Job Description

**Summary:** The Nurse Informaticist applies advanced clinical expertise and informatics knowledge to drive quality improvement initiatives through data-driven strategies. This role is responsible for optimizing clinical workflows, enhancing patient care, and ensuring regulatory compliance by utilizing evidence-based data analysis and digital data acquisition methods. Within Cigna, this position contributes to clinical quality efforts by leading projects that leverage data to inform improvements in both clinical and operational practices. The role is essential in maintaining compliance with external accreditation and regulatory requirements via sophisticated data analysis and comprehensive reporting. As Cigna shifts from traditional HEDIS measurement to digital quality assessment, the Nurse Informaticist will be pivotal in modifying methodologies, implementing new tools, and updating strategies to meet changing industry standards and technological advancements. **Key Responsibilities:** **HEDIS & Clinical Data Analysis** + Oversee HEDIS data collection, reporting, and analysis for assigned regions and projects. + Evaluate clinical initiative outcomes to identify improvement opportunities across diverse populations, including clients, CACs, commercial markets, and IFP programs. + Conduct both statistical and qualitative analyses utilizing claims, pharmacy, laboratory, and demographic data sources. + Facilitate the transition to digital quality measurement by adapting data workflows, analytical tools, and reporting methodologies. **Clinical Integration** + Connect clinical practice with data analytics to inform evidence-based care enhancements. + Partner with nursing and clinical teams to transform data-driven insights into practical protocols. **Clinical Systems Leadership** + Lead the design, implementation, and optimization of clinical information systems, such as EHRs and digital quality measurement platforms. + Act as a subject matter expert in clinical data standards, interoperability, and digital health initiatives. **Advanced Quality Measurement** + Direct the shift from traditional to digital quality measurement methods, ensuring alignment with best clinical practices. + Develop and validate clinical quality metrics that accurately represent real-world patient outcomes. **Measurement & Reporting** + Establish measurement strategies and create scorecards and reports to support: + External accreditation + Population health advancement + Regulatory compliance + Performance monitoring **Project Leadership & Technical Guidance** + Manage time-sensitive projects and deliverables within larger strategic initiatives. + Provide technical leadership and guidance to quality teams regarding system requirements and data solutions. **Process Improvement & Efficiency** + Identify and implement opportunities to optimize analytic processes and reduce operational costs. + Design and maintain tools for tracking and forecasting HEDIS performance metrics. **Stakeholder Engagement** + Collaborate with internal cross-functional teams and external partners to advance personalization and localization objectives. + Coordinate with state immunization registries and other external organizations for data submissions. **Experience:** + Minimum of 8-10 years of clinical nursing experience, with at least 3-5 years in informatics or clinical data analytics roles. + Proven leadership in clinical informatics initiatives, such as EHR implementation, digital quality measurement, and workflow redesign. + Previous experience with HEDIS and digital quality programs is preferred. **Technical Skills:** + Advanced proficiency with EHR systems, clinical data standards (HL7, FHIR), and analytics tools. + Experience utilizing SQL, Tableau, PowerBI, and healthcare interoperability solutions. + Proficiency in MS Access and MS Excel. **Certifications:** + Nursing Informatics Certification is preferred. **Education** + A valid Registered Nurse (RN) license is required. + A Master's degree in Nursing Informatics, Health Informatics, or a closely related discipline is strongly preferred. **Other Qualifications:** + Strong project management, communication, and change leadership skills. + Excellent analytical, problem-solving, and presentation capabilities. + Demonstrated customer-centric approach with the ability to collaborate effectively within a matrixed environment. 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. For this position, we anticipate offering an annual salary of 109,500 - 182,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _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._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

Job Tags

Local area, Remote work, Work from home, Shift work,

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