The job profile for this position is Case Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

Evernorth Direct Health is an industry leading business providing custom care delivery and wellness services across four key business lines: Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions. 

Evernorth is built on the recognition that health makes progress possible. Our health services are designed to redefine healthcare as we know it. But we can’t do it alone.

True change takes all of us, united in a shared vision. Health is what drives us. But it’s just the start. Together, we can solve the problems others don’t, won’t or can’t.

Sound like you? Great! Here’s more on how you’ll make a difference:

• Provide onsite face-to-face customer coaching and support.

• Assess for and prioritize customers’ bio-psycho-social-medical needs, and help the customer connect with resources found within their own community or via the customer’s health and wellness benefits.

• Will have an understanding in accessing community resources to help customers with SDOH basic needs like food, housing, medication, transportation, etc.

• Strong clinical acumen and understanding of behavioral and medical diagnoses; able to coordinate with behavioral, medical and pharmacy team members to address customer concerns in real time 

• Identify customer health education needs through targeted health assessment activities. Refer customer to other Cigna clinical programs, EAP or client specific health and wellness programs as clinically appropriate

 • Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.

• Empower customers to become an active participant in their own health outcomes. 

• Assist Customer in overcoming barriers to better health.

• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars.

• Collaborate with our matrix partners to support the overall health and wellness strategy your aligned client.

This position is with Evernorth, a new business within the Cigna Corporation.

What we expect from you:

***Bilingual in Spanish is a requirement for this role***

• Knowledge and experience in accessing community resources in order to help customers with basic needs.

• 3 or more years of post-license mental health experience preferred

• Strong Clinical skills with at least 3 or more years of experience in health and wellness field.

• Experience in health coaching/health education a plus

• Current ACLS/BLS/CPR/AED Certification

• High energy level, with dynamic presentation skills is required.

• Effective conflict management and negotiation skills

• Positive role model in demonstrating healthy behaviors

• Passion for health improvement

• Ability to work independently

• Customer-centric focus

• Ability to proactively collaborate professionally with the client and other matrix partners.

• Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. 

• Proven administrative abilities, with strong computer and software application skills.

Bonus points for:

• Clinical Expertise in the following areas: Musculoskeletal, Metabolic/Diabetes, Oncology, Maternity/Fertility, Mental Health)

• Chronic Disease Management experience

• Motivational interviewing training/experience.

• Smoking cessation and diabetes experience.

This role is based in the administrative office in Washington DC.

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.

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