RN Clinical Program Senior Advisors - Bloomington, MN - Hybrid

Description
This position includes conducting research and analysis of published medical literature to respond to internal and external inquiries as well as the development and maintenance of Cigna Medical Coverage Policies within the ICOG unit. This position requires identification of opportunities for Clinical Policy development and ability to conduct core clinical evidence reviews through the Healthcare Medical Assessment process. This position has significant interdisciplinary policy connections; the individual in this role must be comfortable experienced and successful working in a team culture as well as being able to take ownership of designated clinical policies.

Responsibilities
Develops evidence-based medical coverage policies through analytic evaluation of published medical literature.
Understands levels of evidence and can discuss the quality of a study to ensure coverage policies and medical inquiry responses transparently convey the strengths weaknesses and implications of published evidence.
Presents new and revised coverage policies to a clinical audience in monthly Healthcare Medical Assessment Committee meetings.
Effectively partners with medical policy team manager Medical Directors clinical subject matter experts and external vendors.
Ensures that coverage policies are implemented deployed to internet sites and changes communicated within and outside the organization.
Participates in special projects within the team as needed.
Provides support as the coverage policy subject matter expert (SME) for the creation and maintenance of automation pathways.

Ideal candidate must reside in Bloomington MN or surrounding area.

Qualifications

Active unrestricted MN RN license

BSN or equivalent a plus

2 years or more RN experience.

Experience with evidence-based development processes and familiarity with US governing regulatory activity related to new product approvals.

Must have prior experience with either clinical research or experience with writing (i.e. clinical papers journal articles training documents SOPs technical writing etc.).

Understanding of medical coverage policies; three years or more experience working for a health plan preferred.

Excellent writing communication and presentation skills are necessary for this role.

Ability to synthesize complex information and data into concise understandable written responses/written responses.

Ability to remain highly focused and organized in a fast-paced environment with frequent change and/or deadlines.

Experience or a general understanding of genetic medical policies is a plus.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy balanced and feel secure. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several health-related benefits including medical vision dental and well-being and behavioral health programs. We also offer 401(k) with company match company paid life insurance tuition reimbursement a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs visit Life at Cigna Group.

About The Cigna Group