Remote, Work from home, United States

COMPANY and ROLE:

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Evernorth, Express Scripts, and our affiliates, including medical, dental behavioral health, pharmacy, vision, supplemental benefits, and other related products.  Together, with our employees 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.

With the Cigna Corporation, you’ll enrich people’s lives and work together to fulfill our mission of making the world a healthier place. What difference will you make?

OVERVIEW:

We are seeking a dynamic and creative healthcare executive to lead our Value Based Care/High Performing Provider Design and Execution team.  This leader will manage a team of business leaders and analysts responsible for working with local market, functional, and the Executive Leadership to define and execute the near / long-term High Performing Provider relationships to achieve break-out affordability performance across our US medical businesses.  The role is responsible for design and execution of Value Based Care across U.S. Medical and will align closely with Cigna's strategic, market research, M&A, and Health Services teams to ensure our programs overall success.  Will serve as the Enterprise leader representing US medical High Performing Provider program design both inside and outside the organization. The individual will have exceptional communication skills, a demonstrated history of strong negotiation skills, and a passion for developing new solutions. This leader will be recognized as an industry leader in the healthcare marketplace and have experience in network contracting and deal negotiations.

RESPONSIBILITIES:

- Accountable business leader for defining and prioritizing US medical initiatives within the alternative delivery model and will be responsible for the expansion of our current programs.

- Interfaces with market, line of business, and functional leaders to maintain and prioritize roadmap to optimize total cost of care outcomes.

- Coordinates supply side initiatives with Demand side capabilities to create integrated affordability roadmap.

- Reports to Managing Director and Affordability Supply Lead with joint accountability to Total Cost of Care governance program to represent and secure support for portfolio of US medical initiatives.

- Oversees program design leads and will own the P&L of each product, from program design to resource alignment and rollout to monitoring and risk mitigation. 

- Expand a consistent set of design principals and monitoring across all U.S. Medical LOBs.

- Works in close partnership with TCC measurement office to conduct initiative and feature value assessment.

- Accountable for development of alternative reimbursement methodologies, understanding market dynamics, and the roadmap to integrate into our solution set.

- Oversees capability and solutions architecture & delivery in accordance with strategy and affordability roadmap.

- Accountable for build vs buy recommendations and interfaces across Enterprise to commission analysis, due diligence, etc.

- Accountable for defining network, preferred partnership, and reimbursement standards & definitions (e.g., pref. provider, network, etc.) and coordinating with analytics teams on profiling / targeting and National / field contracting staff to execute.

- Accountable to defining governance around the programs and ensuring that these programs, along with traditional FFS, are driving affordability for the organization.

- Partners across US medical line of business to drive roadmap alignment on common, as well as, distinct needs.

LEADERSHIP RESPONSIBILITIES:

- Lead a team of business leaders and business analysts.

- Build and retain a high performing team; continuously look for opportunities to add, develop and upgrade talent.

- Develop strong talent pipeline and ensure effective succession planning is in place.

- Drive best practices across markets as it relates to total medical cost value proposition

- Ensure appropriate structure / governance is in place to deliver on goals.

- Build relationships with business leaders across functions and ensure functional / support teams are engaged as needed to support business strategy and execution priorities.

REQUIRED SKILLS:

- Bachelor’s Degree

- A minimum of 12 years of healthcare experience including in several of the following areas: strategic planning, product and program development, network management, contract operations.

- 10+ years of management experience with a successful track record of developing and leading teams / organizations in a similar capacity.

- Expert level knowledge of total medical cost concepts, network design, physician partnership / negotiation, and value based methodologies in the health care environment.

- Experience designing, implementing, and evaluating the performance of value-based payment models and related network strategies.

- Strong working knowledge of risk adjustment models.

- Demonstrated relationship management skills at senior levels within and organization and external constituents.

- Strong analytical and reasoning skills; ability to assess qualitative and quantitative impacts.

- Ability to collaborate and work across a complex matrixed organization.

This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

This position is not eligible to be performed in Colorado.

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.