Market Medical Executive - Cigna - New York, NY
Location: New York New York
Description: Cigna is looking of Market Medical Executive - Cigna - New York, NY right now, this job will be placed in New York. More complete informations about this job opportunity kindly read the description below. Job Description
POSITION SUMMARY:
This position is responsible for the achievement of total medical cost competitiveness; revenue and membership gro! wth through retention of existing business and addition of new customers within assigned CIGNA Regional Market Segments as well as the development and maintenance of Quality Networks. As Market Clinical leader, the role is responsible for driving key business and clinical initiatives in the assigned market through consultative interactions with Customers, Clients, Producers, Consultants, Health Care Professionals and key internal partners including Sales, Contracting, Provider Services, Clinical Operations, Clinical Policy and Customer Service. This role will work cross-functionally to identify new opportunities and develop and implement focused strategy to ensure clinical programs deliver superior value to customers, clients and shareholders. These activities include market analysis, identification of Medical Cost improvement opportunities, competitive assessment, and innovative problem solving.
Market responsibility includes: New York, New Jersey and Conne! cticut
LOCATION : New York or New Jersey
DUTIES AND RESPONSIBILITIES:
Supports growth and persistency through strategic collaboration with Market Leaders, Sales, and Account Management to achieve Market & Segment Sales goals. Acts as the clinical expert within the market and uses analytics coupled with clinical expertise to maximize growth with our clients.
Responsible for the achievement of superior clinical quality and market goals for total medical cost competitiveness, medical utilization trend and clinical integrity as well growth targets including, but not limited to, earnings and expense management.
Drives market growth and account retention within the Regional Segment, including specialty results and penetration, by serving as the key clinical expert with customers and producers within the assigned market.
Serves as market clinical representative in provider community, drives provider feedback back into the organization and insures clinical quality and integrity ac! hieve high standards. Collaborates with providers to instill pay-for-performance discipline and quality.
Acts as quality and statutory medical director for given market. Is viewed as credible clinical leader within the market by both internal and external partners. Owns the market from a clinical perspective.
Develops and leverages strong partnerships both externally with individual vendors, providers and c-suite relationships within major facilities and internally with matrix partners in sales, underwriting, clinical operations, medical economics, network, informatics and product to achieve market targets.
Builds and maintains strong interconnectivity with the Clinical Operations organization to ensure consistent clinical and network approach and related execution are maximized. Actively engages the Clinical Operations teams (physicians, nursing and allied health) on impact and trends of clinical operations within the specific market.
In! fluences improvement in clinical operations processes on market and/or ! functional level through the use of informatics and customer and provider feedback. Provides solutions for improvement while assuring appropriate balance between clinical quality and impact on medical costs, operational efficiency, and service to internal and external customers and providers.
Direct contributor to medical action planning and strategy development and implementation for network management and regional sales and account management. Diagnoses market specific total medical cost improvement opportunities and designs and implements interventions and solutions.
Collaborates with regional contracting and provider relations teams to optimize network performance for quality and appropriate utilization. Supports regional provider contracting staff with clinical expertise for the development and execution of contracting initiatives and negotiation of rates.
Develops and maintains the markets clinical program’s strategic direction, assesses n! ew opportunities, and leads a cross functional team to implement and/or improve programs.
Translates strategies into tactical delivery plans and monitors the execution of these plans to drive/maximize results for customers and shareholders.
Participates, where possible, in special projects as Market Facing Clinical expert to develop strategic solutions and actions focused on key business initiatives.
QUALIFICATIONS:
Active and unrestricted Medical License
Current Board Certification; primary care preferred
Minimum 5 years of clinical practice experience
At least 3 years experience in a business environment
Proven ability to function in a heavily matrixed environment
Excellent oral and written communication skills
Ability to foster collaboration, value others perspectives and gain support and buy-in for organizational proposals
Ability to drive results, think strategically an! d implement tactically
Strong relationship building and influe! ncing skills
Strong organizational and execution skills
Ability to convey complex information in an understandable way to various audiences
Strong analytical skills and problem solving skills
Demonstrated ability to effectively prioritize and manage multiple priorities simultaneously .
- .
If you were eligible to this job, please email us your resume, with salary requirements and a resume to Cigna.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Mon, 22 Apr 2013 14:21:08 GMT