Managing Director- Local Network Solutions Lead- Cigna Healthcare

Bloomfield, CT - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Flexible Onsite Location: Willing to consider locations where The Cigna Group has an office presence.

Position Summary:Cigna Healthcare seeks a visionary and results-oriented leader to serve asManaging Director- Local Network Solutions Lead. This role is responsible for shaping and executing product and network strategy for the U3K segment with a focus on network design across Alternative Networks. This leader will also oversee go-to-market product commercialization and provider strategy & solutions including Utilization Management EMR integration and Collaborative Care Agreements. These efforts will center on delivering products that drive affordability strengthen provider alignment and meet the unique needs of single-site clients.

A critical component of this role will be to develop a set of strategic options and a recommended business plan to expand growth among traditionally smaller buyer typessuch as the Select Segmentby aligning product network and provider strategies with market-specific needs and operational capabilities.

RESPONSIBILITIES:

- Develop and executive comprehensive business cases and strategies for Alternative Network and Product Development including:

Market targets and staging.
Network contracting and operational needs.
Technology and associated claim/benefit capabilities.
Analytics requirements.
Distribution and Margin expectations.

- Lead benefit and network design for Alternative Networks Surefit Local Plus Local Flex and HMO for the U3K segment.

- Oversee go-to-market product commercialization ensuring readiness for launch and adoption in collaboration with Sales Underwriting and Market Operations.

- Drive provider strategy & solutions including Utilization Management EMR integration and Collaborative Care Agreements to support care coordination and provider alignment.

- Partner closely with cross-functional leads (Network Product Platform Analytics and Governance) to ensure alignment and integration of workstreams into the overall business plan.

- Establish management structure cadence and milestones to execute on Local Market & Provider Solutions strategies.

- Monitor market trends and competitive dynamics to inform product evolution and differentiation.

- Represent Local Market & Provider Solutions in enterprise planning and strategic forums.

REQUIRED SKILLS:

- 15 years of healthcare experience with demonstrated success across a variety of roles/responsibilities.

- Bachelors degree or equivalent experience.

- Expert level knowledge of network design provider partnerships analytics and product design.

- Strong understanding of US Employer segment what employers seek to buy how medical products are distributed and how financial value is created and charged to the different buyer types.

- Deep operational knowledge of requirements and considerations for new product development.

- Proven ability to lead cross-functional teams and manage complex product portfolios.

COMPETENCIES:

- Strategic Mindset

- Cultivates Innovation

- Courage

- Drive Results

- Communicates Effectively

- Ensures Accountability

- Strong Collaboration and Partnership

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.

About Cigna Healthcare

Cigna Healthcare a division of The Cigna Group is an advocate for better health through every stage of life. We guide our customers through the health care system empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 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.

Required Experience:

Director

Flexible Onsite Location: Willing to consider locations where The Cigna Group has an office presence.Position Summary:Cigna Healthcare seeks a visionary and results-oriented leader to serve asManaging Director- Local Network Solutions Lead. This role is responsible for shaping and executing product ...