Chief Medical Officer- Cigna Healthcare

The Chief Medical Officer will be responsible for the following key areas of focus:

Implements and advances the overall clinical strategy in support of the transformation of the health plan offerings to deliver value through exceptional patient and provider experience, high quality outcomes, more affordable care, and with the use of modernized digital, technology, and data capabilities.

Provides strategic leadership and oversight for all medical management functions, including case management (CM), utilization management (UM), and escalated case review. Ensures policies, procedures, and governance frameworks are in place to deliver a high‑functioning, compliant health plan that meets regulatory requirements and internal standards. Drives excellence in clinical quality and consistency across programs while maintaining a seamless, positive experience for members and providers.

Partners with internal teams to monitor performance, resolve complex cases, and continuously improve processes that safeguard patient outcomes and operational integrity.

Acts as the primary clinical ambassador for Cigna Healthcare, engaging with clients of all sizes across employer groups, as well as consultants and brokers. Plays a critical role in the sales process, account management, and ongoing performance oversight by providing clinical insight and executive sponsorship. Builds and nurtures strategic relationships with key stakeholders to strengthen trust and partnership. Represents Cigna in the provider community to foster collaboration, influence clinical policy, and advance value‑based care initiatives.

Ensures that every external interaction reflects Cigna’s commitment to quality, affordability, and an exceptional member experience.

Leads the development and execution of Cigna Healthcare’s clinical product strategy to ensure a market‑leading clinical value proposition and compelling external narrative. Shapes and oversees the design of differentiated programs, including best‑in‑class case management and innovative solutions in high‑impact areas such as GLP‑1 therapies, gene therapy, women’s health, and other core and emerging clinical domains. Partners with product, technology, operations, and business teams to create solutions that deliver measurable outcomes, supported by robust proof points and performance metrics.

Ensures that Cigna’s clinical programs stand out in the marketplace through demonstrated results, scalability, and alignment with client needs, while reinforcing our commitment to quality, affordability, and innovation.

Leads the next chapter of Cigna Healthcare’s value‑based care (VBC) journey, including oversight of our ACO model and development of innovative approaches to strengthen plan‑provider alignment. Drives adoption of VBC enablers such as data integration, performance measurement, and incentive structures that improve quality and affordability. Pilots novel care models and partnerships to accelerate transformation while ensuring alignment with the broader enterprise network strategy.

Positions Cigna as a market leader in value‑based care through measurable outcomes, proof points, and a compelling external narrative.

Ability to work seamlessly with other clinical leaders across the enterprise, serving as a key member of the clinical leadership bench. Thought partner to the enterprise CMO and peers to ensure integration of clinical strategy with each business’s objectives, fostering alignment and shared accountability.

Champions a data‑first mindset to transform CHC’s clinical strategy through advanced analytics and AI. Leads efforts to harness data and AI for superior member experience, personalized care, improved outcomes, and operational efficiency. Partners closely with data, technology, and business teams to identify and execute clinical use cases that drive measurable…