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Medical Senior Director, Clinical Network and Provider Relations – Cigna Healthcare

Description

The **Medical Senior Director, Clinical Network and Provider Relations** will lead Cigna Healthcare’s Clinical Network and Provider Collaboration strategy--reporting directly to the Associate Chief Medical Officer (aCMO), Value-Based Care, Trend, and Network for Cigna Healthcare. This role is pivotal in strengthening Cigna’s position as a trusted partner to the provider community by enhancing collaboration with frontline clinicians, provider leadership, and network contracting teams. This role will bolster and elevate Cigna’s reputation as a trusted partner to providers nationwide through a multi-pronged strategy--supported by a dedicated team, enhanced reporting, novel product and partnership offerings, and re-imagined communication channels. The leader will build and oversee a focused physician and nurse-staffed clinical team, elevate relationship management discipline and strategy, re-envision data sharing and performance support capabilities, and lead the transition to a proactive approach to provider relations.

The successful candidate for this role will be a physician leader with provider, network and value-based care experience and will have managed internal provider teams as well as liaised closely with external provider leadership and networks This role requires a growth-oriented, motivational, and collaborative leader capable of building strong relationships and partnerships within their team and at all levels of the organization, across matrix partnerships (primarily within the network and provider relations teams, but also beyond) and with senior-most enterprise leadership.

Key Responsibilities

+ **Provider Network Management:** Establish and lead a regionally oriented, recognized as best-in-class team of dedicated Medical Executives and Nurse Clinical Executives to enhance Cigna’s presence and impact in the market and internally with providers and internal network partners.

+ **Provider Relations:** Partner with the matrix partner provider relations and network operations teams to optimize our communication, educational efforts, and performance enablement with providers.

+ **Enable Value-Based Care Strategy:** Collaborate with CHC’s Clinical VBC leadership to support the translation of strategy into accountable care contracts with providers, with a focus on deepening provider partnerships, enhancing communication, and enabling providers’ success and retention in value-based care.

+ **Clinical & Financial Integration and Action:** Partner with CHC’s financial and trend teams to align local clinical programs to better drive financial performance metrics within each market and to leverage data to enable exceptional clinical outcomes, successful TCOC improvement efforts, and continuous provider engagement.

+ **Team Leadership & Development:** Build and harness the potential of a high-performing team, including medical executives, nurse executives, and project management.

+ **Operational Execution:** Implement scalable processes to elevate Cigna’s provider relationships and reputation within the provider community, including enhanced tracking of relationship and performance outcomes, optimized governance, enhanced communication and education channels, and revised provider advisory bodies.

Qualifications & Experience

+ MD/DO degree required; MBA or relevant business experience (10-15 years) preferred.

+ Minimum of 10 years of experience in healthcare leadership, contracting, and provider network management.

+ Minimum of 5 years of experience in clinical practice.

+ Strong understanding of healthcare financial modeling, trend analysis, and levers of clinical performance improvement.

+ Exceptional leadership and relationship-building skills, with the ability to drive alignment across diverse teams.

+ Experience working with actuarial and finance teams to measure and manage trend and optimize network performance.

+ Ability to thrive in a complex, matrixed environment and manage multiple strategic initiatives simultaneously.

+ Willingness to travel as needed to support provider and regional team engagement.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 255,000 - 425,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._

_If you require reasonable accommodation in completing the online application process, please email:_ [email protected]_ _for support. Do not email_ [email protected]_ _for an update on your application or to provide your resume as you will not receive a response._

_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._

_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._