The Cigna Group

Market Medical Executive - Tennessee Market

This position serves as the quality and statutory medical director for a market, acting as the clinical leader for internal and external partners. The role drives key business and clinical initiatives through consultative interactions to achieve medical cost competitiveness, profitable membership growth, and innovative solutions aligned with local market priorities.

Key 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 provider community to achieve the quadruple aim and become the partner of choice
  • 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 the voice of the provider by 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
  • Evolves with changing needs in the market
Required
  • Active and unrestricted Medical License in State
  • Current Board Certification; primary care preferred
  • Minimum 5 years of clinical practice experience
  • At least 3 years of experience in a healthcare business environment and/or Health Plan
  • Location in Nashville or Memphis
  • 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 acquire new skills, such as business and financial acumen
Company Overview

Industry: Healthcare Technology

Company Size: 500-1,000 employees

Founded: 2015

Headquarters: San Francisco, CA

Key Contacts

Contact information not available

About the Company

Leading healthcare technology company focused on improving patient outcomes through innovative digital solutions. We're transforming the way healthcare is delivered with cutting-edge technology and data-driven insights. Our platform serves over 10,000 healthcare professionals and has processed millions of patient interactions.

Recent News & Updates
Series B Raised $50M Series B funding - Jan 2024
Award Named "Best Healthcare Startup" by TechCrunch - Dec 2023
Growth Expanded to 5 new states - Nov 2023
Position Summary: This position is for the quality and statutory medical director for a given market. 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 total medical cost competitiveness, profitable membership growth through retention and new sales, and innovative solutions which are aligned with the local market’s priorities.

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 provider community to achieve the quadruple aim and become the partner of choice
  • 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 the voice of the provider by 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
  • Evolves with changing needs in the market

Qualifications

  • Active and unrestricted Medical License in State
  • Current Board Certification; primary care preferred
  • Minimum 5 years of clinical practice experience
  • At least 3 years of experience in a healthcare business environment and/or Health Plan
  • Location in Nashville or Memphis
  • 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 acquire new skills, such as business and financial acumen

Competencies

  • Strategic mindset
  • Manages ambiguity
  • Builds networks
  • Drives vision and purpose
  • Values differences
  • Courage
  • Drives engagement
  • Instills trust
  • Cultivate innovation
  • Nimble learning
  • Develops talent
  • Ensure accountability
  • Being resilient
  • Drives results

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.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group 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.

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