Chief Clinical and Quality Officer

The job profile for this position is Chief Quality & Health Advocacy Officer, which is a Band 6 Executive Career Track Role.

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Flexible Onsite Location : Bloomfield, CT, St, Louis, MO, Philadelphia, PA, other locations where The Cigna Group has an office presence.

Position Summary

The Chief Clinical Quality Officer (CCQO) at The Cigna Group is responsible for overseeing the quality and safety of healthcare services, ensuring the delivery of safe, effective, and patient-centered care while aligning quality initiatives with the company’s strategic goals and operational excellence. This role will lead a cross-functional team of clinical and business leaders to build solutions, processes and functions that ensure a high degree of clinical integrity, quality and safety. The CCQO will work closely with the CMOs, policy teams, safety infrastructure, compliance and legal teams, and technology teams to drive quality improvement initiatives, leverage data analytics and reporting, and enhance patient outcomes and satisfaction.

Key Responsibilities

Quality Management :

• Develop and implement quality improvement and outcome strategies aligned with organizational goals.
• Collaborate with stakeholders to set and monitor key performance indicators (KPIs) related to healthcare quality and outcomes.
• Oversee quality assurance programs to ensure compliance with local, state, and federal regulation and with healthcare quality standards, including HIPAA, JCAHO, and CMS as well as HEDIS, NCQA Health Plan Ratings, STARS, and CAHPS compliance.
• Identify and mitigate risks related to healthcare quality and implement continuous improvement methodologies like Six Sigma or Lean Healthcare.

Clinical Safety Oversight :

Leadership & Team Management :

Stakeholder Engagement & Collaboration :

Required Qualifications

Key Competencies

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.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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