Clinical Excellence Clinical Performance Improvement (OE Advisor) Moen
cigna
United Kindom
5d ago

It's fun to work in a company where people truly BELIEVE in what they are doing!

We're committed to bringing passion and customer focus to the business.

This role reports into Cigna Operating Effectiveness supporting the Endeavor Cigna-Express Scripts Integration - Clinical Excellence work stream.

The incumbent is responsible for producing a scorecard to measure the effect of integration on clinical outcomes and affordability.

The scorecard will be delivered to the Cigna board of directors, as well as state regulators who required that Cigna demonstrate that the integration is improving clinical outcomes.

The incumbent will work closely with clinicians and data analysts to define the clinical metrics, source the data, calculate the metric, set the baseline, and forecast improvement to metrics based on the timing of when solutions will be implemented.

Included in the clinical metrics is Cigna’s enterprise goal to define a pathway to reduce gaps in care by 50% by 2021. In addition to producing the metric, this incumbent will identify solutions to close gaps in care, and estimate their potential contribution to the enterprise goal.

Lastly, the incumbent will incorporate the metrics into multiple departments’ management processes, so that that clinical leaders can be held accountable for improving the metrics.

RESPONSIBILITIES :

  • Utilizes established project and program methodology to develop project plans for assigned projects. Where the methodology is not sufficient, create and augment with new processes and establish best practices
  • Develops detailed project plans including cost, schedule, and resource requirements
  • Develops and maintains work plans that consider the priorities, key milestones, time estimates, task sequencing and identification of tasks that may be performed concurrently to achieve objectives.
  • Ensure integrity of original business case is maintained & any adjustments are communicated & understood by all key stakeholders
  • Ensure projects / intake requests are completed within committed time and budget
  • Mentor and trains junior PMs
  • Represent the business during the portfolio funding process, communicating funding decisions and gaining buy in from business partners and IT on business funding prior to allocations taking place.
  • Champion organization's project management methodology, tools, and techniques
  • Consult on project planning and management of high-risk, high-impact projects.
  • Identify risks and vulnerabilities, and creates contingency plans
  • Identify and work to remove barriers that slow or prevent the successful attainment of process / productivity improvement and administrative efficiency that will lead to cost reduction and competitive analysis.
  • Resolve issues and determine contingency plans and triggers for risks. As needed, escalate issues to appropriate audiences including key business leaders and team members.
  • Partners with matrix organizations to ensure that appropriate action is taken to identify and implement initiatives.
  • Evaluates project status and resource utilization and implements changes to improve the team's effectiveness.
  • Ensures the timely and quality development and distribution of all deliverables for the project.
  • Develops and implements communication and reporting mechanisms to manage issues, risks and timely delivery of initiative results.
  • Ensures appropriate use of tools to track and monitor the financial performance of assigned projects
  • Defines and consults on measurement strategies, tools, scorecards and surveys.
  • Technical Skills & Demonstrated Knowledge :

  • Demonstrated project management skills and success, including cross-organizational initiatives.
  • Ability to foster collaboration, value others perspectives and gain support and buy-in for organizational proposals.
  • Excellent oral, written presentation and communication skills.
  • Ability to lead and influence in a matrixed environment is critical.
  • Ability to drive to results independently.
  • Strong analytical and problem solving skills.
  • Strong business acumen, with proven ability to leverage knowledge base to quickly come up to speed in new business areas and new types of projects.
  • Proven ability to create and further develop strong relationships with both business and IT leadership.
  • Proven ability to mentor and train less experienced project managers.
  • Level of Leadership :

  • Self-directed and capable of leading a team of professionals, either as a direct manager or as a cross organizational team leader
  • Maintains a positive working relationship with teammates and matrix partners.
  • Continually strive to improve their own skills and competencies by demonstrating initiative to participate in ongoing coaching and training programs
  • Demonstrated ability to drive results required.
  • Able to influence in direct and matrix environment
  • Focus our organizations and processes to be customer centric and high-performance
  • Be a positive role model
  • KNOWLEDGE / COMPETENCIES :

  • Bachelor’s Degree and 3- 5 years of related work experience or 9 years of related project management strongly preferred.
  • Project Management certified (i.e. PMI, list others types) preferred.
  • Six Sigma training also valued
  • Experience in change management evaluation, planning and execution. ADKAR experience desired.
  • Strong business acumen, with proven ability to leverage knowledge base to quickly come up to speed in new business areas and new types of projects
  • Experience evaluating, developing and implementing business process measurement systems and dashboards
  • Has proven results of building and creating new structures through the use of creativity and innovation management
  • Experience, ability and willingness to share knowledge and coach individuals w / varying levels of experience.
  • Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines / standards).
  • Ability to deal with ambiguity, embracing change and helping others see it as an opportunity and stay focused on goals while adapting to change
  • Comfortable with raising questions, issues, ideas or suggestions to co-workers at all levels across all organizations.
  • Act with a sense of urgency to research questions or issues brought by the team. Identify the right parties or resources to resolve these issues (organizational agility).
  • Follow up with these parties to drive resolution and provide on-going feedback to individual(s) who raised the question or issue.

  • Excellent communication skills - verbal and written and training, along with excellent presentation skills.
  • Ability to work in a matrix environment
  • Works well with larger groups from a wider range of organizations, as well as reporting out to senior executives.
  • Work both independently and in conjunction with co-workers of all levels.
  • Working knowledge of all Microsoft Office tools
  • Some travel may be required (10%)
  • Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status.

    If you require an accommodation based on your physical or mental disability please email : SeeYourself cigna.com. Do not email SeeYourself cigna.

    com for an update on your application or to provide your resume as you will not receive a response.

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