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The Cigna Group · 3 weeks ago

Vice President, Clinical Transformation & Quality- Evernorth

Pittsburgh, PA

Full-time

Hybrid

Senior Level, Lead/Staff

10+ years exp

The Cigna Group is a leading healthcare organization, and they are seeking a Vice President of Clinical Transformation & Quality. This role involves leading initiatives to enhance clinical performance and care delivery, ensuring quality standards across the infusion and specialty pharmacy sectors.

CommercialHealth CareHospitalInsuranceMedical

Responsibilities

Lead clinical transformation strategies that advance care delivery and improve patient outcomes

Identify and implement innovative practices that strengthen clinical quality, safety, and operational effectiveness

Oversee quality improvement programs, including metric development, data analysis, benchmarking, and performance reporting

Drive continuous improvement through evidence-based practices and cross-functional collaboration

Ensure adherence to accreditation standards and regulatory requirements across all clinical operations

Partner with legal, compliance, and risk teams to proactively address regulatory needs and support clinical integrity

Provide strategic guidance to clinical leaders and interdisciplinary teams

Foster a culture of accountability, collaboration, learning, and professional development

Support growth and marketing teams by aligning clinical strategies with brand objectives and market initiatives

Offer clinical insight for marketing content, service line development, and external engagements

Represent the organization in industry forums, regulatory discussions, and community leadership initiatives

Evaluate, recommend, and support emerging technologies that improve clinical workflows and digital health integration

Review and enhance best practices in home infusion and specialty pharmacy to strengthen compliance and operational efficiency

Contribute to policy and procedure development and ongoing refinement

Provide problem resolution and ongoing oversight that supports partner relations and experience

Guide system selection, configuration, and optimization for pharmacy information systems

Lead process improvement initiatives that elevate service quality and operational excellence

Educate and mentor PharmD students, PGY1 residents, and clinical staff as needed

Perform additional responsibilities as assigned

Qualification

Clinical transformation leadershipInterdisciplinary team managementPharmacy experienceCompliance certificationDigital health toolsEHR systemsClinical analyticsMaster of Health AdministrationSpecialty pharmacy experienceManagement experience