Medical Senior Principal at Cigna

Posted in General Business 4 days ago.

Type: Full-Time
Location: Bloomfield, Connecticut





Job Description:

Market Medical Executive (MME), Cigna Medicare

Location: Work from Home Colorado

The Market Medical Executive (MME) is the senior medical director for Cigna Medicare in the CO/NM/Utah Markets and is a member of the Markets Senior Leadership Team (SLT). The MME will report to the Regional Medical Executive and is responsible for the achievement of total medical cost competitiveness and for driving key business, clinical and quality initiatives through collaborative interactions with healthcare provider partners, health systems and key internal partners.

RESPONSIBILITIES


  • Improve clinical outcomes through interactions with health care professionals using active listening, excellent communication and negotiation skills.

  • Clinical thought leader in providing solutions for improvement in total medical costs while assuring appropriate balance between clinical quality and medical costs, operational efficiency, and service to internal and external customers and providers.

  • Supports growth through strategic collaboration with the Market President and the Market President's SLT to achieve sales and growth goals.

  • Works with the finance and informatics teams to develop analytics and reports that identify opportunities and monitor program success.

  • Serves as market clinical representative in provider community, drives provider feedback back into the organization and insures clinical quality and integrity achieve high standards.

  • Collaborates with providers and health systems engaged in quality-based incentive programs that are in-line with Cigna's Medicare Business quality initiatives to help achieve outstanding performance.

  • Engages with our clinical operations utilization management and case management teams for tactical strategy and continuous improvement in our efforts to deliver high quality affordable health care.

  • Direct contributor to medical action planning and strategy development / implementation for existing network management, new network development and new market expansion.

  • Translates strategies into tactical delivery plans and monitors the execution of these plans to drive/maximize results for customers and shareholders.

  • Develops and leverages strong partnerships externally with vendors, providers and health system c-suite leadership as well as internally with key matrix partners to achieve market goals.

  • In conjunction with the Regional Medical Executive, will develop, refine, review and act upon reporting metrics for value-based contracts both nationally and at the market level.

REQUIRED SKILLS

  • Degree in medicine from an accredited school (MD or DO)

  • Active and unrestricted Medical License

  • Current board certification in an ABMS or AOA recognized specialty

  • Minimum 5 years of clinical practice experience

  • Minimum 3 years of experience in medical management, case management in a managed care setting or in physician leadership roles

  • Knowledge of managed care products and strategies

  • Ability to work within a rapidly changing, fast-paced matrix environment

  • Demonstrated ability to educate peers, colleagues and staff members in a collegial manner

  • Possesses strong and effective teamwork, negotiation, conflict management, decision-making, analytical and problem solving skills

  • Demonstrated sensitivity to culturally diverse situations, participants, and customers

For this position, we anticipate offering an annual salary of $221,300 - $368,800, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

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.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.





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