Behavioral Clinical Excellence Program Management ...

The Clinical Excellence Program Management Advisor serves as a strategic individual contributor responsible for leading initiatives that advance clinical excellence and optimize clinical delivery within Behavioral Clinical Operations. This role serves as a key connector between Behavioral Clinical Operations, Verint AQM, and Talent Enablement, translating clinical priorities into actionable programs and processes that drive quality, efficiency, and innovation. This role leads cross-functional efforts, facilitates stakeholder engagement, and ensures alignment with organizational goals to improve clinical delivery and member experience. Core Responsibilities * Lead clinical improvement initiatives to enhance clinician acumen, workflows, and clinical delivery within Behavioral Clinical Operations * Translate clinical priorities into actionable, high-quality initiatives supported by data and analytics * Act as the primary liaison between Behavioral Clinical Operations, Verint AQM, and Talent Enablement to align on clinical quality goals, data insights, and improvement strategies * Ensure seamless communication and coordination between operational and quality teams to support clinical excellence * Facilitate the Clinical Quality Meeting, ensuring alignment with organizational goals and stakeholder priorities * Lead the Clinical Value Ambassadors group, fostering a culture of clinical innovation, collaboration, and peer engagement across all Behavioral Clinical Operations departments * Collaborate with cross-functional teams to identify and implement solutions that improve efficiency, member experience, and clinical outcomes * Maintain the clinical accomplishments, ownership, and initiatives grid to ensure accomplishments are thoroughly highlighted and initiatives pertaining to Clinical Excellence are being prioritized Minimum Qualifications * Master level independent clinical/counseling license with 5-7 years post licensure experience * 5+ years of post-license mental health and substance use disorder experience is required; as well as at least one year as a Care Manager in managed care environment and previous precepting experience * Exemplary research, analytical and problem-solving skills with excellent attention to detail * Ability to balance best clinical outcomes and practices with finite resources * Demonstrated ability to assess complex issues, recommend changes, and resolve problems * Experience in leading/managing projects and change management * Independent, organized, and highly consultative business partner * Enterprise thinker with proven ability to influence across a matrix environment. Ability to develop relationships across all levels of the organization * Previous leadership experience preferred but not required Travel * Up to 25% 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. For this position, we anticipate offering an annual salary of 93,300 - 155,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . 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. 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: for support. Do not email 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Created: 2025-10-24