Client Solutions Strategist- Evernorth- Remote

Client Solutions Strategist

Help healthcare organizations turn complex revenue cycle challenges into stronger performance and better patient support. As a Client Solutions Strategist, you will guide home infusion, ambulatory infusion, and specialty pharmacy clients through practical, data-driven improvements. You will partner with leaders to reduce risk, improve reimbursement, strengthen operations, and build solutions that support long-term growth. 

CarePathRx is part of Evernorth, the health services division of The Cigna Group. Together, we bring ambitious thinking, compassionate partnership, and deep expertise to the organizations and patients we serve.

Position Summary

The Client Solutions Strategist provides strategic leadership, operational expertise, and consulting services to healthcare organizations specializing in home infusion, ambulatory infusion, and specialty pharmacy services.

This position is responsible for advising clients on all aspects of revenue cycle management (RCM), business office operations, reimbursement strategy, financial performance, and operational optimization. Key responsibilities include comprehensive revenue cycle assessments, financial modeling, payer contract evaluations, system implementation advisory, workflow redesign, and the development of sustainable operational improvements.

Client Solutions Strategist partners with client leadership and cross-functional teams to identify opportunities, mitigate operational and financial risks, improve revenue cycle performance, and implement strategies that support organizational growth.

The role also provides strategic guidance for technology implementations and optimization initiatives, including Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, and other infusion management platforms.

Client Solutions Strategist contributes to the organization's advisory strategy, business development efforts, and industry thought leadership.

Essential Responsibilities

• Conduct revenue cycle assessments to identify operational inefficiencies, reimbursement risks, and opportunities to improve financial performance.
• Analyze financial and operational KPIs, industry benchmarks, and trends to develop actionable recommendations.
• Provide subject matter expertise in infusion reimbursement, payer requirements, billing operations, and revenue cycle optimization.
• Support process improvement initiatives, including workflow redesign, standardization, automation, and development of best practices.
• Provide revenue cycle guidance during system implementations, conversions, and optimization initiatives, including configuration, testing, training, and go-live support.
• Collaborate with clients and internal stakeholders to identify business needs, resolve challenges, and implement sustainable solutions.
• Develop project deliverables, operational assessments, executive reports, and recommendations to support client decision-making.
• Maintain knowledge of industry trends, regulatory changes, and emerging technologies to identify opportunities for innovation and improvement.
• Support client relationships, business development initiatives, and organizational growth through subject matter expertise and industry engagement.

Qualifications

Required

• Minimum of 4 years of healthcare revenue cycle management experience, including 2 years in home infusion, ambulatory infusion, specialty pharmacy, or Durable/Home Medical Equipment (DME/HME) .

• Strong understanding of reimbursement (preferably infusion) payer requirements, billing operations, denial management, and accounts receivable.
• Experience evaluating operational workflows, analyzing performance metrics, and identifying opportunities for process improvement.
• Demonstrated ability to develop actionable recommendations and implement sustainable operational solutions.
• Strong analytical, problem-solving, project management, and communication skills.
• Ability to work independently, manage multiple priorities, and collaborate effectively with clients and cross-functional teams.
• High School Diploma or GED required. Bachelor’s degree in business, healthcare administration, finance, or a related field preferred.

Preferred

• Experience providing consulting or advisory services to healthcare organizations.
• Experience with Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, or comparable infusion management systems.
• Experience supporting system implementations, workflow redesign, testing, training, and operational optimization.
• Knowledge of Medicare, Medicaid, commercial payer reimbursement methodologies, and managed care contracting.
• Experience developing executive reports, financial analyses, standard operating procedures, and operational recommendations.
• Familiarity with healthcare automation, emerging technologies, and revenue cycle performance benchmarking.

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 112,100 - 186,800 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.

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.