Implements Clinical Strategy, Solution and Program Design- Implements and advances the overall clinical strategy in support of the transformation of the health plan offerings to deliver value through exceptional patient and provider experience, high quality outcomes, more affordable care, and with the use of modernized digital, technology, and data capabilities.* Clinical Execution: Ability to deliver a clinical vision for the business. The skills to shape and implement the development of forward-looking strategies that align with overarching enterprise objectives. Can identify opportunities for improvement that balance profitable business and clinical outcomes (e.g., patient outcomes, cost containment, and quality of healthcare services).* Enterprise Value Creation and Scaling Commercial Solutions: Ability to align clinical metrics/outcomes with a direct linkage to enterprise value creation and member health to create a clear mandate and accountability that prioritizes high-value areas. Experience overseeing the end-to-end development and scaling of healthcare solutions. Can drive innovation through the implementation of technologies and care models. Strong understanding of finance, technology, and the levers to pull in business development and sales.* Thought Leadership and Clinical Face-To-Market: Track record of engaging with diverse external stakeholders in the community to stay informed and shape the latest clinical and policy developments. Experience serving as the clinical face outside the organization to help inform and validate decision-making processes and provide insight supporting the business development lifecycle. Fosters collaborations to enhance care delivery and contribute to discussions in the public policy arena. Plays a crucial role in market-facing change and crisis management communications related to the Cigna health plan, ensuring effective and clear messaging to all stakeholders.* Clinical Leadership: Gravitas to serve as the highest point of clinical leadership in Cigna Healthcare. Skills and experience to effectively have end-to-end oversight of the clinical model (including P&L) for all programs and care delivery businesses while creating a high-quality patient care culture. Can balance clinical choices with business outcomes to gain market traction and deliver financial results.* Health Plan and Medical Management Expertise: Deep experience operating within health plan environments, including fluency in medical management functions such as utilization management (UM), case management (CM), policy development, and governance. Proven ability to navigate complex plan structures and deliver compliant, high-performing operations that enhance member experience and clinical quality.* Transformation & Change: Leads masterfully and empathetically through change in a complex matrixed environment (e.g., transformation of ways of working/processes, vision/priorities/culture and technology application). Manages transformation through practices such as creating a vision and purpose, frequent and timely communication, leadership alignment, stakeholder engagement, educating/training the organization, and overcoming resistance. Builds strong working relationships rooted in collaboration and trust.* Value-Based Care: Deep experience transitioning healthcare delivery models toward value-based care, emphasizing outcomes and cost-effectiveness.* Building Next Generation Clinical Talent: Has direct people management responsibility for a team through the full talent lifecycle: attracting, hiring, onboarding, developing, managing performance, and promoting talent, as well as existing team members when necessary.* Compliance, Safety and Quality Care: Cultivates a culture and fosters practice across the care delivery teams that prioritizes high quality, safe, and compliant operations within the Healthcare Sector.* MD/DO degree required; MBA and/or relevant business experience (10+ years) preferred.* 10+ years of experience in healthcare leadership.* Excellent leadership skills including the ability to think strategically, develop vision, and execute for results.* Proven thought leader of innovative, effective clinical solutions; must have end-to-end experience in deriving clinical and business value from clinical interventions, programs, and solutions.* Experience demonstrating iterative and synergistic solutions with near-term value delivery in service of longer-term pivots.* Experience with Commercial health plan product constructs, design, and innovative benefit structures.* Demonstrated ability to deliver creative solutions to complex challenges.* Experience working in a highly matrixed organization, with proven ability to develop internal enterprise relationships and influence partners.* Strong communication skills, particularly the ability to translate complex topics into consumable formats.* Willingness to travel as needed to support provider and regional team engagement.
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