[Hiring] Medical Director - Clinical Strategy @The Cigna Group

Role Description

The Clinical Strategy Leader will report to the Associate Chief Medical Officer for Clinical Product and Solution Design and support the development and execution of Cigna Healthcare’s strategy for members with high-risk and complex care needs. This includes:

• High-risk members with complex chronic conditions
• Oncology needs
• High drug spend
• Serious illness
• Specialty pharmacy needs
• Other populations requiring advanced clinical navigation and case management support

This leader will help translate clinical, business, and affordability priorities into actionable strategies, scalable clinical programs, digital and AI-enabled solutions, and measurable execution plans. The role will partner across various teams to:

• Identify priority opportunities
• Design differentiated solutions
• Develop business cases
• Support implementation
• Measure impact

A core focus of the role will be leading the development of digital and AI-enabled solutions for high-risk members, including:

• AI agents
• Advanced segmentation
• Proactive member engagement tools
• Digital navigation capabilities
• Clinical workflow support
• Technology-enabled case management models

This role will be critical to positioning Cigna Healthcare as a market-leading clinical organization by translating complex care needs into differentiated scalable solutions that improve outcomes, affordability, and member experience.

The ideal candidate will be a strategic, execution-oriented health care leader who can combine:

• Clinical insight
• Business acumen
• Analytics
• Digital fluency
• Strong cross-functional leadership

Qualifications

• Active and unrestricted Medical License in State (MD/DO)
• Current Board Certification in an ABMS or AOA recognized specialty
• Minimum 3 years of clinical practice experience
• Experience in strategy development and implementation for health care-related organizations
• Experience developing clinical programs and driving successful execution
• Strong business and/or consulting experience
• Solid business and financial acumen
• Experience using analytics, data, and performance insights
• Experience leading teams or cross-functional workgroups
• Process improvement experience
• Ability to influence stakeholders
• Strong executive communication skills
• Digital and AI fluency

Requirements

• Experience in payer strategy, care management, complex care, oncology, specialty pharmacy, high-cost therapies, serious illness care, chronic condition management, value-based care, or clinical product design
• Experience with digital health, AI-enabled clinical solutions, AI agents, predictive analytics, intelligent workflow design, member engagement tools, or technology-enabled care navigation
• Experience working in a national health plan, health services organization, clinical operations environment, health care consulting firm, provider organization, pharmacy organization, or digital health company
• Experience developing executive-level business cases, investment recommendations, operating models, or transformation roadmaps for clinical programs

Benefits

• Comprehensive range of health-related benefits including medical, vision, dental, and well-being and behavioral health programs
• 401(k)
• Company paid life insurance
• Tuition reimbursement
• A minimum of 18 days of paid time off per year
• Paid holidays
• Leaves of absence

For more details on our employee benefits programs, click here.