Clinical Product Advisor

7 days ago


St Louis, Missouri, United States Cigna Full time
Clinical Product Advisor Job Description

The Clinical Product Advisor is a key role in advancing behavioral health programs and services. This position is responsible for service innovation and product design, focusing on evidence-based best practices and opportunity analytics. The Clinical Product Advisor will work closely with clinical teams, solutions, operations, analytics, network, and IT partners to drive healthcare costs down and meet organizational targets.

Key Responsibilities:
  • Lead the launch of pilots and proof of concepts focused on improving health outcomes and service design enhancements.
  • Research and define advanced clinical and administrative techniques associated with integrated health trends, case management, and utilization management.
  • Evaluate existing clinical programs and provide recommendations for design enhancements and quality improvements.
  • Actively participate in clinical design advancement, focusing on trends including health disparities and literacy.
  • Manage assigned clinical programs and advance clinical development to ensure clinical and health advocacy program integrity and results.
  • Exhibit self-motivated ownership of clinical metric-driven results and continually act with a sense of urgency to ensure results are attained.
Operational Excellence:
  • Understand the organization's structure, workflows, and impacts of changes.
  • Participate in the development of cost savings initiatives and facilitate the implementation of processes to support value across programs.
  • Partner with the technical writing team to ensure workflows and SOPs are aligned with regulations and system capabilities.
Strategic Direction and Partnerships:
  • Support the team in meeting membership and financial targets through the successful execution of clinical, service, and administrative results.
  • Develop other team members and work closely with network partners to focus on market gaps in contracted providers.
  • Contribute to the enhancement and design of clinical programs and innovations.

Qualifications:

  • 5+ years' experience in the healthcare field, with a strong focus on behavioral health or EAP.
  • Bachelor's degree required, Master's Degree in Business Administration, Public Health, Behavioral Health, or Business Operations highly preferred.
  • 2+ years of previous product development clinical design or marketing experience preferred.
  • Previous experience as a key team member involving complex projects, pilots, or new customized solutions resulting in successful execution to plans.

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.



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