Medical Senior Director, Care Delivery Model and Payment Innovation - Full-time

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 providers and patients 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 Affordability, Product, Provider Relations, Network, Network Strategy, and Data & Analytics—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 acrosshealthcare disciplines and business units. + Lead the re‑design and modernization of existingrisk‑basedand alternative paymentprograms, ensuring alignment with evolving market, provider, and regulatory dynamics. + Shape and operationalize enterpriserisk-based payment and care deliverystrategy 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 differentiatedrisk‑aligned care,payment offerings,andsupport modelsas well as development ofspecialtytotal-cost-of-carepartnership strategy in conjunction with Product. + Serve as a senior clinical voice in evaluating new market opportunities and partnership models that drive sustainablescalein 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 carenetworks, 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 andutilizationinsights 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 innovationas well asprovider 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 leadershipregardingnetwork participation, care delivery transformation, and risk‑based collaboration. + Build and mentormultidisciplinary 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 inalternative 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 yetexecution-oriented. + Collaborative, pragmatic, andoutcomes-driven. + Passionate about transforming care throughdelivery 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 (https://jobs.thecignagroup.com/us/en/benefits) . **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._