Clinical Operations Director

The Cigna Group

Clinical Operations Director at Evernorth Health Services managing high-value client segments. Leading operational execution and clinical outcomes with a focus on client retention and growth.

Posted 5/28/2026full-timeRemote • Connecticut, Minnesota, Montana • 🇺🇸 United StatesLead💰 $144,200 - $240,400 per yearWebsite

About the role

Key responsibilities & impact

Lead clinical operations and case management programs across Premium Solutions client segments
Drive performance across quality, engagement, operational efficiency, and client experience metrics
Support the implementation and optimization of enhanced client service models
Oversee audit readiness, accreditation activities, and quality governance programs
Partner across Product, Clinical, Operations, Sales, and Account Management to align strategy with service delivery
Support client retention, growth initiatives, and operational readiness efforts
Contribute to workforce planning, staffing strategy, financial stewardship, and operational efficiency initiatives
Monitor performance guarantees and support measurement and achievement activities
Lead and develop leaders across clinical and operational functions

Requirements

What you’ll need

Active Unencumbered Registered Nurse (RN) license required
Minimum of 10 years of experience in healthcare operations, case management, or clinical program leadership
Demonstrated leadership experience in complex, matrixed healthcare organizations
Experience leading large operational teams with multiple levels of leadership
Strong knowledge of clinical operations, care management, and performance management
Proven ability to influence and collaborate across Product, Sales, Clinical, and Operations teams
Experience supporting strategic initiatives, operational transformation, or service model implementation
Strong communication, presentation, and executive stakeholder management skills
Intermediate to advanced technical skills using multiple systems

Benefits

Comp & perks

Comprehensive health insurance, including medical, vision, and dental
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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical operationscase managementperformance managementoperational efficiencyaudit readinessaccreditation activitiesclient service modelsworkforce planningfinancial stewardshipstrategic initiatives

Soft Skills

leadershipcollaborationcommunicationpresentationstakeholder managementinfluenceorganizational skillsclient retentiongrowth initiativesoperational readiness

Certifications

Registered Nurse (RN) license