Vice President, Clinical Transformation & Quality- Evernorth Job at Cigna, Pennsylvania

NkRpTE9tUFc3RkY2TFozSGtDdCs5c1hVelE9PQ==
  • Cigna
  • Pennsylvania

Job Description

As the Vice President of Clinical Transformation & Quality, you will lead enterprise-wide initiatives that strengthen clinical performance, enhance care delivery models, and elevate quality standards across the infusion and specialty pharmacy business lines. You will champion innovation, guide interdisciplinary teams, and develop scalable strategies that improve patient outcomes, operational efficiency, and organizational growth. Your leadership will ensure CarepathRx remains a forward-thinking, patient-centered, and quality-driven organization.

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.

Required Qualifications

  • B.S. or PharmD degree from an accredited School of Pharmacy.
  • Minimum 10 years of pharmacy experience.
  • Proven experience leading clinical transformation initiatives and interdisciplinary teams.
  • Experience working within complex health systems or integrated care networks.
  • Compliance certification or residency training.

Preferred Qualifications

  • Master of Health Administration or related graduate degree.
  • 3+ years of specialty or home infusion experience.
  • 3–5 years of management experience.
  • Experience with digital health tools, EHR systems, and clinical analytics.

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.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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.

Job Tags

Local area, Work from home,

Similar Jobs

Tremco CPG Inc.

Construction Manager Job at Tremco CPG Inc.

Job Description Construction Manager Benefits Base Salary + Annual Bonus Eligible for overtime 401K Pension Health Insurance Paid time-off Company Vehicle General Purpose Of The Job The Construction Manager is responsible for managing all...

Clayco

Vice President of Digital Marketing & Design Job at Clayco

 ...projects. The Role We Want You For The Vice President of Digital Marketing & Design is a senior executive leadership role, reporting...  ..., including website development, lead generation, user experience (UX), analytics, and performance reporting. Lead the company... 

PCI Waste Services ♻️

CDL B Roll Off Driver Job at PCI Waste Services ♻️

 ...time on-site role for a Dispatcher located in Valley Stream, NY. The Dispatcher will be responsible for coordinating and dispatching drivers, managing schedules, tracking shipments, and ensuring timely delivery and pick-up of waste materials. The role requires strong... 

Ramp

Fraud Risk Analyst Job at Ramp

 ...s #1 Top Startup in the U.S., a CNBC Disruptor, and a TIME100 Most Influential Company. About the Role As a member of Ramp's Fraud Strategy team, you will leverage data to develop and optimize fraud strategies, including underwriting (KYC/B, OFAC, fraud risk) and... 

Farm Job Search

Spray Rig Operator Job at Farm Job Search

 ...is a diversified irrigated grain operation that also offers custom farming services such as strip till, planting, spraying, and harvesting. Operator must be able to follow mixing instructions and operate new John Deere equipment. Will be kept busy year around when not...