Cigna Clinical Account Manager (RN) - Mid-Atlantic in United States
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We're committed to bringing passion and customer focus to the business.
The Clinical Account Manager, as part of the Mid Atlantic Sales Organization, works cross-organizationally to support, influence and drive change that results in improved quality, affordability and satisfaction for our customers. The Clinical Account Manager is a clinical consultative role and represents Cigna internally and externally to enable the successful integration between sales, clients, brokers, provider partners, clinical operations and other stakeholders. The Clinical Account Manager’s clinical expertise enhances the sales account team and assists in driving membership growth and retention in the market.
Partners with clinical operations to maintain a working knowledge of all clinical, health advocacy and operational processes necessary to support clients and sales teams. Responsible to share key operations information with their respective sales team.
Facilitates integration and acts as clinical liaison between Mid Atlantic sales, clients, brokers, clinical operations teams, and other partners
Clinical subject matter expert for sales team related to clinical operations and policies, clinical products, utilization patterns, large claims analysis, population trends, customer engagement and non-standard clinical workflows
Effectively articulates and educates sales team, brokers, clients and other partners on clinical products and updates
Analyze large claim data and provide insight into clinical trends, identify participation in clinical programs and educate partners on Cigna interventions
Participate in monthly/quarterly client meetings including large claim analysis, clinical program participation, and provide recommendations related to wellness and communication strategy
Facilitate claims-based jumpstart process – chronic condition management and case management
Assist client manager in client discussions related to benefit and coverage issues, e.g. explain Coverage Position
Support escalated transition of care issues, e.g. special needs children
Investigate and resolve escalated clinical issues and provide client level explanation to sales team as needed
Coordinate clinical operations site visits for clients, brokers and providers
Educate client team on clinical programs, e.g. on-site clinic staff, school nurses
Clinical liaison/consultant between client, sales team, implementation manager and clinical operations when implementing clinical products
Facilitate client cultural training for clinical operations when clinical operations site visit is not possible
Facilitate case management and coaching referrals to appropriate clinical operations team
Coordinate coach support for client worksite engagement events
Clinical liaison between non-Cigna on-site clinics, e.g. referrals to Cigna clinical programs
Participate in client Lunch and Learns as relates to clinical programs, e.g. YHF, Personal Health Team
Participate in Mid Atlantic Wellness Council
Participate in client wellness retreat and strategic planning as related to clinical programs and information
Support RFP process and finalist meetings as requested
Participate in special projects as directed
Perform other duties as directed
Registered Nurse with a current active license
Bachelor’s degree preferred
Minimum of three (3) years of clinical practice experience
Industry experience required
1 year of management experience strongly preferred
Knowledge and experience working with clinical programs (Cigna clinical programs preferred)
Skilled at research, organization, time management, and analytics
Demonstrates flexibility, consultative critical thinking and action planning
Proven administrative abilities with strong computer and software application skills
Excellent interpersonal skills
Ability to work independently toward established priorities
Ability to build strong relationships and influence diverse groups
Excellent written and oral communication skills
Ability to maintain confidentiality
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.
We’re a global health service company dedicated to helping people improve their health, well-being and sense of security. We offer an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products that serve over 95 million customers around the world. When you work with us, you’ll enjoy a different kind of career - you’ll make a difference, learn a ton, and change the way people think about health insurance. To see our culture in action, search #TeamCigna on Twitter or Instagram.