Medical Senior Director, Care Delivery Model and ...

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 participation of providers and patients in advanced alternative payment models within primary and specialty care. This role reports to the Associate Chief Medical Officer for Value-Based Care, Trend, and Provider and Network Relations. This position advances the organizationu2019s evolution from traditional total medical cost programs to total cost of care management across the enterpriseu2014working 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 & Analyticsu2014ensuring that care models, incentives, and performance management approaches are clinically sound, analytically rigorous, and operationally scalable. The role will 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 marketu2011facing 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 Lead the reu2011design and modernization of existing risku2011based and alternative payment programs, ensuring alignment with evolving market, provider, and regulatory dynamics. Identify, structure, and clinically guide external partnerships (e.g., provider organizations, enablement platforms, care delivery partners) that accelerate growth in twou2011sided risk participation across primary and specialty care. Shape and operationalize enterprise risk-based payment and care delivery strategy across markets and products. Partner with Network, Contracting, and Actuarial teams to expand the portfolio of valueu2011based offerings beyond total medical cost to true total cost of care management, including pharmacy and other clinical services. Support differentiated risku2011aligned care and payment offerings and support models. Serve as a senior clinical voice in evaluating new market opportunities and partnership models that drive sustainable scale in risku2011bearing and outcomesu2011aligned models. Care Delivery Model Innovation Drive innovation in care delivery through the design, evaluation, and scaling of advanced primary care and specialty care models, including multidisciplinary and teamu2011based 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 and utilization insights into targeted interventions. Lead pilots and testu2011andu2011learn 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 marketu2011facing execution arm for care delivery model and payment innovation as well as provider engagement. Provide clinical leadership for Network strategies, influencing design, contracting approaches, and performance expectations. Help reimagine the provider relationship, expanding the definition of u201cprovideru201d beyond physicians to include pharmacists 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 leadership regarding network participation, care delivery transformation, and risku2011based collaboration. Build and mentor multidisciplinary 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 in alternative 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 valueu2011based care ecosystems, including external partnerships, advanced care models, and provider enablement capabilities Clinically credible and analytically fluent. Strategic yet execution-oriented. Collaborative, pragmatic, and outcomes-driven. Passionate about transforming care through delivery 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, youu2019ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, youu2019ll 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 (. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, weu2019re 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:_ _ _for support. Do not email_ _ _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._

Created: 2026-03-05