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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 oversight of pharmacy benefit management and custom client programs. Proven ability to lead teams, drive continuous improvement, and ensure compliance with operational standards.
Highest-signal resume keywords
Pharmacy Degree (BSPharm Or PharmD)Active Pharmacist LicenseLeadership ExperienceProject Management SkillsOperational Process Improvement
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 Support ServicesRequirements GatheringImplementation ApproachesRisk AssessmentContinuous ImprovementAutomation SolutionsStandard Operating ProceduresIssue ResolutionAnalytical Skills
Soft Skills
CoachingCollaborationCommunication SkillsProblem-SolvingAdaptability
Tools & Technologies
Microsoft OfficeExcelPowerPoint
Certifications & Qualifications
Active Pharmacist License
Industry Keywords
HealthcarePharmacy Benefit ManagementClinical OperationsCustom Client ProgramsAudit ReadinessQuality ReviewsOperational Controls
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 activities
- Manage operational support for specialty programs, Pathwell, preventive programs, and other high-maintenance clinical initiatives
- Develop new operational processes, establish sustainable maintenance models, and transition ownership to operational teams
- Gather requirements, assess operational impacts, and develop implementation approaches with matrix stakeholders
- Drive continuous improvement through automation and AI solutions
- Oversee and support Rx Configuration PBAB requests, including 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 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 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
- Home internet connection through cable broadband or fiber optic service with at least 10 Mbps download/5 Mbps upload if working at home
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical insurance
- Vision insurance
- Dental insurance
- 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