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Added 1 min ago
Lead Director - Network and Data Center Engineering
CVS Health
Pierre, SD
…and next-generation AI/ML workloads. This role oversees the development of high‑performance, low‑latency data center and cloud networking capabilities that enable large-scale GPU…
Added 1 min ago
Registered Nurse (RN) | PrePost Op
Avera
Aberdeen, SD
Student Loan Repayment: This position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. Each month an extra payment of $167 (up…
Added 1 min ago
Area Project Controls Lead, Mega Campus
Meta
Pierre, SD
We are seeking a candidate for a key project leadership role leading project controls operations for an AI enabling infrastructure campus, Mega Campus (1 GW+), of unprecedented scale and of…
Added 1 min ago
MidMarket Account Executive - Common Room
Zoom
Pierre, SD
Partner cross-functionally with Sales Development, Solutions, Marketing, and Customer Success to deliver a seamless buying and onboarding experience.
Added 1 min ago
Lead, Organic Risk Adjustment
Humana
Pierre, SD
We are seeking a Lead, Organic Risk Adjustment to build, operationalize, and scale Humana's Organic Risk Adjustment (ORA) program.
Added 1 min ago
Travel - Interim Director of Nursing - RN - Long Term Care
Good Samaritan
Remote, United States
Provides temporary nursing facility leadership and support. Administers the nursing program in a long term care facility to maintain standards of resident care. Facilitates the optimization…
Added 1 min ago
Senior Analyst, Provider Compliance
CVS Health
Pierre, SD
…compliance. If you are a proactive problem solver with strong leadership skills and a passion for delivering sustainable, compliant solutions, we want to hear from…
Added 1 min ago
Regulatory Readiness Program Manager
Meta
Pierre, SD
7+ years of experience in strategy, management consulting, business operations, program management, regulatory operations, or other operational discipline
Added 1 min ago
Clinical Hybrid Dietitian
Compass Group, North America
Pierre, SD
Wellness & Support – Employee Assistance Program, FSAs, and health programs
Added 1 min ago
General Manager
Chipotle Mexican Grill
Rapid City, SD
…committed to Cultivating a Better World while sharpening your leadership and operations skills along the way. If building teams and growing a business excites you, keep reading to learn…
Added 2 mins ago
Medical Director - Utilization Management/Care Management, Select Health
Intermountain Health
Pierre, SD
Strategic Leadership: Develop and implement UM and CM strategies using data analytics, technology, and cost-benefit analysis tooptimizecovered services and care management efforts.
Added 2 mins ago
GENERAL ENGINEER (Title 32)
Air National Guard Units
Sioux Falls, SD
…only. The incumbent provides subordinate guidance and team leadership to Non-Dual Status and Dual Status employees. Incumbent performs planning development necessary to accomplish…
Added 2 mins ago
Director Supply Chain Business Operations
Intermountain Health
Pierre, SD
Working under the direction of the Business Applications AVP, this position provides enterprise-wide transformational leadership to operational initiatives for information technology to…
Added 2 mins ago
Strategic Client Programs Specialist
Lyric
Pierre, SD
The Strategic Client Programs Specialist serves as the central post-sales program leader for strategic clients, aligning client goals with cross-functional execution across Client Success,…
Added 2 mins ago
Clinical Pharmacist Investigational Drug Services
Intermountain Health
Pierre, SD
…pharmacy, along with a strong understanding of clinical trial operations, regulatory compliance, and medication…
Added 2 mins ago
CG
CASHIER/FOOD SERVICE WORKER (PART TIME)
Compass Group, North America
Yankton, SD
- $13 to $14 USD / hour
- Part-time
…our core values, work life balance, and ongoing training and development opportunities. This, along with our rapid growth, means accelerated promotion opportunities for every motivated…
Added 9 mins ago
Sr. Director Commercial Loan Operations
Flagstar Bank
Hicksville, NY · Troy, MI
The Senior Director - Commercial Loan Operations is responsible for the overall leadership, strategic direction and execution of the Commercial Loan Operations services that support…
Added 9 mins ago
Branch Banking Leader
Flagstar Bank
Jackson, MI
Sales Leadership and Coaching: Create and execute business development, actively support execution of partner produced sales and branch initiatives. Provide training/development/coaching to…
Added 12 mins ago
Lead Director - Network and Data Center Engineering
CVS Health
Cheyenne, WY
…and next-generation AI/ML workloads. This role oversees the development of high‑performance, low‑latency data center and cloud networking capabilities that enable large-scale GPU…
Added 12 mins ago
Area Project Controls Lead, Mega Campus
Meta
Cheyenne, WY
We are seeking a candidate for a key project leadership role leading project controls operations for an AI enabling infrastructure campus, Mega Campus (1 GW+), of unprecedented scale and of…
Added 12 mins ago
MidMarket Account Executive - Common Room
Zoom
Cheyenne, WY
Partner cross-functionally with Sales Development, Solutions, Marketing, and Customer Success to deliver a seamless buying and onboarding experience.
Added 12 mins ago
Field Engineering Manager
TerraPower, LLC
Kemmerer, WY
Added 12 mins ago
Lead, Organic Risk Adjustment
Humana
Cheyenne, WY
We are seeking a Lead, Organic Risk Adjustment to build, operationalize, and scale Humana's Organic Risk Adjustment (ORA) program.
Added 12 mins ago
Product Design Engineering Program Manager
Apple
Cupertino, CA
As a Product Design Engineering Program Manager you will be a part of the team responsible for the technical management of the development and implementation process for the mechanical…
Added 12 mins ago
DN
Team Member Dining Room Supervisor, Yellowstone General Stores
Delaware North
Yellowstone National Park, WY
- $20.25 to $21.75 USD / hour
Free and low-cost recreational opportunities, including the Yellowstone Employee Recreation Program (YCERP), which offers sports, equipment rental, guided hikes, raft trips, educational…

Closed listing

The Cigna Group

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

United States

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

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

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

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Original job description

Archived listing. The details below describe a past opening.

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.

About employer

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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