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* Flexible Onsite Location: Willing to consider other onsite locations.
OVERVIEW/DESCRIPTION:
As a member of the Cigna Healthcare (CHC) Clinical Leadership team this role will report directly to the Chief Medical Officer (CMO) for Cigna Healthcare and will be responsible for leading CHC Clinicals Product and Solution Design team driving the creation of innovative and patientcentered clinical products and programs to improve patient outcomes experience and value. The candidate will serve as a close strategic partner to the Product Solutions and Technology teams functioning as the clinical lead to inform and drive a forwardlooking and marketleading clinical product strategy. This team will oversee strategy and development of specialized clinical programs focused on particular risk groups (e.g. high cost claimants etc. disease areas (e.g. oncology womens health etc. employee segments and functional tasks (e.g. structured case review processes high risk case management etc..
RESPONSIBILITIES:
Advance our clinical value proposition: Partner with product marketing and sales teams to refresh the clinical product suite and to continue to deliver innovative and compelling messaging.
Navigate a matrixed partnership: Work with key matrix partners (Technology Product Strategy & Solutions Sales Operations) to drive nextgeneration solutions and future enhancements with effective messaging of the value of such programs/solutions; in particular this leader will act as a conduit between the Clinical Solutions function and the Senior Vice President of Strategy & Solutions for CHC to ensure solutions and strategies are supported within the enterprise.
Partner with Product team to embed in design and support a clinical product roadmap and strategy.
Partner with Technology and Data teams to advance the use of AI and relevant digital data in the development and enhancement of clinical solutions.
Drive change: Operate as a change agent to position the Clinical Solutions team as a strategic enabler driving strong alignment and outcomes in partnership with business constituents.
Achieve clinical outcomes: Optimize the impact of the Clinical Product and Solutions team in supporting measurable client outcomes.
Manage a Balanced Portfolio of Clinical Product: Evaluate and rationalize the entire portfolio of clinical programs vendors and solutions to maintain a highvalue and curated offering.
Leverage Advanced Segmentation: Develop differentiated and customized clinical offerings that are targeted to the needs of specific market segments (e.g. ASO clinical value proposition etc. and employee segments.
Offer a Diverse and Innovative Perspective: Provide a broad and innovative outsidein view of clinical product to help push the envelope within clinical solution development. Be an expert in trends and innovation in healthcare (GLP1s gene therapy) with an eye towards developing marketleading clinical products to address these areas.
Bring Case Management to the Next Level: Apply deep case management expertise across various settings to understand assess and enhance Cignas case management offerings.
Lead and Develop Teams:Build and manage highperforming teams comprised of clinicians project managers and product managers.
Ensure Operational and Performance Measurement:Implement scalable processes to enhance product and program ideation development uptake and impact. Define and track key performance indicators (KPIs) to assess the impact of product strategies ensuring continuous improvement and market competitiveness.
Recruit a talented bench:Staff with toplevel talent bringing bestinclass internal clinical strategy and operations talent together alongside external talent with new and innovative perspectives.
Achieve a clinical/business balance: Be respected organizationwide for bringing both clinical expertise patientfocused integrity and compassion and a sharp business and P&L mindset.
Be resultsoriented:Be oriented to managing work from vision through to completion with a datadriven orientation and an ability to get stuff done.
Work effectively within a matrix: Navigate complex crossmatrix working relationships and dynamics with ease and an ability to successfully drive work through collaboration and influence.
REQUIRED SKILLS:
MD/DO degree required; MBA and/or relevant business experience 1015 years) preferred.
Minimum of 10 years of experience in healthcare leadership valuebased care strategy and provider network management.
Minimum of 5 years of experience in clinical practice. Current clinical practice is a plus but not required.
Deep experience in clinical product program and solution design and with demonstrable and measurable impact.
Excellent leadership skills including the ability to think strategically develop vision and execute for results.
Proven thought leader of innovative effective clinical solutions; must have endtoend experience in deriving clinical and business value from clinical interventions programs and solutions.
Experience demonstrating iterative and synergistic solutions with nearterm value delivery in service of longerterm pivots.
Experience with Commercial health plan product constructs design and innovative benefit structures.
Demonstrated ability to deliver creative solutions to complex challenges.
Experience working in a highly matrixed organization with proven ability to develop internal enterprise relationships and influence partners.
Strong communication skills particularly the ability to translate complex topics into consumable formats.
Willingness to travel as needed to support provider and regional team engagement.
About The Cigna Group
Doing something meaningful starts with a simple decision a commitment to changing lives. At The Cigna Group were 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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobaccofree 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.
Required Experience:
Chief
Full-Time