Medical Director – Clinical Strategy

🕒 July 29

🇺🇸 United States – Remote

💵 $212.6k - $354.3k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 26%

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The Cigna Group

WebsiteLinkedInAll Job Openings

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 and members with complex care needs • Translate clinical and business priorities into strategic roadmaps, business cases, implementation plans, and measurable 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, member navigation, clinician workflow support, and case management capabilities • Partner with Product, Technology, Data, Clinical Operations, Pharmacy, Analytics, Finance, and market-facing teams through implementation • 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 for outcomes, affordability, member experience, engagement, efficiency, adoption, and client value • 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, gene therapy, and emerging clinical product strategy areas • Ensure digital, AI-enabled, and clinical 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 • 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 establish alignment • Strong executive communication skills • Digital and AI fluency • Internet connection through cable broadband or fiber optic service with at least 10 Mbps download/5 Mbps upload when working at home • Preferred: experience in payer strategy, care management, complex care, oncology, specialty pharmacy, high-cost therapies, serious illness care, chronic condition management, value-based care, or clinical product design • Preferred: experience with digital health, AI-enabled clinical solutions, AI agents, predictive analytics, intelligent workflow design, member engagement tools, or technology-enabled care navigation • Preferred: experience in a national health plan, health services organization, clinical operations environment, health care consulting firm, provider organization, pharmacy organization, or digital health company • Preferred: experience developing executive-level business cases, investment recommendations, operating models, or transformation roadmaps

🏖️ 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 • Tobacco-free policy