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Added 1 min ago
SR
Hypersonic Wind Tunnel Lead Engineer - REMOTE
Scientific Research Corporation
Alexandria, VA
- $228,100 USD / year
…ensures that the DoW components possess the appropriate test and evaluation (T&E) infrastructure required to develop and field military systems. Scientific Research Corporation supports…
Added 1 min ago
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Assistant Director of Appeals (Statewide)
Austin, TX
- $8,000 to $9,500 USD / month
To be considered, please complete a State of Texas Application for Employment on Taleo (Job Search). TWC is not considering applications from individuals who require sponsorship for an…
Added 1 min ago
L
Merchandising Part Time Days
Lowes
Lithonia, GA
- Part-time
Take charge of your financial future with a company-matching 401(k) and optional Employee Stock Purchase Program.
Added 1 min ago
L
Full Time - Merchandising Service Associate - Day
Lowes
Cincinnati, OH
- Full-time
Take charge of your financial future with a company-matching 401(k) and optional Employee Stock Purchase Program.
Added 1 min ago
UG
RN Case Manager
UnitedHealth Group
Pittsfield, MA
- $75,450 to $113,174 USD / year
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without…
Added 1 min ago
L
Merchandising Part Time Days
Lowes
Simi Valley, CA
- $16.9 to $17.2 USD / hour
- Part-time
Take charge of your financial future with a company-matching 401(k) and optional Employee Stock Purchase Program.
Added 1 min ago
L
Merchandising Part Time Days
Lowes
Hillsborough, NJ
- $16 to $16.65 USD / hour
- Part-time
Take charge of your financial future with a company-matching 401(k) and optional Employee Stock Purchase Program.
Added 1 min ago
Senior Director, Program Lead - Infectious Diseases
Merck
Rahway, NJ · Upper Gwynedd, PA
This position provides expert strategic and operational leadership in the planning and execution of highly complex program(s) (e.g., spanning multiple disease areas/indications, involving…
Added 1 min ago
L
Merchandising Part Time Days
Lowes
Waveland, MS
- Part-time
Take charge of your financial future with a company-matching 401(k) and optional Employee Stock Purchase Program.
Added 2 mins ago
L
Full Time - Merchandising Service Associate - Day
Lowes
Fayetteville, NC
- Full-time
Take charge of your financial future with a company-matching 401(k) and optional Employee Stock Purchase Program.
Added 2 mins ago
L
Full Time - Merchandising Service Associate - Day
Lowes
Salisbury, MD
- $15 to $15.7 USD / hour
- Full-time
Take charge of your financial future with a company-matching 401(k) and optional Employee Stock Purchase Program.
Added 2 mins ago
L
Full Time - Merchandising Service Associate - Day
Lowes
Epping, NH
- Full-time
Take charge of your financial future with a company-matching 401(k) and optional Employee Stock Purchase Program.
Added 2 mins ago
MST ASM
Lowes
Anchorage, AK
Drives execution of all service, reset, pricing and operational programs in assigned area by monitoring activities, providing feedback, and making adjustments where needed
Added 2 mins ago
L
Full Time - Merchandising Service Associate - Day
Lowes
Augusta, ME
- Full-time
Take charge of your financial future with a company-matching 401(k) and optional Employee Stock Purchase Program.
Added 2 mins ago
UG
RN Hospice Clinical Manager
UnitedHealth Group
East Hartford, CT
- $78,408 to $117,612 USD / year
State Specific Requirements CT: (1) A master's degree from a program approved by the National League for Nursing or the American Public Health Association with a minimum of one year (1)…
Added 2 mins ago
Physical Therapist Up to $20K Sign-on Bonus
Banner Physical Therapy
Tempe, AZ
Complete and maintain all corporate and clinical services required training and maintain compliance with state/local/federal regulations
Added 2 mins ago
UG
Director of Operations
UnitedHealth Group
Hayward, CA
- $113,600 to $170,400 USD / year
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without…
Added 2 mins ago
UG
HH Registered Nurse - PRN
UnitedHealth Group
Conway, SC
- $67,905 to $101,857 USD / year
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without…
Added 3 mins ago
HH
Account Manager - Commercial Lines
HB Hub International New England, LLC
Ridgefield, CT
- $80,000 to $95,000 USD / year
We invest in your growth. HUB offers structured training, licensing support, and ongoing development opportunities designed to accelerate your career. Benefits and programs vary based on…
Added 3 mins ago
HH
Receptionist
HB Hub International New England, LLC
East Longmeadow, MA
- $19.54 to $23 USD / hour
We invest in your growth. HUB offers structured training, licensing support, and ongoing development opportunities designed to accelerate your career. Benefits and programs vary based on…
Added 3 mins ago
Client Relationship Manager, Employee Benefits - Potential for Hybrid Work
Hub International Mid-Atlantic Inc.
Rockville, MD · Ellicott City, MD
Contribute to the enhancement of client services/sales and maintain a familiarity with industry developments and changes with insurance carriers and both Federal and State laws.
Added 3 mins ago
Proposal Strategist
HM Hub International Texas
Dallas, TX
…Proposals (RFPs), positioning the company, its capabilities, and proposed services. Based in HUB International’s Dallas office, the role will require a high degree of cross-functional…
Added 3 mins ago
HI
Account Manager, Commercial Insurance - Potential for Hybrid Work
Hub International Mid-Atlantic Inc.
Midlothian, VA
- $50,000 to $70,000 USD / year
We currently have an opportunity for an Account Manager to join our Commercial Lines team in our Midlothian, VA office. This office is a fast paced niche-based division that primarily…
Added 3 mins ago
Benefits Account Manager
HM Hub International Texas
San Antonio, TX
We are currently seeking a Benefits Account Manager to join our Employee Benefits Insurance team. You will be responsible for serving Benefits clients, including both client companies and…
Added 3 mins ago
Strategic Account Executive – Employee Benefits
HB Hub International New England, LLC
Manchester, NH
Be knowledgeable about and comply with HUB systems, procedures, and state/federal insurance regulations.

Cigna-Evernorth Services Inc.

Clinical Program Manager - Evernorth - Remote (Clinical Operations Support & Custom Services)

Remote, United States

$106,000 to $176,600 USD / year

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Job details

Pay: $106,000 to $176,600 USD / year
Posting language: English
Posted: Nov 3, 2026

Original job description

The role provides strategic and day-to-day leadership across custom client support, specialty program implementation, operational governance, data quality, process optimization, and ongoing pharmacy benefit and clinical configuration activities.

Primary Responsibilities

Lead, coach, and develop clinical operations analysts and support resources.
Oversee Clinical Operations Support Services, Specialty, Analyst Support Services, and Custom Support Services activities.
Manage operational support for specialty programs, Pathwell, preventive programs, and other high-maintenance clinical initiatives.
Lead the development of new operational processes for products and projects, establish sustainable maintenance models, and transition ongoing ownership to the appropriate operational teams.
Partner with matrix stakeholders to gather requirements, assess operational impacts, and develop implementation approaches.
Drive continuous improvement by identifying and leveraging automation and AI solutions to enhance team efficiency, data quality, workflow optimization, and operational scalability.
Oversee and support Rx Configuration PBAB requests responsible for exception review, consultation, risk and feasibility assessment.
Ensure accurate and timely execution of custom client requests, utilization management setups, drug list maintenance, and operational support services.
Develop and maintain standard operating procedures, job aids, governance processes, and team documentation.
Manage issue resolution, escalations, risk identification, and corrective action plans.
Collaborate with technology, product, implementation, and operational partners to support new products, enhancements, and strategic initiatives.
Support audit readiness, quality reviews, compliance activities, and operational controls.
Monitor operational performance, service levels, capacity, and workload distribution.
Lead cross-functional projects and organizational initiatives.
Identify staffing, training, and development needs while building team capabilities and reducing key-person dependencies.
Foster a culture of collaboration, accountability, adaptability, innovation, and continuous improvement.

Required Qualifications

Pharmacy degree (BSPharm or PharmD) and an active pharmacist license in good standing.
Five or more years of healthcare, pharmacy benefit management, clinical operations, or related experience.
Relevant experience supporting custom client programs and solutions within pharmacy benefit management or clinical operations.
Strong understanding of existing high-level-of-effort products and the operational processes required to maintain them.
Two or more years of leadership or people-management experience.
Demonstrated ability to lead operational teams in a highly matrixed environment.
Strong project management, organizational, analytical, and problem-solving skills.
Excellent verbal and written communication skills.
Ability to manage multiple priorities and competing deadlines.
Ability to influence stakeholders across business, operational, and technical organizations.
Proficiency with Microsoft Office, including Excel and PowerPoint.

Preferred Qualifications

Experience in pharmacy benefit management, formulary management, utilization management, or clinical configuration.
Experience supporting specialty pharmacy programs and custom client implementations.
Knowledge of DCRS, CRS, FRS, Polaris, FIT, or related clinical configuration systems.
Experience working with offshore or geographically distributed teams.
Pharmacy, healthcare operations, or clinical program management background.

The Clinical Program Manager, Custom Implementation & Operations Support Services, leads Clinical Program Advisors and analysts supporting clinical program operations, custom client implementations, specialty programs, analyst services, and operational process improvements. This leader partners across clinical, implementation, product, technology, business, and Global Service Partners to translate requirements into accurate, timely, and sustainable operational solutions. The role provides strategic and day-to-day leadership across custom client support, specialty program implementation, operational governance, data quality, process optimization, and ongoing pharmacy benefit and clinical configuration activities.

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 106,000 - 176,600 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.

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

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More about this job

Skills

Process improvement
Workflow
Documentation
Regulatory compliance
Adaptability
Leadership
Team leadership
Project management
Problem solving
Communication skills
Microsoft Office
Microsoft Excel
Microsoft PowerPoint
CRS
Program management

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