Chief Medical Officer- Cigna Healthcare

The Chief Medical Officer will be responsible for the following key areas of focus:

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.

Oversees Medical Management- Provides strategic leadership and oversight for all medical management functions, including case management (CM), utilization management (UM), and escalated case review.

Ensures policies, procedures, and governance frameworks are in place to deliver a high-functioning, compliant health plan that meets regulatory requirements and internal standards.

Drives excellence in clinical quality and consistency across programs while maintaining a seamless, positive experience for members and providers.

Partners with internal teams to monitor performance, resolve complex cases, and continuously improve processes that safeguard patient outcomes and operational integrity.

Serves as the External Clinical Face of Health Plan to the Market- Acts as the primary clinical ambassador for Cigna Healthcare, engaging with clients of all sizes across employer groups, as well as consultants and brokers.

Plays a critical role in the sales process, account management, and ongoing performance oversight by providing clinical insight and executive sponsorship.

Builds and nurtures strategic relationships with key stakeholders to strengthen trust and partnership.

Represents Cigna in the provider community to foster collaboration, influence clinical policy, and advance value-based care initiatives.

Ensures that every external interaction reflects Cigna's commitment to quality, affordability, and an exceptional member experience.

Drives Clinical Product Strategy and Design- Leads the development and execution of Cigna Healthcare's clinical product strategy to ensure a market-leading clinical value proposition and compelling external narrative.

Shapes and oversees the design of differentiated programs, including best-in-class case management and innovative solutions in high-impact areas such as GLP-1 therapies, gene therapy, women's health, and other core and emerging clinical domains.

Partners with product, technology, operations, and business teams to create solutions that deliver measurable outcomes, supported by robust proof points and performance metrics.

Ensures that Cigna's clinical programs stand out in the marketplace through demonstrated results, scalability, and alignment with client needs, while reinforcing our commitment to quality, affordability, and innovation.

Implements and Advances Value-Based Care Strategy- Leads the next chapter of Cigna Healthcare's value-based care (VBC) journey, including oversight of our ACO model and development of innovative approaches to strengthen plan-provide...