Encore Clinical Implementation Manager

Role Description

The Encore Operations Lead Analyst provides experienced support to the Clinical Implementation Team during periods of elevated client activity and business demand. This role is designed for a retired employee returning in a flexible, part-time capacity to leverage prior organizational knowledge and expertise in support of critical operational needs.

Through the Cigna Retiree Encore Program, the role enables the organization to capitalize on proven experience and institutional knowledge while helping maintain service quality and operational continuity during peak workload periods.

Key Responsibilities

• Assist with increased volumes of client installs and escalated requests associated with clinical implementation, especially but not limited to RXB TPA.
• Review and interpret client intent, prepare clinical documents, engage clients on a clinical call, obtain final client intent, and submit for configuration.
• Support quality reviews and validation activities to help ensure accuracy and alignment with documented clinical intent and client requirements as well as adherence to established procedures.
• Collaborate with team members, cross-functional partners, and leadership to address workload demands and maintain service-level commitments during peak business cycles.
• Share institutional knowledge and best practices gained through prior service with the organization.
• Support special projects and operational initiatives as needed.

Qualifications

• Participant in or eligible for the Cigna Retiree Encore Program.
• Previous experience in pharmacy benefit management, health care operations, benefit administration, or a related operational environment.
• Strong understanding of benefit configuration, maintenance processes, and client support operations.
• Demonstrated ability to work independently and effectively manage multiple priorities.
• Strong analytical, organizational, and problem-solving skills.
• Excellent communication and collaboration skills.
• Strong commitment to clinical services and company goals.
• Ability to work with cross-functional committees or workgroups.
• Clinical expertise and understanding of clinical arena/issues across all points of pharmaceutical care.
• Proficiency with operational systems, reporting tools, and Microsoft Office applications.
• Ability to quickly re-engage and contribute with minimal onboarding.

Preferred Experience

• Previous Benefit Operations experience within Evernorth, Express Scripts, or Cigna.
• Familiarity with case management workflows, clinical implementation, and benefit plan administration.
• Prior experience supporting clients onboarding with ESI and clinical set up.
• Demonstrated success managing high-volume workloads and peak implementation timelines.

Business Impact

The Encore Operations Lead Analyst role supports the objectives of the Cigna Retiree Encore Program by leveraging the expertise of a former employee to address temporary business needs during periods of heightened operational demand. The position provides additional capacity to manage year-end benefit maintenance activity, client support requirements, and operational reviews while minimizing onboarding and training needs. By utilizing an experienced retiree resource, the organization benefits from immediate productivity, preserved institutional knowledge, and continued delivery of high-quality client service during critical business cycles.

Requirements

• 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.

Equal Opportunity Statement

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.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

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