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Clinical Operations Director - Cigna Onsite Health - Georgia / Tennessee

Company: HCPro, Inc.
Location: Memphis
Posted on: September 13, 2020

Job Description:

Clinical Operations Director - Cigna Onsite Health - Georgia / Tennessee

C Clinical Operations Director - Cigna Onsite Health - Georgia / Tennessee Description

At Cigna, we listen to , advocate for , and collaborate with our customers to empower them to identify their health goals and own their solutions. Cigna Onsite Health offers health care delivery services and health and wellness coaching programs at or near an employer's work site. Services range from acute, episodic treatment, preventive care and coaching through full primary care services. Our mission is to deliver proactive, personalized and holistic patient care 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.

They focus on key areas of partnership including:

Customer Strong - Make a WOW difference for our customers

Me to We - Take accountability to trust, collaborate and partner

Own It! See a need and act

Be Bold: Challenge the status quo

Listen to Advocate: What matters to you, matters to us

Think it Through: Proactively deliver solutions focused on doing the right thing

Sound like you? Great! Here's more on how you'll make a difference :

Reporting to the Head of Center Operations and Experience, major job duties include:

Accountability for P&L (Profit and Loss) and key performance indicators/performance goals (KPI's) for assigned Employer Onsite Health Centers across multiple properties and locations in assigned region.

The Director of Operations will directly oversee clinical and office staff, and have responsibility for day to day operations, patient services and client services per our contractual agreements and scopes of service.

Responsible for full operations across client sites in addition to developing key strategies and enhancements of services to continuously drive improvements/operational excellence, efficiencies and margin expansion for the business.

Monitoring revenue generation and operational expense management, ensuring operational excellence of the budget, Key performance indicators and performance guarantees in the client's contract.

Responsible for the contract expense management for assigned Health Advocates (Coaching/Clinics), partnering with the business units clinical managers.

Work in a strong matrix relationship where Onsite Clinical supports in the hiring and management of clinic's professional staff.

Work with Onsite Clinical and Onsite Legal to ensure compliance in states with the Corporate Practice of Medicine Prohibition.

Support CIGNA's Account Managers and Onsite Clinical as the Onsite liaison.

Participate as needed in Health Center/Coaching sales and Finalist meetings to represent Cigna Onsite Health capabilities and management expertise.

Ensure Contract Compliance and Performance Guarantee results.

Assist the development of departmental annual budgets and 5 year forecast.

Identify opportunity to enhance existing relationship with the addition of new Onsite services.

COH client interface representative, working directly with the assigned CIGNA Account Managers

Ensure all assigned clinics meet or exceed all State, Federal and regulatory requirements.

Supports Onsite Team as subject matter expert for external and Sales marketing presentations.

Develop close working relationship with account teams to manage and exceed client expectations.

Monitor existing business/operational processes for continuous improvement, including championing the patient experience.

Implement compliance /operational/financial/clinical/quality policies and procedures.

Provide effective leadership for all employees by establishing open communication, mentoring, training guidance, and articulating clearly defined goals and objectives for ongoing performance excellence.

Work with Cigna HR leads in developing a recruiting and retention strategy.

Works close with internal and external Matrix partners to ensure alignment with organizations goals and direction.

What we expect from you :

Clinical/Healthcare professional with 5 or more years of Healthcare Management experience preferred BA required; MBA or MPH a plus.

At least 3 or more years of experience managing diverse employee groups, including clinical professionals

Management experience in healthcare delivery is a must, with experience managing health care clinics and/or practices in a retail or private setting

Experience managing in a profit and loss business environment.

Experience working in a matrix organization with a strength in organizational agility and resourcefulness and bias for action and driving solutions

Responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs. Be a role model for the six cultural beliefs to drive personal accountability and organizational results.

Strong project management skills

Strong experience in Client services/client facing roles with strong presentation and communication skills

Ability to travel as needed to customer sites, often with limited notice; Travel for operational site visits estimated at 40%-50% within the assigned region

In addition to roles and responsibilities above:

Integrated Program Lead for Cigna Customer -

Ownership and management of all clinical services operations including coaches, case managers, care coordinators, Your Choice Advocates, Referral Coordinator, and Patient Navigator

Provide leadership, vision, and direction in planning, developing, implementing and managing the overall clinical vision and operations on a day to day basis.

Manages the delivery of services, as well as quality and efficiency by monitoring and adjusting operating procedures and practices in order to achieve program goals including engagement and the deferred progression of disease.

Provides direction to operations staff in order to ensure adherence to operational protocols and evidence-based best practices.

Develops strategies and specific plans for enhancement of operations and services as needed to meet marketplace demands for quality improvements, productivity and medical cost mitigation.

Modifies existing operations and develops new protocols based upon expert knowledge of the health and wellness industry.

Partner with Cigna Customer Benefits Team in the following areas: biometric planning, reporting, population health activity, incentives, surcharge implementations, and the overall engagement strategy for members outside of clinic areas

Lead Patient Engagement Programs to drive Cigna Customer Members into clinical services based on high risk, high claims, and other initiatives outlined by Customer

Partner with all Customer Vendors that are related to Benefits Structure such as Benefit Service Center, Quest, Express Scripts, Lightbeam, EMDs, Tangible, My Catalyst, Employee Health Network etc..

Work Closely with Cigna Sales and Network on client engagement opportunities, expansions, quarterly and incentive reporting

Work closely with Cigna Customer Service on Customer claims related issues

Work with internal and external partners on Incentive Management for Customer

Work with Customer Benefit Service Center on surcharge implementations, communications, and benefit initiatives.

Lead Customer Pilots

Lead new Behavioral Service Initiative - manage onsite EAP and case management

Bonus points for :

Entrepreneurial/innovation mindset

Experience with Corporate Wellness / Onsite Health model

Passion for health improvement and customer-centric focus

The ideal candidate will be based in Georgia / Tennessee and will be a work from home employee.

Cigna is committed to a healthy work force. New hires must complete a background check, drug and nicotine screen to be employed in this role.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

Job Information

Job ID: 54626395

Position Title: Clinical Operations Director - Cigna Onsite Health - Georgia / Tennessee

Company Name: Cigna

Job Function: Accounting/Finance

Job Type: Full-Time

Min Education: None

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Keywords: HCPro, Inc., Memphis , Clinical Operations Director - Cigna Onsite Health - Georgia / Tennessee, Other , Memphis, Tennessee

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