[Hiring] Network Medical Executive @Cigna Healthcare

Role Description

The Medical Executive, Provider Engagement & Market Presence is a physician executive based in a region that enables effective support of the Northeast, without requiring Northeast residency. The role strengthens provider relationships and builds purposeful, sustained clinical presence in the Northeast region and other assigned markets. Through coordinated provider engagement, structured listening, and external representation, the role brings provider perspectives into actionable team priorities and advances an approved partnership portfolio.

The role complements regional medical directors through focused provider engagement, partnership work, and shared regional duties as assigned, rather than creating a parallel regional structure. Success depends on transparent communication, coordinated outreach, shared credit, effective follow-through, and respect for regional and functional accountability.

Primary Responsibilities

• Advance an approved portfolio of provider partnerships with clear objectives, executive sponsors, and joint workplans.
• Recommend opportunities through medical leadership, regional leaders, Network, and Payment Model Innovation as applicable.
• Build executive and clinician relationships within assigned partnerships.
• Agree on one accountable relationship lead and coordinate outreach with regional and functional partners to avoid duplication.
• Build structured market presence through planned provider visits, listening sessions, forums, and external representation coordinated with regional leaders, Network, Communications, and market teams.
• Capture provider voice, market risks, and relationship opportunities; route insights to accountable teams and close the loop with providers and regional colleagues on actions and outcomes.
• Partner with Payment Model Innovation on clinical model design, provider readiness, and deployment of value-based care initiatives.
• Coordinate clinical implementation, address barriers through established escalation pathways, and document lessons and handoffs to regional or operational owners.
• Maintain market knowledge of the Northeast region, contribute to shared regional duties as assigned, and provide designated, time-bound regional backup.
• Participate in shared medical director meetings, reporting, planning, training, compliance, and team commitments.
• Resolve competing priorities with medical leadership before taking on additional work.
• Share information early, seek regional context before engagement, address disagreements through team governance, and recognize collective contributions.

Team-Based Scope & Accountability

Assignments, relationship ownership, decision rights, and transition milestones are agreed with medical leadership and relevant regional and functional partners. Regional medical directors retain primary regional accountability, including provider relationships, routine CAC/JOC coverage, and regional escalations. This role may share regional duties as assigned within an agreed scope, without creating parallel ownership. External representation does not confer market ownership or authority to make commitments outside the approved scope.

The role is accountable for shared partnership progress, coordinated engagement, effective handoffs, and team trust—not visibility or event volume alone. Continued involvement after transition requires an agreed assignment renewal; workload conflicts are resolved by medical leadership.

Qualifications

• MD or DO; active, unrestricted medical license; board certification in an ABMS-recognized specialty.
• Minimum 5 years of clinical practice and minimum 3 years of healthcare leadership, payer, network, provider relations, or value-based care experience.
• Some value-based care (VBC) experience is required.
• Ability to develop provider partnerships and influence executives, physician leaders, and cross-functional teams.
• Strong understanding of healthcare economics, clinical quality, utilization, population health, and performance improvement.
• Excellent communication, public speaking, relationship-building, and executive presence skills.
• Ability to translate strategy into implementation across markets, work through shared accountability, and foster transparent, collaborative team relationships.

Preferred

• Experience in provider network management, contracting support, provider performance, or healthcare affordability and analytics.
• Experience developing or deploying value-based care arrangements, complex partnership launches, provider readiness initiatives, and operational transitions.
• Experience representing an organization at conferences, panels, and community events.
• MBA, MHA, MPH, or equivalent business experience or training.

Location & Travel

Based in a region that enables effective support of the Northeast; location within the Northeast is not required. Travel is required for assigned partnerships and planned conferences, community events, and other external engagements in the Northeast region and beyond. External engagement is a significant part of the role.

Core Competencies

• Provider Relationship Leadership: Builds trusted relationships with executive and clinician stakeholders.
• Market Presence & External Representation: Represents the organization credibly through planned, coordinated engagement.
• Provider Voice & Market Intelligence: Translates provider feedback and market insight into actionable internal priorities.
• Value-Based Care Expertise: Brings clinical perspective to model design, provider readiness, and deployment.
• Clinical Credibility: Applies physician judgment and practical expertise to provider-facing work.
• Executive Presence & Communication: Communicates clearly and confidently with senior provider and internal leaders.
• Influence Without Direct Authority: Advances priorities across matrixed teams and external partnerships.
• Collaboration & Shared Accountability: Partners with regional medical directors and functional teams, shares information early, and respects decision rights.
• Implementation & Follow-Through: Coordinates execution, resolves barriers through established pathways, and completes effective handoffs.
• Business Acumen: Understands healthcare economics, quality, utilization, and population health.

Benefits

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