Medical Senior Director

Market Medical Executive (MME)

Clinical, Sales and Network Organization (CSNO)

Position Summary: This role is for the quality and statutory medical director in Texas for the North Texas and Oklahoma region.

The Market Medical Executive (MME) role is viewed as the clinical leader by both internal and external partners.

The MME drives key business and clinical initiatives through consultative interactions to achieve clinical quality, equity and care efficiency goals, supporting growth by supporting and driving membership growth through both retention and new sales, leading value-based care initiatives, and driving innovative solutions that are aligned with both national and local market priorities.

This position is in the Dallas-Fort Worth metroplex and is a hybrid position that requires some in-office presence weekly.

RESPONSIBILITIES:


* Contributes to growth and persistency through strategic collaboration with market leaders, sales, and account management


* Serves as the clinical expert with customers, clients and producers


* Couples data analysis with clinical insights to drive consumer engagement and affordability


* Recognizes new opportunities based on market and national clinical and business trends and partners with cross-functional matrix partners to bring solutions to the market


* Leads medical action strategy planning, development and execution of local market affordability goals


* Collaborates with the market teams and the provider community to achieve the quadruple aim and drive Cigna as the "partner of choice" within the clinical environment


* Supports market and regional provider and contracting staff with clinical expertise for the development and execution of value-based and other contracting initiatives


* Initiates, fosters and leverages existing external partnerships with individual vendors, providers and C-suite relationships


* Develops and motivates internal, cross-functional teams to achieve market targets


* Influences improvement in clinical operations processes, organizational strategy and innovation in healthcare connecting to the voice of the provider through surveys, advisory councils and other forums to ensure bi-directional customer and provider feedback


* Participates in special projects as the market-facing clinical expert to develop strategic solutions and actions focused on key business initiatives.


* Prioritizes time on what's important, acting in a timely manner, particularly in a dynamic and ambiguous environment


* Drive health equity and social determinants of health solutions


* Evolves with changing needs in the market

QUALIFICATIONS:


* Active and unrestricted Medical License in Texas


* Current Board Certification; primary care preferred


* Minimum 5 years of clinical practice experience


* Additional business, and/or population health management training or experience a plus


* At least 3 years of experience in a ...