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

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 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 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 • 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 clinical outcomes, affordability, member experience, engagement, efficiency, clinician 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 • Provide 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 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 and driving execution 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 establish alignment • Strong executive communication skills • Digital and AI fluency • Cable broadband or fiber optic internet service with at least 10 Mbps download and 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, predictive analytics, intelligent workflow design, member engagement tools, or technology-enabled care navigation • Preferred experience in national health plans, health services, clinical operations, consulting, provider, pharmacy, or digital health organizations • 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 • Remote work arrangement