Market Medical Executive - Tennessee Market

Cigna Healthcare

About The Position

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.

Requirements

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
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.

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