The Medical Administrative Specialist is an integral member of the matrix medical management team and is accountable for the financial (profit/loss) and operational integrity of their assigned health care centers (POD – Provider Organized Delivery System). They will be involved in the hiring and evaluation process for support staff in their centers. They will report directly to an Operations Manager.  The individual must have the ability to function in an autonomous manner and collaborate with physician managers to ensure optimal delivery of patient care services in a fiscally responsible manner.   Responsibilities include working with, communicating, directing, planning, organizing, financial/operational monitoring, and integrating group practice operations in order to facilitate the delivery of cost effective, high quality healthcare services in an ever-changing environment.  Actively drives and achieves results with accountable matrix partners. The Medical Administrative Specialist serves as a resource for internal and external customers by utilizing a number of resources such as established by CIGNA policies; protocols and guidelines to ensure delivery of high quality care.

Responsibilities and Essential Functions

Oversees the operations of their assigned Center(s) to ensure smooth and efficient patient care management and provision of quality patient care delivery. Manages Center(s) to ensure patient and employee satisfaction while promoting safety and retention. Serves as a real time resource and assists managerial expertise for staff and physicians for problem solving on patients, processes, and issues impacting a patient’s ability to maintain his or her optimal health status. Develop and maintain a business/management approach to track, monitor, communicate and achieve established goals/targets in the areas of: (a) employee satisfaction, (b) customer satisfaction, (c) quality, (d) compliance and (e) financial results. Provide effective leadership for all staff by establishing open communications, mentoring, training guidance and articulating clearly defined goals and objectives tying to medical group’s strategies. Coordinates quality initiatives and process improvements. Aligns and manages to metrics. Develops leadership skills among staff including communication, decision making, problem solving, critical thinking and employee engagement. Leads the development of staff and supports career advancement opportunities. Functions as a role model and encourages staff to participate in their own development. Facilitates regular staff meetings with focus on Triple Aim, CMG Strategic initiatives, and Drive for Five. Responsible for selection, orientation, on-boarding and retention of staff. Demonstrates leadership through coaching, performance evaluations, corrective actions, and development opportunities to create a culture of learning. Provides for operational resource management including but not limited to staffing and optimal department productivity and efficiency, supplies, and equipment. Serves as a liaison between department personnel, clinicians, center administration, and Senior Leadership. Establishes APOs for staffs which are measureable and align with CMG’s and Cigna's strategic plan and initiatives. Works collaboratively with Operations and Strategic Sourcing to prepare a capital equipment budget. Analyzes FTE and budget variances. Follows up on customer complaints in a timely manner. Participates in the development and review of CMG and department policies, procedures, and SOPs as needed to promote and provide quality patient care and customer service. Responsible for tracking of staff licensure and training to comply with State regulations and HCCR guidelines. Knowledgeable about CMG education programs, clinical guidelines, facility hours, services, HCC/Urgent Care/CareToday locations, and contractual relationships. Promotes care based on evidence based guidelines. Participates in the education, role development and orientation of personnel, patients, students, families, and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate. Meet or exceed all State, Federal and Regulatory requirements. Lead staff in going through change processes stressing an entrepreneurial/innovative approach in creating a strong group practice. Participation on committee teams may be expected. Follows OSHA guidelines for handling biological fluids and blood. Uses supplies in a fiscally responsible manner. Accountability on a 24 hour basis for routine operations and problem-solving of the departments.

   21. Contributes to the organization’s drive to achieve “Triple Aim” by improving the patient’s experience with care;

         which improves quality and the health of CMG’s population, thus reducing the cost of care for the population.

   22. Improves customer experience and increases access by assisting with efforts such as Continuous Quality     

         Improvement (CQI), Commitment to Service, and Patient Satisfaction

NOTE: The above is not intended to describe the general content of and requirements of this position and are not intended to be and exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent’s immediate supervisor.

Minimum Qualifications

Experience in healthcare management and knowledge of the delivery of healthcare. Experience managing in a profit and loss business environment. Ability to manage diverse employees ranging from business support to healthcare professionals. Demonstrated leadership and management skills (3 years of management experience). Bachelor or Master’s degree in business (preferred), healthcare administration or related field or equivalent. Excellent communication, leadership, teambuilding and quantitative analysis skills. Ability to develop strategies and plans to meet customer needs; develop clinician relationships; manage and support values and vision. Basic computer skills required.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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.