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CLINICAL CLIENT LIAISON
Position Overview
Help clients, brokers, and members navigate complex clinical needs with clarity and confidence. As a Clinical Client Liaison, you’ll partner with the Allegiance Care Management (ACM) teams and client stakeholders to turn clinical insight into actionable updates, coordinated support, and better member outcomes.
You’ll educate clients on program resources, support implementations and ongoing meetings, and help ensure members receive coordinated care—especially when complex case management needs are identified.
Responsibilities
Serve as the primary clinical liaison between the management teams and assigned clients to support a consistent, high-quality experience.
Deliver clear, timely clinical reporting (including high-level member summaries) to support client decision-making and stop-loss needs.
Plan and facilitate client-specific clinical grand rounds and other meetings to align stakeholders on priorities and next steps.
Review clinical updates before submission to ensure accuracy, completeness, and on-time delivery.
Identify client-specific needs and trends, document findings, and escalate risks or concerns through appropriate channels.
Educate clients and brokers on the Allegiance Care Management programs and benefits so they understand how resources support member care.
Support client implementations by sharing Allegiance Care Management resources, setting expectations, and connecting internal teams to needed information.
Support transitions of care for members joining Allegiance Benefit Plan Management plans with complex needs by coordinating case management engagement and utilization management support when needed.
Coordinate services based on member needs and client requests, responding to emails and calls within expected timeframes.
Maintain expertise across Allegiance Care Management programs and proactively share guidance that helps internal and external partners navigate complex scenarios.
Escalate quality-of-care concerns or complex clinical questions to the Medical Director as appropriate.
Teach internal and external stakeholders how Allegiance Care Management supports members through proactive case management services.
Share client and implementation insights with the right internal teams to ensure smooth execution and consistent communication.
Contribute to team improvement by sharing workflow feedback and supporting quality and process efforts.
Participate in established Quality Assurance (QA) and clinical oversight processes, including peer review and periodic random file review by supervisory leadership, to ensure accuracy, consistency, and compliance with ACM standards and regulatory requirements.
Travel as needed to provide onsite client support.
Qualifications
Required
Active, unrestricted RN license in the state of primary residence.
Minimum 2 years of clinical nursing experience.
Strong organization and follow-through; able to manage multiple priorities with attention to detail.
Strong written and verbal communication skills with internal and external stakeholders, including clinicians and clients.
Comfort using computer systems and phone-based outreach to gather, research, and document clinical information.
Preferred
Experience in case management, care coordination, or utilization management.
Experience supporting client meetings, implementations, or presenting clinical information to non-clinical audiences.
Familiarity with health plan products, stop-loss reporting, or employer group/account management partnerships.
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 and paid holidays. For more details on our employee benefits programs, click here.
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.
Salary : $66,100