Chief Medical Officer, Evernorth

The Chief Medical Officer (CMO) for Evernorth will serve as the senior physician leader responsible for advancing and supporting clinical strategy across Evernorth's diverse businesses, in collaboration with the business leaders. This includes Express Scripts and Evernorth Health Services pharmacy and care delivery businesses. This role is designed for an innovative physician executive with deep expertise in pharmacy, PBMs, specialty drugs, disease management, technology and AI, external and government affairs.

Reporting to the Chief Medical Officer of The Cigna Group and partnering closely with Evernorth senior P+L and clinical product and operations leaders, the CMO will collaborate with key leaders to shape Evernorth's clinical vision, drive strategic initiatives to enhance quality, affordability and innovation and advance the organization's clinical value proposition.

The CMO will also serve as an external-facing clinical leader, representing Evernorth to clients (employers and health plans), providers, key external partners and regulators. This role will also entail bringing market, client, provider, pharma, government and industry perspectives into Evernorth's business priorities, product innovation, and growth agenda.

This role also provides oversight of key areas of clinical operations, including Pharmacy Prior Authorization (PA) operations. This will include both maintaining the highest level of operations, clinical integrity and patient experience, as well as advancing Enterprise PA transformation efforts, ensuring PA priorities are integrated with The Cigna Group's clinical strategy.

** ESSENTIAL DUTIES AND RESPONSIBILITIES*
* ** Clinical Strategy and Messaging*
* + Partner with senior Evernorth business leadership to collaborate in evolving Evernorth's clinical narrative and strategic direction, supported by a small team of project managers and strategists.

+ Drive the advancement of strategic clinical work across relevant Evernorth businesses.

+ Serve as liaison to bring external client, market, provider and clinical perspectives to internal product, business and enterprise partners, helping inform differentiated clinical solution development and delivery across Evernorth.

+ Connect the clinical community across relevant Evernorth businesses and functions, fostering collaboration, alignment, clinical excellence, education, thought leadership and subject matter expertise on emerging healthcare trends and enterprise priorities.

** Market Clinical Leadership*
* + Build and strengthen strategic account relationships with Sales, Product, Account Management, client strategy and business leaders, serving as a senior clinical executive in client leadership interactions related to strategic direction, clinical priorities and evolving business needs. This includes a focus on both new sales and maintenance and bolstering of existing client relationships.

+ Provide strategic clinical and operational input into proposals, finalist presentations and operational execution processes to support business growth, client outcomes, differentiated value propositions and win rates.

+ Provide direct clinical leadership and oversight for Pharmacy Utilization Management and Prior Authorization work.

+ Ensure innovative solutions, quality outcomes, message integrity and evidence-based clinical content are incorporated into proposals and clearly articulated in finalist client presentations.

** Provider Partnerships*
* + Collaborate with key stakeholders to advance provider relationships and integrated care models, with a focus on both the specialty provider community, as well as general providers interacting with Express Scripts.

+ Develop and support evolving sales and engagement strategy for specialty providers/prescribers.

+ Establish and maintain executive-level strategic relationships with senior clinical, pharmacy, provider, client and business leaders, including leaders responsible for formulary strategy, benefit design, clinical program direction and care delivery priorities.

+ Partner with cross-functional senior leaders across clinical, product, market, client strategy, operations and business organizations to…