Senior Advisor, Value-Based Care The Cigna Group Hybrid

Summary: The Senior Advisor is a senior individual-contributor role focused on the design strategy policy advancement partnership development and pipeline enablement of Cigna Healthcare and Evernorths care delivery and alternative payment innovation agenda. This role supports the development of market-relevant care model and payment concepts and strategic partnerships across Cigna Healthcare and Evernorth stakeholders including providers employers health plans enablers disruptors pharmaceutical manufacturers pharmacies PBMs specialty pharmacy and intermediaries.

The role helps shape strategic partnerships build and manage an innovation pipeline evaluate external market opportunities and strengthen relationships with intermediaries and high-performing provider partners accelerating strategy development partnership readiness and execution alignment across markets and business units. The role also provides close linkage to ongoing market innovation driven by governmental and regulatory bodies and partners closely with Data & Analytics to model evaluate and prioritize care model and payment innovation opportunities.

The ideal candidate for this positionis avalue basedcare content expert who is organizedwell versed in project managementcan conceptualize and execute eachstep in a strategic plan and iseffective in navigating complex and highly matrixed organizations.

Responsibilities:

Under the direction of the Medical Senior Director of Care Model and Payment innovation this individual will:

Manage complex new initiatives frominceptionto pilot

Strategic Positioning Market Strategy & Pipeline Development

• Build and manage a pipeline of partnership and model opportunities across pharmacy specialty provider employer and health plan stakeholders

• Assess market dynamics competitive positioning regulatory considerations operational feasibility and data requirements to inform prioritization

• Translate client needs and affordability opportunities into actionable innovation concepts

Partnership Development & Relationship Building

• Identify and assess external partnership opportunities with intermediaries high-performing providers enablement platforms pharmacies pharmaceutical manufacturers and specialty care partners

• Support relationship-building strategies that strengthen Cigna Healthcare and Evernorths position with key market intermediaries and provider partners in support of payment and care model innovation

• Contribute to partnership models that align incentives improve outcomes and support total cost of care management

Model Development & Risk Management

• Support development of partnership and payment models with appropriate attention to compliance regulatory legal and policy considerations

• Coordinate with Compliance Legal Data & Analytics and business stakeholders to identify risks constraints required guardrails and model assumptions early in design

• Ensure innovation concepts account for manufacturer interaction requirements pharmacy and PBM dynamics data use considerations and applicable market rules

• Frame trade-offs and escalation needs clearly for leadership decision-making

Care Model & Payment Innovation Design Support

• Support the design of advanced care delivery models and payment structures across primary care specialty care pharmacy-enabled care and value-based prescribing opportunities

• Partner with Data & Analytics to model evaluate and prioritize care model and payment innovation opportunities including opportunity sizing target populations performance assumptions and evaluation metrics

• Translate clinical operational financial data and market insights into structured frameworks and executive-ready recommendations

• Shape pilots by defining hypotheses target populations stakeholder roles metrics and evaluation approaches

• Support high-performing provider strategies that differentiate provider engagement incentives enablement and performance expectations

• Define strategy and roadmaps to scale successful payment and care models sustainably

Cross-Enterprise Stakeholder Alignment & Execution Support

• Align stakeholders across pharmaceutical manufacturer strategy pharmacies PBMs specialty pharmacy providers employers and health plans

• Translate strategy into implementation pathways sequencing governance needs and execution decision points

Consulting-Style Problem Solving & Executive Synthesis

• Structure ambiguous problems and develop decision-ready recommendations for senior leaders

• Synthesize inputs into clear strategic options trade-offs risks and recommended next steps

• Develop executive-level materials leadership briefings and Board-ready narratives that connect strategy partnership value compliance considerations and execution readiness

Qualifications:

• Bachelors degreeor relevant experiencerequired; advanced degree preferred

• 5-7years plus of relevant healthcare strategy consulting pharmacy managed care provider PBM or life sciences experience

• Experience with value-based care alternative payment models pharmacy strategy specialty care or outcomes-based contracting preferred

• Strong problem-solving stakeholder management and executive communication skills

• Ability tooperateeffectively across complex matrixed and regulated healthcare environments

• Ability to partner with Data & Analytics teams to model opportunities define assumptions evaluate performance and translate findings into strategic recommendations

• Demonstrated ability to manage projects from start to finish in high stakes and fast paced environments

Preferred Qualifications:

• Experience supporting care model payment innovation value-based prescribing pharmacy PBM specialty pharmacy or provider partnership initiatives

• Familiarity with Evernorth capabilities including pharmacy PBM specialty pharmacy care delivery and provider-facing services

• Experience working with or across pharmaceutical manufacturers pharmacies providers employers health plans or market intermediaries

• Desired experience working with intermediaries in the primary or specialty care space including enablement platforms management services organizations or other organizations supporting value-based care execution

• Desired experience working with state or federal policy in the design and execution of value-based care models

• Experience translating strategy into partnership pipelines pilots business cases or implementation roadmaps

• Experience using data analytics and performance measurement to assess care model and payment innovation opportunities

• Familiarity with compliance legal or regulatory considerations relevant to healthcare partnerships and pharmaceutical manufacturer interactions

• Project management certification orequivalentexerience

*We will consider qualified applicants who are looking to work 100% remote instead of hybrid.

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 116200 - 193600 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 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 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 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 need a reasonable accommodation to complete the online application process please email 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.