Market Medical Executive North Texas

Position Summary: This position is for the quality and statutory medical director for the North Texas/Oklahoma Market.

The Market Medical Executive (MME) supports the local leadership team to meet its affordability and growth goals.

RESPONSIBILITIES: The Market Medical Executive is a key collaborator with the Sales and Network/Contracting teams to achieve affordable total cost of care goals and connector for teams locally and nationally.

The MME:


* Is the clinical point of contact for the network for local market affordability goals, including value-based and population health initiatives.


* Develops relationships with external partners to develop and implement contracting initiatives.


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


* Supports the sales team to acquire new business by recommending appropriate clinical programs based on analysis of available data, assisting the team's preparation for a finalist meeting, presenting at the finalist meeting, and following up as needed.


* Partners with the client management team to grow and retain current clients and customers.

This includes conversations with clients' leadership about high profile cases, review of plan performance, ensuring Cigna's programs are aligned with the client's benefit strategy, making recommendations for clinical solutions.


* Coordinates with clinical teams including the Nurse Executive, Clinical Account Manager, Pharmacist, Behaviorist, Medical Care Management teams and other matrix partners.


* Serves as the expert of Cigna's programs and population health management to drive engagement.


* Shares clinical insights based on data analysis and clinical and business trends to position Cigna as a market thought leader.


* Identifies, initiates, influences and follows through on needed improvements in any processes that impact Cigna's customers.


* Acts as a Cigna ambassador with community organizations.


* Participates in special projects as needed.


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


* Evolves with changing needs in the market.

QUALIFICATIONS:


* Active and unrestricted Medical License in State


* Current Board Certification; primary care preferred


* Minimum 5 years of clinical practice experience


* At least 3 years of experience in a healthcare business environment and/or Health Plan


* Location in North Texas preferred with travel throughout the market as required

SKILLS:


* Excellent oral and written communication skills with an ability to convey complex information in an understandable way


* Strong relationship building, team building, and influencing skills


* Proven ability to function in a heavily matrixed, diverse and inclusive organization


* Strong analytical and problem solving skills, with follow-through


* Track record of outcomes refle...