The Program Management Senior Advisor position is part of the Part D Stars Team within the larger Stars Center of Excellence department at Cigna Medicare. This role is responsible for developing and executing enterprise strategies to improve Cigna’s Medicare Part D Star measures and related quality measures. This individual will work closely with matrix partners within the Cigna Medicare Stars and Risk Adjustment organization as well as partners in other Cigna Healthcare and Evernorth Health Services departments to achieve company goals for increasing Cigna’s Star ratings.Primary Responsibilities include, but are not limited to:
Developing new strategies to drive performance improvements in existing or potentially new Part D Stars measures.
Establishing business cases to execute on Part D Stars strategies, including Identification of internal resources and/or external vendors to deliver the products or services.
Monitoring and managing performance of internal pharmacy quality programs, including continuous quality improvement activities to identify and capture program efficiencies.
Analyzing pharmacy quality reporting to drive business intelligence and enterprise strategy.
Collaborating with internal matrix partners and external provider partners on the development of provider- and customer-facing educational documents and/or digital content on the improvement and maximization of pharmaceutical care.
Participating in and leading meetings with business partners as a Part D Stars subject matter expert.
Working in a cross-functional matrixed environment to coordinate Part D Stars activities with other clinical and customer-facing programs.
Leading vendor management strategies for designated partners and monitoring the efficacy of vendor programs
Minimum Requirements:
Minimum of 5 years professional experience in healthcare or related field
Minimum of a Master’s Degree in a Clinical, Business, Healthcare Administration, or related field (or 8+ years of relevant work experience)
Extensive knowledge of the CMS Star Rating System, including Part D Measures
Extensive knowledge of pharmacy claims data, along with a working knowledge of other health plan data, such as eligibility and medical claims
Excellent oral and written communications skills
Strong project management, vendor management, organizational, analytical, communication, and relationship management skills
Must be able to manage ambiguity and work in fast-paced environment
Able to organize and manage multiple priorities
Less than 10% of travel required
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.About Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: [email protected] for support. Do not email [email protected] 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.