Network Medical Executive

🕒 August 11

🇺🇸 United States – Remote

💵 $242.9k - $404.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Executive

👻 Ghost score 23%

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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

• Serve as a physician leader supporting affordability, trend, and network performance objectives within assigned markets and provider relationships • Use provider relationships, market intelligence, and performance data to identify opportunities to improve cost, quality, utilization, access, and overall network performance • Partner with provider organizations to address clinical and operational drivers of healthcare trend, unnecessary variation, and avoidable cost • Support evidence-based initiatives involving value, outcomes, site-of-care, specialty, and referral management strategies • Collaborate with analytics, actuarial, network, finance, and clinical partners to evaluate opportunities, define interventions, and assess performance improvement • Provide clinical leadership on affordability risks, provider performance opportunities, and strategic network priorities • Develop and maintain executive-level relationships with health systems, physician organizations, specialty groups, and independent providers • Serve as a clinical advisor and strategic partner to provider leadership • Facilitate dialogue on affordability, provider performance, value-based care, quality outcomes, and clinical collaboration • Gather provider insight and market intelligence for internal decision-making, escalation management, and strategic planning • Support resolution of complex provider concerns, escalations, and relationship opportunities • Support growth, execution, and optimization of value-based care initiatives and provider performance programs • Collaborate with providers, contracting teams, and clinical partners to improve quality, affordability, patient outcomes, and provider accountability • Promote adoption of care delivery models and population health strategies • Identify barriers to provider success and connect providers with clinical, operational, and analytic resources • Provide clinical consultation and market insight for network strategy, provider partnerships, and contracting activities • Assist in evaluating provider organizations, market opportunities, strategic partnerships, and performance improvement opportunities • Support initiatives that strengthen network competitiveness, provider collaboration, and clinical alignment • Identify opportunities to enhance provider alignment with organizational goals and market-specific priorities • Contribute to Network & Provider Relations special projects, tools, resources, best practices, and operational consistency

🎯 Requirements

• MD or DO degree • Active, unrestricted medical license • Board certification in an ABMS-recognized specialty • Minimum 5 years of clinical practice experience • Minimum 3 years of healthcare leadership, payer, network, provider relations, or value-based care experience • Demonstrated ability to influence physician leaders, provider executives, and cross-functional partners • Strong understanding of healthcare economics, clinical quality, utilization, population health, and performance improvement • Exceptional communication, presentation, relationship-building, and executive presence skills • Ability to operate effectively in a highly matrixed, fast-paced, and evolving environment • Preferred: experience with provider network management, contracting support, or provider performance strategy • Preferred: experience with value-based care arrangements, quality improvement, or population health operations • Preferred: experience with healthcare affordability initiatives, trend management, analytics, or financial performance improvement • Preferred: MBA, MHA, MPH, or equivalent business experience or training • Preferred: experience leading cross-functional projects, peer learning forums, or team-based operating model initiatives

🏖️ 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 • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload for home-based work