Medical Senior Director

The job profile for this position is Medical Senior Principal, which is a Band 5 Senior Contributor Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

Market Medical Executive (MME)

Clinical, Sales and Network Organization (CSNO)

Position Summary: This role is for the quality and statutory medical director in Texas for the North Texas and Oklahoma region. The Market Medical Executive (MME) role is viewed as the clinical leader by both internal and external partners. The MME drives key business and clinical initiatives through consultative interactions to achieve clinical quality, equity and care efficiency goals, supporting growth by supporting and driving membership growth through both retention and new sales, leading value-based care initiatives, and driving innovative solutions that are aligned with both national and local market priorities.  This position is in the Dallas-Fort Worth metroplex and is a hybrid position that requires some in-office presence weekly.

RESPONSIBILITIES:                                                                    

• Contributes to growth and persistency through strategic collaboration with market leaders, sales, and account management
• Serves as the clinical expert with customers, clients and producers
• Couples data analysis with clinical insights to drive consumer engagement and affordability
• Recognizes new opportunities based on market and national clinical and business trends and partners with cross-functional matrix partners to bring solutions to the market
• Leads medical action strategy planning, development and execution of local market affordability goals
• Collaborates with the market teams and the provider community to achieve the quadruple aim and drive Cigna as the “partner of choice” within the clinical environment
• Supports market and regional provider and contracting staff with clinical expertise for the development and execution of value-based and other contracting initiatives
• Initiates, fosters and leverages existing external partnerships with individual vendors, providers and C-suite relationships
• Develops and motivates internal, cross-functional teams to achieve market targets
• Influences improvement in clinical operations processes, organizational strategy and innovation in healthcare connecting to the voice of the provider through surveys, advisory councils and other forums to ensure bi-directional customer and provider feedback
• Participates in special projects as the market-facing clinical expert to develop strategic solutions and actions focused on key business initiatives.
• Prioritizes time on what’s important, acting in a timely manner, particularly in a dynamic and ambiguous environment
• Drive health equity and social determinants of health solutions
• Evolves with changing needs in the market

QUALIFICATIONS:

• Active and unrestricted Medical License in Texas
• Current Board Certification; primary care preferred
• Minimum 5 years of clinical practice experience
• Additional business, and/or population health management training or experience a plus
• At least 3 years of experience in a healthcare business environment and/or Health Plan
• Excellent oral and written communication skills
• Demonstrated leadership, problem solving and follow-through skills
• Proven ability to function in a heavily matrixed, diverse and inclusive organization
• Track record of results reflecting strategic and tactical solutions
• Strong relationship building and influencing skills
• Ability to convey complex information in an understandable way to various audiences
• Strong analytical skills and problem solving skills
• Demonstrated ability to effectively prioritize and manage multiple priorities simultaneously
• Demonstrated aptitude to learn on the fly and acquisition of new skills, such as business and financial acumen

COMPETENCIES:

• Courage
• Customer focus
• Dealing with ambiguity
• Interpersonal savvy
• Learning and applying quickly
• Managing vision and purpose
• Organizational agility
• Perseverance
• Priority setting

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

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.

Please note that you must meet our posting guidelines to be eligible for consideration.  Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.