Network Medical Executive

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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

• 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 implementation of evidence-based initiatives that improve value, strengthen outcomes, and promote appropriate 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 in addressing emerging affordability risks, provider performance opportunities, and strategic network priorities • Develop and maintain trusted executive-level relationships with health systems, physician organizations, specialty groups, and independent providers • Serve as a credible clinical advisor and strategic partner to provider leadership • Facilitate dialogue regarding affordability opportunities, provider performance, value-based care, quality outcomes, and clinical collaboration • Gather provider insight and market intelligence to inform 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 • Promote provider 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 • 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 • 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 • 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 preferred • Work-at-home internet connection obtained through cable broadband or fiber optic service 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 • Work-at-home arrangement