience
- Client facing experience preferred
- Excellent verbal and written communication skills required
- Proficiency in Microsoft applications
- Motivated self-starter with proven leadership and ability to work collaboratively with cross-functional teams
- Ability to adapt in a dynamic work environment and quickly learn multiple internal reporting and analytic tools
- Detail oriented with strong organizational and project management skills
- Must be able to manage multiple tasks, prioritize, make decisions, and resolve complex issues
- Ability to work under pressure and meet tight deadlines
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 107,000 - 178,300 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.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
