Product Director, Utilization Management

5 days ago

Columbus, Ohio, United States The Cigna Group Full time
About the Role

The Vice President of EviCore UM Products will be responsible for leading the development and strategic direction of the EviCore product suite. This role will oversee the development and management of Diagnostic Solutions, conditioned-based products, and complementary capabilities such as Network Ops and Claims. The successful candidate will drive significant year-over-year revenue and profit growth for the organization, which manages 122M+ lives and engages 800K providers annually.

Key Responsibilities
  • Positioned as the leader in the organization for end-to-end ownership of the EviCore product suite.
  • Creates a positive culture that attracts, retains, and grows talent; willingness to lend talent to support initiatives across Evernorth as stretch opportunities.
  • Collaborates with Technology and Operations on efficient solution design, development, and adoption that aligns to client and provider needs.
  • Represent EviCore products in client-facing interactions, including client finalist meetings, advisory board forums, and Evernorth client and consultant conferences.
  • Develop relationships with Evernorth clients to enable an outside-in approach to development and management of solutions.
  • Lead efforts with Growth/Account Management and Client Management leadership in analyzing the market to make strategic recommendations on the solution set.
  • Accountable for the performance of the portfolio to provide aligned value to clients, patients, and providers.
  • Influence decision makers across the organization to proactively evaluate the evolving needs of EviCore UM Solutions and maintain/enhance existing products.
  • External lead to ensure product positioning is consistent with the overall organizational message.
  • Responsible for analyzing, improving, and executing the roadmap of products, capabilities, and strategic initiatives.
Requirements
  • Bachelor's degree required; MBA preferred.
  • At least 10 years of significant business/product development and/or product management experience.
  • Advanced problem-solving skills with the ability to work cross-functionally to resolve issues and generate results among potentially conflicting constituencies.
  • Embraces creativity to set a vision for the team in successful resolution of pressing issues.
  • Able to motivate and lead a team in a fast-paced and competitive environment.
  • Track record of developing new and innovative programs to address business needs.
  • Demonstrated ability to prioritize and manage a team's workload and meet project deadlines.
  • Excellent communication skills, including presentations and negotiations.
  • Able to guide a team towards specific deliverables within an environment of tight deadlines and significant pressure.
  • Ability to handle complex analysis from issue identification to proposal of potential solutions.
  • Demonstrated ability to evaluate financial data and drive action to create additional value.
  • Strong business, financial, analytical, and organizational skills.
  • Knowledge of Healthcare and PBM industry preferred.
  • Excellent customer service, technical, analytical, and communication skills required.

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