Medical Director, Clinical Strategy & AI Solutions

The Cigna Group; Bloomfield (CT); Hybrid; USD 213,000 - 354,000; Full time

Job summary

The Cigna Group is seeking a Medical Director Clinical Strategy to shape and execute care strategies for high-risk members. The role collaborates across Clinical, Product, Strategy, Technology, Data, Operations, Pharmacy, Finance, and market teams to identify opportunities and deliver measurable impact.

The ideal candidate blends clinical insight, business acumen, analytics, and digital fluency to advance AI-enabled care models, clinical programs, and value-based initiatives.

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 execution from concept through adoption and outcomes.
• Strong business and/or consulting experience with ability to structure problems and translate strategy into action.
• Experience using analytics and performance insights to identify opportunities and guide decisions.
• Ability to influence stakeholders and drive cross-functional collaboration.
• Digital and AI fluency for developing AI-enabled clinical solutions.

Responsibilities

• Support development and execution of strategy for high-risk and complex care needs.
• Translate clinical and business priorities into strategic roadmaps and measurable goals.
• Lead design of scalable clinical programs for high-risk populations.
• Lead development of digital and AI-enabled solutions for high-risk members.
• Partner with Product, Technology, Data, and Clinical teams to identify priority use cases.
• Use data and trends to prioritize initiatives.
• Improve case management and care models.
• Develop performance measurement frameworks with KPIs.
• Drive process and operating model improvements for scalability.
• Align stakeholders to drive better outcomes.
• Prepare executive-ready strategy documents and recommendations.
• Lead cross-functional teams through complex initiatives.
• Provide outside-in perspective on digital health, AI-enabled care, oncology, and related areas.

Skills

Medical license

Board certification

Clinical practice

Strategy development

Clinical program execution

Business/consulting experience

Analytics & data insights

Executive communication

Digital health & AI fluency

Job description

The Cigna Group is seeking a Medical Director Clinical Strategy to shape and execute care strategies for high-risk members. The role collaborates across Clinical, Product, Strategy, Technology, Data, Operations, Pharmacy, Finance, and market teams to identify opportunities and deliver measurable impact.

The ideal candidate blends clinical insight, business acumen, analytics, and digital fluency to advance AI-enabled care models, clinical programs, and value-based initiatives.