Medicare Advantage Market Leader - Alabama

Medicare Advantage Market Leader - Alabama

Medicare Advantage Market Leader - Alabama

Job Overview

Location
Birmingham, Michigan
Job Type
Full Time Job
Job ID
41465
Date Posted
4 months ago
Recruiter
Julia Hart
Job Views
208

Job Description

OVERVIEW:

As employees supporting Cigna's Government Business, we believe in doing everything we can to help our customers lead healthier, more secure lives.  We advocate for and partner with our customers, providers and stakeholders, and we do this by creating personalized, differentiated, and simpler solutions throughout the customer lifecycle.  We strive to maximize the value we deliver through integration with core enterprise capabilities.  And, as stewards of taxpayer money, we’re committed to deploying resources wisely.   In this way, Cigna’s Government Business seeks to be the undisputed partner of choice for individual and government-sponsored health plans and products.

Cigna Medicare Advantage (CMA), Part D and Medicaid solutions within the Cigna Government division.

The Medicare Market Manager is the Cigna Medicare P&L owner for the market.

Success in this role will largely be determined by the Market Manager’s ability to communicate the vision for a truly innovative and solution oriented networks strategy for Cigna Medicare across its provider network considering ever evolving policy and competitive marketplace adjustments and its subsequent pressure on price and access.

RESPONSIBILITIES:

- Develops the local market strategy, in collaboration with senior leadership, to meet growth and financial performance, with both the existing operating market and expansion in mind, to support Cigna’s overall value proposition. Prompts alignment to all segment strategies represented in the local market to drive local market top-line and bottom-line growth.

- Face of Cigna Medicare in the community, developing a strong Cigna brand, in partnership with other Cigna leaders in the market.

- Leads teams made up of direct reports and matrix partners to drive performance of the health plan, inclusive of Sales, Product, Actuary, Marketing, Legal, Care Allies, STARs, Health Services, Commercial, and Service Operations.

- Develop the market’s provider network to achieve quality, growth and financial performance across HMO and PPO offerings. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.

- Manages complex contracting strategies with many provider types, including primary care, specialists, hospitals, MSOs, ancillary providers, etc.

- Implements network strategies, including innovative value-based incentive programs to enable high-performing networks measured through quality and affordability, and in pursuit of becoming the undisputed partner of choice.

- Manages key provider relationships and is accountable for critical interface with providers and business staff.

- Inspire a collaborative culture while achieving industry leading employee, provider and customer Net Promoter Scores.

- Attract, recruit, hire, develop, mentor, coach and retain top talent. Seeks out and develops bench strength for the most critical roles in the market.

- Assembles and directs a management team that will promote a long-term vision in the market, and rewards/ encourages accountability while recognizing individuality and diversity.

- Delivers on both a short and long term business-driven strategic talent plan that ensures continuous, high-quality, diverse talent to enable execution of the local market strategy.

- Drives change leadership to best align the organization in a rapidly evolving industry and marketplace.

- Creates and leads initiatives resulting in improved customer retention, improved competitive positioning, and increased membership and earnings growth, while maintaining a strong brand reputation in the marketplace.

REQUIREMENTS:

  • Bachelor’s Degree highly preferred; MBA or related Master’s degree in healthcare desirable
  • Medicare Advantage experience and/or 10 or more years in a managed care organization or complex provider system with a track record of career progression and ability to manage a broad set of responsibilities
  • Demonstrated results in being able to think operationally and strategically, anticipate future trends, and incorporate them into both a short-term and long-term organizational plan
  • Proven success in leading/mentoring a high-performance team of leaders
  • Strong influencing and negotiation skills, contracting and network savvy, business owner mindset, and ability to successfully lead in an ambiguous and changing market.
  • Proven track record of exceeding goals and a bottom-line orientation. Evidence of the ability to consistently make good decisions through a combination of analysis, wisdom, experience, and judgment. High level of business acumen, including the ability to balance the delivery of programs against the realities of a budget, allocate resources, and manage operating expenses to maximize P&L while managing risk. 
  • Effective communicator to executive level staff and external audiences balanced with strong interpersonal skills.
  • Experience building strong and authentic relationships with large health systems and provider groups.
  • Creative problem solving and analytical thinking with a perspective of our provider partners and customers. 
  • Enterprise thinker with proven ability to influence across a matrix environment. Ability to develop relationships across all levels of the organization, as well as externally.
  • Capable of effectively messaging detailed value propositions to key stakeholders that blends operational know-how and technical skills with market savvy and vision/strategy.
  • Ability to assume broader organizational responsibilities as warranted. 

This role is Flexible which allows most work to be performed at home or on occasion at a Cigna office location. Employees must be fully vaccinated if they choose to come onsite.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

What difference will you make

Job ID: 41465

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