Vice President Model Risk Management Jobs in Springfield, MA

POSITION OVERVIEW

Reporting directly to the SVP, Pharmacy and Care Delivery Technology, the VP of Pharmacy+Technology Transformationshapes how Pharmacy+ competes, scales, and innovates,transforming technology into a strategic growth engine powered by AI-first, agentic workflows and experience-led platforms.

This role will leadboth the delivery of current Pharmacy capabilitiessuch asAccredo, Home DeliveryandESSDS,andthe NextGen "Pharmacy of the Future" strategy,integrating clinical, operational, and patient/provider experience.Operating with enterprise-level influence, this leader builds a resilient, compliant, globally scalable technology foundation supporting specialty, home delivery, and health system pharmacy growth across the US, Ireland, and Hyderabad.

The Vice President of Pharmacy+ Technology Transformation is expected to be asenior leaderwhotransforms the Pharmacy technology organization into an AI-first, outcome-driven engine. This includestranslating business priorities into investment and delivery, maintaining transparent total cost of ownership across Portfolio/Change/Run while driving year-over-year reduction, and championing security, cyber risk management, audit/compliance, and business continuity (BCP) to scale safely and sustainably.

RESPONSIBILITIES:

• Provide executive leadership presence with key Pharmacy leaders to maintain tight strategicalignment, anddefine a multiyear technology vision and roadmap to deliver the Pharmacy of the Future, integrating AI, digital, platform, and core pharmacy systems.

• Lead the evolution to AI-first, cloud-first, and agentic architectures starting with Pharmacy-owning strategy and delivery of the "NextGen Pharmacy" pillars including agentic orchestration, decision intelligence, and human-in-the-loop execution models that improve speed, quality, and cost while maintaining safety and compliance.

• Create & deliver new solutions by helping partners to see the art-of-the-possible and influencing the change needed to execute and deliver successfully.

• Reset how teams work by shifting from project-centric delivery to outcome-driven, product and capability-oriented operating models with clear ownership and measurable results.

• Improve delivery predictability, engineering productivity, and time-to-value across large, distributed teams-while ensuring technology delivery supports both core operations and future-state transformation.

• Drive "Lead to One" execution by aligning org design, funding models, metrics, and incentives to enterprise and Pharmacy outcomes-reducing duplication and prioritizing shared capabilities over siloed solutions.

• Maintain transparent TCO across Portfolio, Change, and Run; continuously surface actionable insights, make tough calls, and influence decisions that reduce TCO and the overallopexprofile year over year.

• Own delivery discipline at scale: in partnership with peers, balance innovation with reliability, compliance, and operational excellence across an approximately~1,500 (and growing)globalresource Pharmacy+ and Care Delivery technology footprint.

• Partner closely with Architecture, AI EO, Infrastructure, Security, Operations, and peer technology leaders to ensure alignment, clear handoffs, and sustainable execution.

• Integrate patient and provider experience (digital, voice, and contact center) into the core AI pharmacy architecture-ensuring experiences are context-aware, stateful, and adaptive.

• Develop and lead a world-class global workforce (US, Ireland, Hyderabad) with strong talent mobility, and succession depth thatfosters a culture of accountability, learning, innovation, and collaboration.

Qualifications:

• Bachelor's degreerequired; aMaster'sdegree is preferred.

• 15+ years of senior technology leadershipexperience inlarge, complex healthcare and/or other highly regulated environments.

• Ability to apply knowledge of the healthcare landscape to achieve strategic goals, including capability development and recommendations for partnerships or M&A.

• Proven leadershipdriving innovation and transformation in technology systems for healthcare companies, prepared to lead aglobal matrixorganization of approx. 1,500 resources

• Experience integrating digital, voice, and contact center capabilities into core healthcare or pharmacy platforms to deliver consistent, safe, scalable experiences across global delivery teams.

• Proven track record in leadinglarge-scale IT initiatives, preferably inhealthcare systems, orinsurance technologyenvironments.

• Skilled at explaining technical concepts to non-technical audiences, influencing stakeholders, vendors, and clients.

• Experience in recruiting, motivating, and developing technologyteamsglobally.

• Experiencebuilding relationships, engaging with and shaping the perspectives of internal business partners, supporting organizations (Infrastructure, CIP, Digital, contact center) and key external customers to gain support on key issues and/or create a favorable business environment.

• Vendor management experience, especially with healthcare and PBM technology vendors, to manage partnerships and contracts.

Technical Skills:

• Experience withdata management and analytics platforms, especially in the context of healthcare data.

• Familiarity withcloud computingandmodern ITarchitectures.

• Knowledge ofmachine learning, AI, and data analyticsin optimizing PBM processes.

• Expertise inintegration ofPharmacytechnologywith insurance carriers, healthcare providers, and other stakeholders in the healthcare ecosystem.

• Understanding ofsoftware development methodologies(Agile, DevOps) andsystems integrationin healthcare environments.

Leadership and Management Skills:

• Proven leadershipin driving innovation and transformation in technology systems forhealthcare companies.

• Ability tocommunicate technical conceptseffectively to non-technical stakeholders.

• Strongproblem-solving skills, especially in the context of integrating PBM services and technology.

• Capable of overseeinglarge, cross-functional teamsincluding developers, engineers, data analysts, and healthcare professionals.

• Skilled in managingbudgets, timelines, and resourcesfor large-scale IT projects.

• Ability to balance business needs withtechnology innovation, ensuring scalability and efficiency of PBM systems.

Regulatory and Industry Knowledge:

• In-depth understanding ofpharmaceutical and healthcare regulations(HIPAA, Affordable Care Act, CMS regulations, etc.).

• Knowledge ofdrug pricing strategies, formulary design, and trends in pharmaceutical management.

• Familiarity withhealthcare interoperability standardslike HL7, FHIR, and NCPDP.

Critical Leadership Competencies:

• Drives Vision and Purpose- Articulates a compelling vision of the positive impact the organization can make

• Innovation- creating better ways for the organization to be successful in ahighly-complexenvironment

• Drives Results- Pushes team and cross functional partners to deliver needed results in tough circumstances and expedited timelines

• Builds Effective Teams- Builds strong identity teams that apply their diverse skills and perspectives to achieve common goals

• Action Oriented- Takes on tough challenges with sense of urgency, high energy, and enthusiasm

• Decision Quality- Makes sound and timely decisions to keep work moving forward

• Directs Work- Provides direction to direct reports and cross functional teams and removes barriers to getting work done

• Manages Complexity- Makessense of complex and sometimes contradictory information to effectively solve problems

• Manages Ambiguity- Operates effectively and drives work forward even when things are not certain or there is no clear way forward

• Balances Stakeholders- Anticipates and balances the needs of multiple stakeholders across Health Services and Enterprise

• Collaborates- Quickly builds partnerships and works collaboratively with others to ensure progress

• Courage- Steps up to address difficult issues and says what needs to be said

• Instills Trust- Quickly gains confidence and trust of others through honesty, integrity, and authenticity

• Communicates Effectively- Develops and delivers multi-mode communications that convey a clear message and adapts to multiple audiences
• Situational Adaptability- Adapts approach and demeanor in real time to match the shifting demands of different situations

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 276,400 - 414,600 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 and long term incentive 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.