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Director of Care Coordination- Express Scripts

Company: Cigna
Location: Hartford
Posted on: September 13, 2020

Job Description:

Director of Care Coordination- Express Scripts Location Virtual, US Category Marketing & Communications Posted Date: 07/27/2020 Job Id 20011981

Director of Care Coordination- Express Scripts The Director of Care Coordination will be the business lead for development of Health Information Interoperability capabilities and use cases

Health Information Interoperability (HI2) is an enterprise initiative to provide timely access and sharing of health data to drive breakthrough improvements in quality & affordability of care, efficiency of care management and improved experiences of patients, providers, clients and employers.

This position will work with multiple Cigna divisions (Cigna, Express Scripts, eviCore, Accredo) in executing HI2 use cases ensuring that HI2 capabilities are compliant with all industry regulations and are delivering value to the enterprise. The position will be responsible for defining the overall direction and prioritization of these capabilities.

Essential Functions

Serve as business owner for health information interoperability use cases for Coordinated Care Services. Manage cross-functional team and multiple sub-teams responsible for executing the use cases. Create and present status updates to management and cross functional partners.

Develop HI2 workflows in conjunction with multiple stakeholders

Validate and develop business justification for use cases collaborating with cross-functional stakeholders.

Present HI2 capabilities to multiple stakeholders

Ensure that the Health Information Interoperability capabilities meet industry regulations for all the Cigna business units (US Government, US Commercial, eviCore, Accredo)

Work with regulatory and legal at understanding the various data rights restrictions. Manage access to data based on legal and regulatory restrictions.

Develop strong relationships with stakeholders and manage by influence and developing a track record of adding value.

Qualifications

Significant operational and leadership experience in (Prior Authorizations/Provider Groups and Pharmacy/Enterprise Value Drivers/Regulated Market Growth/Coordinated Care Services/Commercial Market Growth).Electronic Health Record and/or Physician digital experience preferred.

Demonstrated experience in leading teams and driving use cases in a fast-paced, heavily matrixed and cross-functional organization.

Knowledge and experience with current clinical interoperability standards (HL7, FHIR) preferred

MBA preferred

10+ years of significant product management, vendor management and cross-functional experience

2+ years of leadership/management experience

Advanced problem solving skills with the ability to work cross-functionally to resolve issues and generate results among potentially conflicting constituencies

Data analysis and reporting skills, including financial analysis

Demonstrated ability to manage others – both direct and indirect reports

Demonstrated ability to attract, retain and develop talent.

High level of confidence, integrity, enthusiasm, a hands on approach to problem solving, executive presence and a personality that fits a fast paced, energetic and proactive organization.

Excellent communication skills, including presentations and negotiations

People management experience and skills

Able to work towards specific deliverables within an environment of tight deadlines and significant pressure.

Ability to handle complex analysis from issue identification to proposal of

potential solutions.

Strong business and organizational skills.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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 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.

About Cigna Employment with Cigna, including employment within the LDP program, is at-will; that is, it is not for a specified period of time and can be terminated at any time for any reason, with or without cause or notice, by me or by Cigna. LDP programs, policies and processes may be changed by Cigna at any time.

Keywords: Cigna, Hartford , Director of Care Coordination- Express Scripts, Other , Hartford, Connecticut

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