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Cigna Medical Director Jobs in Raleigh, NC (NOW HIRING)

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Clinical Educator

Raleigh, NC · On-site

Partner with Territory Managers and Regional Sales Directors to execute clinical education ... Experience in clinical education, medical device sales support, or product launches * Familiarity ...

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Cigna Medical Director information

See Raleigh, NC salary details

$12.6K

$225.9K

$347K

How much do cigna medical director jobs pay per year?

As of May 28, 2026, the average yearly pay for cigna medical director in Raleigh, NC is $225,868.00, according to ZipRecruiter salary data. Most workers in this role earn between $192,500.00 and $276,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Cigna Medical Director, and why are they important?

To thrive as a Cigna Medical Director, you need a medical degree (MD or DO), board certification, active state licensure, and extensive clinical experience. Familiarity with healthcare regulations, utilization management systems, and claims review platforms is essential, as is knowledge of industry guidelines. Strong leadership, decision-making, and communication skills help in collaborating with multidisciplinary teams and ensuring effective care management. These qualifications and skills are crucial for maintaining high standards of patient care, regulatory compliance, and operational efficiency within the organization.

How does a Cigna Medical Director typically collaborate with other departments within the organization?

As a Cigna Medical Director, you will frequently work cross-functionally with teams such as claims, utilization management, case management, and provider relations. Your role involves providing clinical expertise during case reviews, supporting policy development, and helping interpret medical necessity criteria. Effective communication and collaboration are key, as you'll often participate in interdisciplinary meetings to ensure quality care for members while balancing organizational policies and regulatory requirements.

What is a Cigna Medical Director?

A Cigna Medical Director is a licensed physician who provides clinical leadership and oversight within the Cigna healthcare organization. Their responsibilities typically include reviewing medical claims, developing clinical policies, ensuring compliance with healthcare regulations, and supporting quality improvement initiatives. They collaborate with healthcare providers, members, and internal teams to ensure that medical decisions align with evidence-based guidelines and Cigna’s standards. Medical Directors also play a key role in utilization management, case reviews, and may participate in appeals and grievance processes. Their work helps ensure that members receive appropriate, high-quality, and cost-effective care.
What job categories do people searching Cigna Medical Director jobs in Raleigh, NC look for? The top searched job categories for Cigna Medical Director jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Cigna Medical Director jobs? Cities near Raleigh, NC with the most Cigna Medical Director job openings:
Cigna Medical Director jobs near you
Infographic showing various Cigna Medical Director job openings in Raleigh, NC as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $225,868 per year, or $108.6 per hour.
Data Science Senior Advisor (Pricing & Underwriting) - Remote

Data Science Senior Advisor (Pricing & Underwriting) - Remote

Cigna

Raleigh, NC • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 215 frontline employees who took The Breakroom Quiz

33rd of 864 rated healthcare providers

Job description

Summary

Using your knowledge of statistics, healthcare, and ML / AI you will build models to help identify opportunities for our pricing and underwriting partners. You will perform feature engineering, model development, and model monitoring / maintenance using a broad range of medical, prescription drug, utilization management, and third-party data. In this role you will work closely with leadership, data scientists, business stakeholders and engineering partners to deliver robust well-documented deliverables that will enhance our competitive position in the marketplace.

Responsibilities

  • Contribute to the development of comprehensive analytics that facilitate best in class pricing and underwriting

  • Execute special projects that can improve Commercial Healthcare underwriting

  • Utilize data science and advanced analytics to create actionable insights and recommendations for business leaders to advance Cigna's strategic objectives

  • Regularly communicate work with business stakeholders and senior leadership

  • Stay up to date on latest analytic tools and techniques and strategize how to leverage these tools to modernize our pricing/UW organizations

  • Ensure solutions drive long term value while also ensuring they can integrate with current processes

  • Test & Learn Pilots: collaborate with business leaders to design, launch and measure robust pilots to test new solutions

  • Develop models that foster underwriting and actuarial advancement by aligning business problems to a potential solution like GLMs, Machine Learning, Clustering, LLMs or other advanced techniques

Qualifications:

  • 5+ years direct Data Science experience in a healthcare related environment

  • Strong background in stats, ML and model development

  • Experience deploying ML/predictive models to prod/cloud env't

  • Strong skills with Python, SQL, Git, Keras and TensorFlow

  • Knowledge of common health care data e.g., claims, EHR, laboratory data

  • Experience with best programming practices and writes clean, documented, and well-structured code

  • Ability to peer review

  • Champions a culture of documentation and logging

  • Ability to own a project end-to-end e.g., scoping, ideation, dev, prod

  • Ability to independently deliver clear and well developed presentations for both technical and business audiences

  • Ability to create DS-specific project goals associated within high level project deliverables

  • Ability to articulate timeline changes, rationale, and goals to meet deadlines moving forward

  • Prefer MS or PhD in STEM related fields


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 131,200 - 218,600 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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