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Clinical Program Manager – Clinical Operations Support, Custom Services
The Cigna Group. Lead, coach, and develop clinical operations analysts and support resources .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical operations management, including leading teams, developing operational processes, and driving automation solutions. Proficient in pharmacy benefit management and skilled in project management, stakeholder collaboration, and compliance activities.
Highest-signal resume keywords
Pharmacy Degree (BSPharm Or PharmD)Active Pharmacist LicenseLeadership ExperienceProject Management SkillsOperational Process Development
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Operations ManagementOperational Maintenance ProcessesData Quality ImprovementAutomation SolutionsRequirements GatheringIssue ResolutionAnalytical SkillsUtilization ManagementFormulary ManagementClinical Configuration
Soft Skills
Verbal CommunicationWritten CommunicationProblem-Solving SkillsCollaborationAdaptability
Tools & Technologies
Microsoft OfficeExcelPowerPointDCRSCRSFRSPolarisFIT
Industry Keywords
HealthcarePharmacy Benefit ManagementClinical OperationsSpecialty Pharmacy ProgramsCustom Client Implementations
About the role
Key responsibilities & impact- Lead, coach, and develop clinical operations analysts and support resources
- Oversee Clinical Operations Support Services, Specialty, Analyst Support Services, and Custom Support Services
- Manage operational support for specialty programs, Pathwell, preventive programs, and other high-maintenance clinical initiatives
- Develop operational processes for products and projects and establish sustainable maintenance models
- Transition ongoing process ownership to appropriate operational teams
- Gather requirements, assess operational impacts, and develop implementation approaches with matrix stakeholders
- Drive automation and AI solutions to improve efficiency, data quality, workflows, and scalability
- Oversee and support Rx Configuration PBAB requests, including exception review, consultation, risk, and feasibility assessment
- Execute 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 on 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 and build team capabilities
- Foster collaboration, accountability, adaptability, innovation, and continuous improvement
Requirements
What you’ll need- Pharmacy degree (BSPharm or PharmD)
- 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 high-level-of-effort products and operational maintenance processes
- Two or more years of leadership or people-management experience
- 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 business, operational, and technical stakeholders
- Proficiency with Microsoft Office, including Excel and PowerPoint
- Preferred: experience in pharmacy benefit management, formulary management, utilization management, or clinical configuration
- Preferred: experience supporting specialty pharmacy programs and custom client implementations
- Preferred: knowledge of DCRS, CRS, FRS, Polaris, FIT, or related clinical configuration systems
- Preferred: experience working with offshore or geographically distributed teams
- Preferred: pharmacy, healthcare operations, or clinical program management background
- For home-based work, cable broadband or fiber optic internet service with at least 10 Mbps download/5 Mbps upload
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical, vision, and dental benefits
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence