Medical Senior Director, Care Delivery Model and Payment Innovation job opportunity at The Cigna Group.

Home Jobs In United States Of America Tag: Care Delivery Model and Payment Innovation Medical Senior Director, Care Delivery Model and Payment Innovation position at The Cigna Group


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The Cigna Group Medical Senior Director, Care Delivery Model and Payment Innovation
Experience: 10-years
Pattern: full-time
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Care Delivery Model and Payment Innovation

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degreeAssociate
loacation Philadelphia, PA, United States Of America
loacation Philadelphia, ..........United States Of America

Medical Senior Director ,   Care Delivery Model and Payment Innovation   Position Summary   The Medical Senior Director,   Care Delivery Model and Payment Innovation ,   is a senior physician leadership role responsible for reimagining and scaling enterprise   population health programs   and risk-based care strategies,   while also leading strategic external partnerships that accelerate   and enable   participation of   provider s   and patient s   in   alternative payment models .   This role reports to the Associate Chief Medical Officer   for   Enterprise Provider Experience, Network, & Value-Based Care .   This   position   advances the organization’s evolution from traditional total medical cost programs to total cost of care management   across enterprise   business units —working towards integration of   medical, pharmacy, behavioral, and other clinical domains into cohesive   total cost-of-care and outcomes-driven   strategies. The leader serves as a clinical integrator across   A ffordability,   Product,   P rovider   Relations ,   Network ,   Network Strategy, and   D ata &   A nalytics — ensuring   that care models, incentives, and performance management approaches are clinically sound, analytically rigorous, and operationally scalable .     The role will   develop and   lead strategic test-and-learn initiatives that inform innovation in population health and total cost of care management.   The role partners closely with   Provider   &   Network   Relations (PNR) as the market‑facing execution arm, aligning strategy with local provider engagement, contracting, and implementation to drive measurable improvements in quality, affordability, and experience across populations.   Key Responsibilities   Enterprise   Alternative Payment Model   Strategy , Partnerships,   &   Growth   Identify , structure, and clinically guide external partnerships (e.g., provider organizations, enablement platforms, care delivery partners) that accelerate growth in risk participation across   healthcare disciplines and business units .   Lead the re‑design and modernization of existing   risk ‑based   and alternative payment   programs, ensuring alignment with evolving market, provider, and regulatory dynamics.   Shape and operationalize enterprise   risk-based payment and care delivery   strategy across markets and products.   Partner with Network, Contracting, and Actuarial teams to expand the portfolio of value‑based offerings beyond total medical cost to true total cost of care management, including pharmacy and other services.   Support differentiated   risk‑aligned care ,   payment offerings ,   and   support models   as well as development of   specialty   total-cost-of-care   partnership strategy in conjunction with Product .   Serve as a senior clinical voice in evaluating new market opportunities and partnership models that drive sustainable   scale   in risk‑bearing and outcomes‑aligned models .   Care   Delivery   Model Innovation   Drive innovation in care delivery through the design, evaluation, and scaling of advanced primary care and specialty care   networks , including multidisciplinary and team‑based approaches.   Support development of care models that integrate physicians, pharmacists, behavioral health clinicians, and other members of the clinical care team to improve outcomes and total cost of care.   Expand alternative payment models to other lines of business, including international health.   Translate clinical and   utilization   insights into targeted interventions.   Lead pilots and test‑and‑learn initiatives that incorporate new care delivery partnerships, digital enablement, and alternative network strategies, with rigorous clinical and financial evaluation.   Ensure care models align with evidence, regulation, provider workflows, and member experience.   Population Management Capabilities, Clinical Insights, &   Provider   Enablement   Maintain a close, ongoing partnership with the PNR team as the primary market‑facing execution arm for care delivery model and payment innovation   as well as   provider engagement.   Provide clinical leadership for Network strategies, influencing design, contracting approaches, and performance expectations.   Help reimagine the provider relationship, expanding the definition of “provider” beyond physicians to include pharmacists , behavioral health,   and other clinical care team members within contracting and performance models.   Guide provider- and market-level insight development on cost, quality,   utilization , and risk.   Leadership and Team Development   Represent the organization in strategic discussions with senior provider and system leadership   regarding   network participation, care delivery transformation, and risk‑based collaboration.   Build and mentor   multi disciplinary teams.   Drive execution through influence in a matrixed enterprise environment.     Qualifications   Required   MD or DO with board certification.   10+ years of progressive clinical leadership experience.   Deep experience in   alternative payment models , population health, and clinical analytics.   Proven ability to lead complex initiatives across matrixed organizations.   Preferred:   Advanced degree (MPH, MHA, MBA, or equivalent).   Experience with large-scale care model design and performance evaluation.   Background in payer, provider, or risk-bearing organizations.   Success Characteristics   Demonstrated ability to build and scale value‑based care ecosystems, including external partnerships, advanced care models, and provider enablement capabilities   Clinically credible and analytically fluent.   Strategic yet   execution-oriented .   Collaborative, pragmatic, and   outcomes-driven .   Passionate about transforming care through   delivery and payment innovation   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. For this position, we anticipate offering an annual salary of 262,400 - 437,400 USD / yearly, 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. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here . About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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: 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. 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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