Chief Medical Officer Utilization Management

Are you a passionate and experienced healthcare leader looking for a new challenge? Cigna is seeking a Chief Medical Officer (CMO) for our Utilization Management team. In this role, you will play a critical role in ensuring the effective and efficient utilization of medical resources while maintaining quality of care for our members. We are looking for a driven individual with strong clinical expertise, strategic thinking, and excellent leadership skills to join our team. If you are ready to make a difference in the lives of our members and drive positive change in the healthcare industry, we want to hear from you.

1. Develop and implement effective utilization management strategies in order to maximize the efficient use of medical resources and maintain quality of care for Cigna members.
2. Provide strategic direction and leadership to the Utilization Management team in order to achieve operational and financial goals.
3. Collaborate with other leaders and stakeholders within Cigna to ensure alignment and integration of Utilization Management initiatives with overall business objectives.
4. Monitor and analyze utilization trends and data to identify opportunities for improvement and cost savings.
5. Develop and maintain relationships with key external partners, such as providers and healthcare organizations, to support effective utilization management.
6. Stay up-to-date with industry trends, regulations, and best practices related to utilization management and healthcare delivery.
7. Guide and mentor team members, providing support and guidance to help them achieve their professional development goals.
8. Work closely with the Cigna Medical Director team to ensure clinical guidelines and protocols are evidence-based and regularly reviewed and updated.
9. Participate in cross-functional teams and projects to support innovation and continuous improvement in the utilization management process.
10. Foster a culture of collaboration, transparency, and accountability within the Utilization Management team.
11. Represent Cigna as a thought leader and subject matter expert in utilization management at conferences, industry events, and with external stakeholders.
12. Oversee and manage the budget and resources for the Utilization Management team.
13. Ensure compliance with all relevant laws, regulations, and corporate policies related to utilization management.
14. Act as a liaison between the Utilization Management team and other departments within Cigna, promoting effective communication and collaboration.
15. Continuously evaluate and improve processes and workflows to drive efficiency and effectiveness in utilization management.

According to JobzMall, the average salary range for a Chief Medical Officer Utilization Management in Bloomfield, CT, USA is $193,000 - $274,000 per year. This may vary depending on the specific responsibilities, experience, and qualifications of the individual in the role.

Cigna Corp. provides medical, dental, disability, life and accident insurance and related products and services to businesses, governmental and non-governmental organizations and individuals. It operates through following segments: Global Health Care; Global Supplemental Benefits; Group Disability and Life; Other Operations; and Corporate.