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Role Description

The Strategic Advisor, Enterprise Clinical Programs provides end-to-end leadership and support of complex cross-enterprise initiatives positioned to advance Enterprise Clinical Priorities, such as re-imagining prior authorization. This role will contribute to design and development and will own execution of clinical programs, effectively translating clinical strategy into operationally executable programs.

• Design clinical programs, workflows, and operating models that support enterprise or business‑unit clinical priorities, ensuring feasible, scalable, and alignment with regulatory and quality standards.
• Translate high‑level clinical strategy into concrete program structures, implementation plans, and success metrics.
• Lead end‑to‑end lifecycle of clinical programs: design, pilot, implement, optimize, with ability to quickly identify gaps in operations and collaboratively drive solutioning.
• Ensure programs stick, through development of training approaches for new clinical workflows, partnering with clinical and operations leaders to drive adoption.
• Build artifacts, playbooks, and guidance that support consistency.
• Define KPIs and outcomes measures. Analyze data sets to understand effectiveness of impacted operations and program success.
• Develop data-driven insights that inform future planning and program implementation.
• Develop executive-level deliverables that effectively communicate clinical program intent and alignment to enterprise and clinical strategy, project planning grounded in business-needs and consumer problems to solve, and progress updates.
• Design and maintain program frameworks, initiative roadmaps, project plans, and implementation tools that support effective change management and communication.
• Ensure effective cross-functional stakeholder management and alignment.
• Develop close partnership with Clinical Strategy to maintain strategic intent throughout program implementation and share operational learnings and implementation optimization dynamics that should feed into future strategic planning.
• Build subject-matter expertise in core clinical domains to support enterprise clinical leadership, such as prior authorization.

Qualifications

• Bachelor’s degree required; advanced degree (MPH, MBA, MHA) preferred.
• 5+ years of experience in program management, clinical operations, or related roles.
• Strong analytical and problem-solving skills with ability to translate high-level strategy into concrete program structure, implementation plans, and success metrics.
• Experience and natural inclination to successfully navigate ambiguity in environments defined by fluidity, complexity, and change.
• Excellent written and verbal communication skills, including preparation of executive-ready materials.
• Experience collaborating across matrixed environments with diverse stakeholders.

Requirements

• Experience in payer, provider, or integrated delivery system environments.
• Familiarity with Prior Authorization and supporting technologies, understanding the perspective and hardships experienced by both the provider and consumer.
• Familiarity with value-based care models, population health, or digital health innovation.
• Exposure to strategic planning, business case development, or healthcare innovation initiatives.

Benefits

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.

Company Description

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.