CHC Network Strategy Lead Cigna Healthcare Hybrid

Role Summary:

As part of the Cigna Healthcare Network Management leadership team the CHC Network Strategy Lead is responsible for shaping executing and presenting network strategy with a focus on new and evolving network-based solutions. The role operates at the intersection of Network Management Enterprise Network Strategy and Product with close ties to Clinical Sales and Analytics teams. This position has two primary focus areas:

Network strategy and solution development: Defining and executing network strategies for new solutions in partnership with enterprise leaders and local contracting teams Network product expertise and enablement: Serving as the subject matter expert on CHC network-based products for internal and external audiences

Network Strategy & New Solution Execution

• Partner with Network Management Strategy and Product leadership to define network strategies for new and enhanced CHC solutions
• Translate enterprise strategy into clear guidance for local market Network Contracting teams and partner with them on execution (e.g. preparing provider pitch approach and supporting collateral participating in provider conversations)
• Track progress across markets
• Identify barriers to execution and partner with cross-functional teams to adjust strategy design or governance as needed

Network Product Expertise & Market Enablement

• Serve as the subject matter expert on CHC network-based products and solutions.
• Educate and advise:
  • Network Contracting and Market leadership
  • Sales and Account Management teams
  • Brokers consultants and select clients
  • Provider executives and leadership teams
• Develop and refine network product narratives value propositions and educational materials in partnership with key stakeholders
• Support high-priority broker client and provider engagements where network strategy is central to the value story
• Ensure consistent understanding of:
  • Network design intent
  • Economic and clinical value drivers
  • Differences across network products and tiers
  • Tradeoffs between cost access quality and provider performance

Enterprise Leadership & Cross-Functional Integration

• Act as a strategic connector between Network Management and enterprise teams including Enterprise Network Strategy Product Network Analytics Clinical Strategy & Value-Based Care
• Bring market provider and sales insights back to enterprise partners to inform future strategy and product development
• Promote alignment clarity and shared accountability across a complex matrixed organization

Leadership Scope:

• Drive best practices across markets
• Ensure appropriate structure and support are in place to deliver on goals
• Build relationships with business leaders across functions and ensure teams are engaged as needed to support business strategy and execution priorities

Qualifications:

• Bachelors Degree
• A minimum of 15 years of healthcare experience including in several of the following areas: strategic planning product and program development network management contract operations medical economics
• Expert level knowledge of network design physician partnership / negotiation medical Rx and behavioral benefits.
• Strong presentation skills and willingness to travel (20%)
• Experience designing implementing and evaluating the performance of network-based solutions and strategies
• Demonstrated relationship management skills at senior levels within and organization and external constituents
• Demonstrated ability to formulate a strategy and direction from various often conflicting inputs and prioritize work and capacity of matrix teams to drive maximum earnings contribution to the organization.
• Strong analytical and reasoning skills; ability to assess qualitative and quantitative impacts
• Ability to collaborate and work across a complex matrixed organization

This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.

At The Cigna Group youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll 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.

About Cigna Healthcare

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.