Clinical Program Consultant (Clinical Program Advisor) Evernorth Virtual

Job description

**Evernorth Workplace Care** offers health care delivery services along with population health and health coaching solutions, conducted in person.

**Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients’ employees, and those they care about most, by providing access to high quality, affordable services where they work and live.**

Our Evernorth Workplace Care solution isn’t a one-size-fits-all model.

Using data-driven insights, we’ll customize a solution that addresses your organization’s most pressing needs—creating a more affordable, predictable, and simple health care experience.

**_Evernorth Workplace Care - Personalized Care Where You Are_**

**Summary**

The Clinical Program Advisor will be a critical team member in transforming Evernorth Workplace Care (EWC) into an innovative health care provider promoting quality care and accessible services in an efficient and customer centric manner.

Reporting directly to the Director of Population Health and working in collaboration with the Medical, Operations and Shared Services Leaders to establish ongoing assessment, analysis, metric development and organizational structure to ensure the effective implementation of clinical practice to support organizational long-term and short-term strategic objectives, cost-effective care and services, and optimal quality patient outcomes.

The successful candidate will be responsible and accountable for collaborating with the Director of Population Health to develop the design of patient care delivery; manage training and development of initiatives that advance clinical and leadership competencies; building strong relationships and collaboration among staff and colleagues; and development and implementation of on-going programs to strengthen the skill sets, diversity, and sense of community relationships across EWC.

The Clinical Program Advisor informs and trains staff to function consistently within licensed and / or certified scopes of practice and regulatory requirements.

**Responsibilities and Essential Functions**

**Clinical Program Development, Support & Education**

+ Creates training and educational curriculum to establish and maintain standards of practice to drive positive patient engagement and improve health outcomes through a multidisciplinary innovative approach in the delivery of care and services.
+ Assess educational needs cross clinical and administrative roles to inform curriculum development and career-stage learning opportunities
+ Facilitate onboarding and orientation for new staff, ensuring alignment with organizational values and clinical expectations
+ Curate and maintain instructional materials across various platforms, including EWC web pages
+ Evaluate the effectiveness of educational programs using defined metrics and feedback loops
+ In a coordinated approach with clinical leadership, develops and implements educational and training programs that result in quality and continuity of patient care.

**Quality & Performance Improvement**

+ Develop, maintain and lead ongoing competency-based programs and education for staff, ensuring alignment with evolving evidence based clinical practice and NCQA Patient Centered Connected Care
+ Co-manages the EWC preceptor program to support mentorship and skills development across clinical roles
+ Collaborate with leadership to influence clinical quality measures, HEDIS outcomes and continuous improvement initiatives

**Clinical Leadership & Advisory**

+ Facilitate quarterly clinical education sessions (e.g., Grand Rounds) and provide expert instruction within areas of clinical expertise
+ Promote cultural competency and patient centered care across EWC clinical operations.
+ Serves as a role model for clinical excellence, safety and professional development
+ Maintains knowledge of clinical practice through continuing education, attendance and membership at regional or national nursing / allied practice association meetings.
+ Leads committees, work groups and / or projects related to the EWC activities.

**Operational Excellence & Stakeholder Engagement**

+ Supports ad hoc provider virtual/onsite coverage in in states where licensed & maintains ability to obtain unrestricted licensure as requested
+ Advisory for plans, policies and procedures for the appropriate utilization of personnel (Physicians, NP, PA, RN, LPN, MA and allied personnel) at all practice levels in accordance with the provisions of professional practice standards and regulatory agencies.
+ Collaborates with Operations and Shared Services Leaders to develop educational strategies that enhance employee and customer satisfaction, compliance, quality of care, HEDIS outcomes, and utilization metrics.
+ Supports Clinical Operations in achieving the “Triple Aim” through targeted staff education and engagement
+ In collaboration with key leadership, manage to and positively influence clinical quality measures and outcomes that result in continual quality improvement.
+ Collaborate with the Director of Population Health to build and inspirate high performing, service oriented clinical team that is committed to Cigna and EWC’s vision and values.
+ Supports operations leadership to maintain a best-in-class culture of performance, innovation and patient centricity.
+ Serves as a clinical consultant and subject matter expert for system platforms (e.g., Epic, HealtheView, etc.) for documentation standards and strategic initiatives

**Minimum Requirements**

+ Nurse Practitioner with active license and ability to maintain licensure
+ At least 3 years of clinical practice experience
+ Ability and willingness to obtain additional state licensures
+ At least 1 or more years onsite experience strongly preferred
+ Current BLS certification
+ Demonstrated excellent critical thinking, communication, presentation, decision-making, analytical, team building, and strong interpersonal relationship
+ Exhibits strong communication, presentation, and active listening skills
+ Ability to work autonomously, collaboratively and in groups to drive for best results
+ Ability to develop strategies and plans to meet customer needs; develop clinician relationships, manage and support values and vision.
+ Advanced computer skills required.
+ Experience in supporting staff development through training, mentorship, and competency-building initiatives
+ Ability to travel up to 50% of the time
+ Willingness and ability to obtain licensure across multiple states as needed.
+ Flexibility to travel on short notice to provide onsite provider coverage in states where licensed
+ Performs related duties as assigned.

**Preferred Qualifications**

+ CLIA waived testing and program experience
+ Policy and Procedure development experience
+ Prior involvement in clinical program design and implementation

This role can be a US-based work from home position, with the anticipation of up to 50% nationwide travel.

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 95,100 - 158,500 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._

Required Skill Profession

Other General