Medical Director – Clinical Strategy

🕒 July 29

🇺🇸 United States – Remote

💵 $212.6k - $354.3k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

Where this job comes from

Posted on The Cigna Group's careers page, not through a job board

First seen by Remote Rocketship July 29

Logo of The Cigna Group

The Cigna Group

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Support development and execution of Cigna Healthcare’s strategy for high-risk members with complex care needs • Translate clinical and business priorities into strategic roadmaps, business cases, implementation plans, and performance goals • Lead design of scalable clinical programs for high-risk and complex populations • Lead development of digital and AI-enabled solutions, including AI agents, advanced segmentation, proactive outreach, navigation, and case management capabilities • Partner with Product, Technology, Data, Clinical Operations, Pharmacy, Analytics, Finance, and market-facing teams • Use data, analytics, claims insights, clinical and pharmacy trends, operational performance, and client needs to identify opportunities • Improve case management and complex care models • Develop performance measurement frameworks and KPIs • Drive process improvement and operating model enhancements • Align stakeholders across a matrixed organization • Prepare executive-ready strategy documents, updates, recommendations, and decision materials • Lead cross-functional teams and workgroups through complex initiatives • Bring an outside-in perspective on clinical innovation, digital health, AI-enabled care models, oncology, specialty pharmacy, high-cost therapies, GLP-1s, and gene therapy • Ensure solutions are clinically sound, member-centered, operationally feasible, financially grounded, measurable, and aligned with responsible innovation principles

🎯 Requirements

• Active and unrestricted Medical License in State (MD/DO) • Current Board Certification in an ABMS or AOA recognized specialty • Minimum 3 years of clinical practice experience • Experience in strategy development and implementation for health care-related organizations • Experience developing clinical programs from concept through implementation, adoption, and measurable outcomes • Strong business and/or consulting experience • Solid business and financial acumen • Experience using analytics, data, and performance insights • Experience leading teams or cross-functional workgroups in a matrixed environment • Process improvement experience • Ability to influence stakeholders and drive clinical, operational, financial, and business outcomes • Strong executive communication skills • Digital and AI fluency • For home working, cable broadband or fiber optic internet with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Annual bonus eligibility • Long term incentive plan eligibility • Medical benefits • Vision benefits • Dental benefits • Well-being and behavioral health programs • 401(k) • Company paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence

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