Senior Advisor, Care Model & Payment Innovation

The Cigna Group

Senior Advisor role at Cigna managing care model and payment innovation across healthcare stakeholders. Building partnerships and developing payment strategies in a hybrid working environment.

Posted 7/6/2026full-timeBloomfield • Connecticut • 🇺🇸 United StatesSenior💰 $116,200 - $193,600 per yearWebsite

About the role

Key responsibilities & impact

Build and manage a pipeline of partnership and model opportunities across pharmacy, specialty, provider, employer, and health plan stakeholders
Assess market dynamics, competitive positioning, regulatory considerations, operational feasibility, and data requirements to inform prioritization
Translate client needs and affordability opportunities into actionable innovation concepts
Identify and assess external partnership opportunities with intermediaries, high-performing providers, enablement platforms, pharmacies, pharmaceutical manufacturers, and specialty care partners
Support relationship-building strategies that strengthen Cigna Healthcare and Evernorth’s position with key market intermediaries and provider partners in support of payment and care model innovation
Contribute to partnership models that align incentives, improve outcomes, and support total cost of care management
Support development of partnership and payment models with appropriate attention to compliance, regulatory, legal, and policy considerations
Coordinate with Compliance, Legal, Data & Analytics, and business stakeholders to identify risks, constraints, required guardrails, and model assumptions early in design
Ensure innovation concepts account for manufacturer interaction requirements, pharmacy and PBM dynamics, data use considerations, and applicable market rules
Frame trade-offs and escalation needs clearly for leadership decision-making
Support the design of advanced care delivery models and payment structures across primary care, specialty care, pharmacy-enabled care, and value-based prescribing opportunities
Partner with Data & Analytics to model, evaluate, and prioritize care model and payment innovation opportunities, including opportunity sizing, target populations, performance assumptions, and evaluation metrics
Translate clinical, operational, financial, data, and market insights into structured frameworks and executive-ready recommendations
Shape pilots by defining hypotheses, target populations, stakeholder roles, metrics, and evaluation approaches
Support high-performing provider strategies that differentiate provider engagement, incentives, enablement, and performance expectations
Define strategy and roadmaps to scale successful payment and care models sustainably
Align stakeholders across pharmaceutical manufacturer strategy, pharmacies, PBMs, specialty pharmacy, providers, employers, and health plans
Translate strategy into implementation pathways, sequencing, governance needs, and execution decision points
Structure ambiguous problems and develop decision-ready recommendations for senior leaders
Synthesize inputs into clear strategic options, trade-offs, risks, and recommended next steps
Develop executive-level materials, leadership briefings, and Board-ready narratives that connect strategy, partnership value, compliance considerations, and execution readiness

Requirements

What you’ll need

Bachelor’s degree or relevant experience required; advanced degree preferred
5-7 plus years of relevant healthcare, strategy, consulting, pharmacy, managed care, provider, PBM, or life sciences experience
Experience with value-based care, alternative payment models, pharmacy strategy, specialty care, or outcomes-based contracting preferred
Strong problem-solving, stakeholder management, and executive communication skills
Ability to operate effectively across complex, matrixed, and regulated healthcare environments
Ability to partner with Data & Analytics teams to model opportunities, define assumptions, evaluate performance, and translate findings into strategic recommendations
Strategic thinking and structured problem solving
Partnership orientation and relationship-building capability
Market awareness across pharmacy, PBM, specialty pharmacy, provider, employer, and health plan stakeholders
Compliance-aware judgment and risk framing
Data-informed opportunity modeling, evaluation, and prioritization
Pipeline development and opportunity prioritization
Ability to operate in complex, cross-functional environments
Executive presence and communication
Conceiving of and executing complex projects on a clear and defined timeline

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Partnership Model DevelopmentPayment Model InnovationMarket Dynamics AssessmentRegulatory ComplianceData-Driven Decision MakingOpportunity PrioritizationStakeholder EngagementProject ExecutionStrategic Problem SolvingPerformance Evaluation

Soft Skills

Strong Problem-SolvingStakeholder ManagementRelationship BuildingStrategic ThinkingExecutive Presence