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Form of workAs employees supporting Cigna's Government Business, we believe in doing everything we can to help our customers lead healthier, more secure lives. We advocate for and partner with our customers, providers and stakeholders, and we do this by creating personalized, differentiated, and simpler solutions throughout the customer life cycle.We strive to maximize the value we deliver through integration with core enterprise capabilities.And, as stewards of taxpayer money, we're committed to deploying resources wisely.In this way, Cigna's Government Business seeks to be the undisputed partner of choice for individual and government-sponsored health plans and products.
Cigna Medicare offers Medicare Advantage, Part D and Medicaid solutions within the Cigna Government division. The Medicare Market President is the Cigna Medicare P&L owner for the market and will report directly to the Regional Vice President. Success in this role will largely be determined by the Market Leader's ability to successfully communicate and lead across a matrixed organization.
RESPONSIBILITIES:
- Responsibility for local MA Provider network development and management, with focus on driving performance metrics. Drive engagement with provider partners and advance our Value Based Care efforts in the markets.
- Development, recruitment and retention of local MA market team teams.
- Maintaining market compliance with CMS and any State requirements for MA plans.
- Development of MA specific provider network strategy within specific geography/market to provide chassis for affordable and accessible product offering to seniors. Includes assessing market competitor's networks, evaluating and identifying providers capable of delivering on value based contract arrangements.
- Consult MA product offerings within segment guiding principles to deliver affordable and accessible MA plans with specific geography/market of responsibility. Includes assessing competitor MA plan designs, network cost and value configurations.
- Local market MA value proposition, combination of provider network configuration/affordability and benefit plan offerings to grow and retain MA membership.
RESPONSIBILITIES THROUGH MATRIX STRUCTURE:
- Revenue management with Stars/Quality & Risk Adjustment/Coding functional business units.
- Medical cost management with Clinical organization, National contracting & support business units.
- Retention of Membership and Member Satisfaction with National retention unit and Customer Service.
- Meeting all MA contract compliance obligations in coordination with the MA Corporate team.
OVERVIEW:
As employees supporting Cigna's Government Business, we believe in doing everything we can to help our customers lead healthier, more secure lives. We advocate for and partner with our customers, providers and stakeholders, and we do this by creating personalized, differentiated, and simpler solutions throughout the customer life cycle.We strive to maximize the value we deliver through integration with core enterprise capabilities.And, as stewards of taxpayer money, we're committed to deploying resources wisely.In this way, Cigna's Government Business seeks to be the undisputed partner of choice for individual and government-sponsored health plans and products.
Cigna Medicare offers Medicare Advantage, Part D and Medicaid solutions within the Cigna Government division. The Medicare Market Leader is the Cigna Medicare P&L owner for the market and will report directly to the Regional Vice President. Success in this role will largely be determined by the Market Leader's ability to successfully communicate and lead across a matrixed organization.
RESPONSIBILITIES:
- Responsibility for local MA Provider network development and management, with focus on driving performance metrics. Drive engagement with provider partners and advance our Value Based Care efforts in the markets.
- Development, recruitment and retention of local MA market team teams
- Maintaining market compliance with CMS and any State requirements for MA plans.
- Development of MA specific provider network strategy within specific geography/market to provide chassis for affordable and accessible product offering to seniors. Includes assessing market competitor's networks, evaluating and identifying providers capable of delivering on value based contract arrangements.
- Consult MA product offerings within segment guiding principles to deliver affordable and accessible MA plans with specific geography/market of responsibility. Includes assessing competitor MA plan designs, network cost and value configurations
- Local market MA value proposition, combination of provider network configuration/affordability and benefit plan offerings to grow and retain MA membership.
- Hiring decisions for direct reporting team.
RESPONSIBILITIES THROUGH MATRIX STRUCTURE:
- Revenue management with Stars/Quality & Risk Adjustment/Coding functional business units.
- Medical cost management with Clinical organization, National contracting & support business units.
- Retention of Membership and Member Satisfaction with National retention unit and Customer Service.
- Meeting all MA contract compliance obligations in coordination with the MA Corporate team.
REQUIRED SKILLS:
- Degree in health administration, business administration, or another related field (MBA desirable) and/or 15+ years in a progressively responsible leadership role focused on managed Medicare and provider engagement.
- Leader from a large, complex managed care organization or provider system with an innovative risk oriented capability with a proven ability to lead a portfolio of markets or business units that is both analytical and customer oriented from a strategic and operational perspective.
- Demonstrated results in being able to think strategically, anticipate future consequences and trends, and incorporate them into both a short-term and long-term organizational plan.
- Proven success in developing strategic and operational platforms and leading/mentoring a high-performance management team.
- Strong influencing and negotiation skills, contracting and network savvy, business owner mindset and ability to successfully lead in an ambiguous and changing market with the evolution of healthcare reform, collaborative care and delivery system alliance development and expansion, and the need for governmental influence and savvy.
- Proven track record of exceeding goals and a bottom-line orientation; evidence of the ability to consistently make good decisions through a combination of analysis, wisdom, experience, and judgment; high level of business acumen, including the ability to balance the delivery of programs against the realities of a budget; allocates resources and manages operating expenses to maximize P&L while managing risk.
- Effective communicator to executive level staff and external audiences balanced with strong interpersonal skills.
- Experience building strong and authentic relationships with large health systems and provider groups.
- Creative problem solving and analytical thinking with a perspective of our provider partners and customers.
- Experience in business management with responsibility for day-to-day management of short and long-term goals and objectives, health care expenditures, department budgets, and human resource management.
- Enterprise thinker with proven ability to influence across a matrix environment. Ability to develop relationships across all levels of the organization, as well as externally.
- Demonstrated ability to manage complex systems and change management across a large organization.
- A team player with experience in complex matrix environments with the ability to build consensus among divergent interests and competing organizational needs.
- Capable of effectively messaging detailed value propositions to key stakeholders that blends operational know how and technical skills with market savvy and vision/strategy.
- Ability to assume broader organizational responsibilities as warranted.
- 25-35% travel required.
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.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.
