Senior Advisor, Value-Based Care - The Cigna Group - Hybrid

The Cigna Group•Bloomfield, CT

8d•$116,200 - $193,600•Hybrid

About The Position

The Senior Advisor is a senior individual-contributor role focused on the design, strategy, policy advancement, partnership development, and pipeline enablement of Cigna Healthcare and Evernorth’s care delivery and alternative payment innovation agenda. This role supports the development of market-relevant care model and payment concepts and strategic partnerships across Cigna Healthcare and Evernorth stakeholders, including providers, employers, health plans, enablers, disruptors, pharmaceutical manufacturers, pharmacies, PBMs, specialty pharmacy, and intermediaries. The role helps shape strategic partnerships, build and manage an innovation pipeline, evaluate external market opportunities, and strengthen relationships with intermediaries and high-performing provider partners, accelerating strategy development, partnership readiness, and execution alignment across markets and business units. The role also provides close linkage to ongoing market innovation driven by governmental and regulatory bodies and partners closely with Data & Analytics to model, evaluate, and prioritize care model and payment innovation opportunities. The ideal candidate for this position is a value based care content expert who is organized, well versed in project management, can conceptualize and execute each step in a strategic plan, and is effective in navigating complex and highly matrixed organizations.

Requirements

Bachelor’s degree or relevant experience required; advanced degree preferred
5-7 years plus of relevant healthcare, strategy, consulting, pharmacy, managed care, provider, PBM, or life sciences experience
Strong problem-solving, stakeholder management, and executive communication skills
Ability to operate effectively across complex, matrixed, and regulated healthcare environments
Ability to partner with Data & Analytics teams to model opportunities, define assumptions, evaluate performance, and translate findings into strategic recommendations
Demonstrated ability to manage projects from start to finish in high stakes and fast paced environments

Nice To Haves

Experience with value-based care, alternative payment models, pharmacy strategy, specialty care, or outcomes-based contracting preferred
Experience supporting care model, payment innovation, value-based prescribing, pharmacy, PBM, specialty pharmacy, or provider partnership initiatives
Familiarity with Evernorth capabilities, including pharmacy, PBM, specialty pharmacy, care delivery, and provider-facing services
Experience working with or across pharmaceutical manufacturers, pharmacies, providers, employers, health plans, or market intermediaries
Desired experience working with intermediaries in the primary or specialty care space, including enablement platforms, management services organizations, or other organizations supporting value-based care execution
Desired experience working with state or federal policy in the design and execution of value-based care models
Experience translating strategy into partnership pipelines, pilots, business cases, or implementation roadmaps
Experience using data, analytics, and performance measurement to assess care model and payment innovation opportunities
Familiarity with compliance, legal, or regulatory considerations relevant to healthcare partnerships and pharmaceutical manufacturer interactions
Project management certification or equivalent exerience

Responsibilities

Manage complex new initiatives from inception to pilot
Create and follow a detailed project plan using standard project management tools
Communicate expectations and deadlines, then hold internal and external stakeholders accountable to them
Effectively engage the diverse internal stakeholders to effectively execute these projects, including but not limited to data analytics, product teams, contracting teams, and operational leaders
Build and manage a pipeline of partnership and model opportunities across pharmacy, specialty, provider, employer, and health plan stakeholders
Assess market dynamics, competitive positioning, regulatory considerations, operational feasibility, and data requirements to inform prioritization
Translate client needs and affordability opportunities into actionable innovation concepts
Identify and assess external partnership opportunities with intermediaries, high-performing providers, enablement platforms, pharmacies, pharmaceutical manufacturers, and specialty care partners
Support relationship-building strategies that strengthen Cigna Healthcare and Evernorth’s position with key market intermediaries and provider partners in support of payment and care model innovation
Contribute to partnership models that align incentives, improve outcomes, and support total cost of care management
Support development of partnership and payment models with appropriate attention to compliance, regulatory, legal, and policy considerations
Coordinate with Compliance, Legal, Data & Analytics, and business stakeholders to identify risks, constraints, required guardrails, and model assumptions early in design
Ensure innovation concepts account for manufacturer interaction requirements, pharmacy and PBM dynamics, data use considerations, and applicable market rules
Frame trade-offs and escalation needs clearly for leadership decision-making
Support the design of advanced care delivery models and payment structures across primary care, specialty care, pharmacy-enabled care, and value-based prescribing opportunities
Partner with Data & Analytics to model, evaluate, and prioritize care model and payment innovation opportunities, including opportunity sizing, target populations, performance assumptions, and evaluation metrics
Translate clinical, operational, financial, data, and market insights into structured frameworks and executive-ready recommendations
Shape pilots by defining hypotheses, target populations, stakeholder roles, metrics, and evaluation approaches
Support high-performing provider strategies that differentiate provider engagement, incentives, enablement, and performance expectations
Define strategy and roadmaps to scale successful payment and care models sustainably
Align stakeholders across pharmaceutical manufacturer strategy, pharmacies, PBMs, specialty pharmacy, providers, employers, and health plans
Translate strategy into implementation pathways, sequencing, governance needs, and execution decision points
Structure ambiguous problems and develop decision-ready recommendations for senior leaders
Synthesize inputs into clear strategic options, trade-offs, risks, and recommended next steps
Develop executive-level materials, leadership briefings, and Board-ready narratives that connect strategy, partnership value, compliance considerations, and execution readiness