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Jeremy Wigginton, MD, MBA, FAAFP

Chief Medical Officer, Capital Blue Cross

Dr. Jeremy Wigginton, Chief Medical Officer for Capital Blue Cross, is an experienced leader focusing on a team-based approach to solve complex healthcare industry problems through Lean principles. He is responsible for strategy and clinical leadership of Capital Blue Cross’ Member Health and Wellness department and aligning clinical direction with the overall goals and market needs of the organization.

Dr. Wigginton is accountable for clinical programming across all lines of business, including oversight of utilization management, medical policy and coding, total cost of care, employer group clinical engagement & consultation, value-based program design, as well as leading efforts to provide cross-departmental clinical support. He works closely within a matrix to support additional clinical functions including accreditation, population analytics, healthcare data exchange, network & provider contracting, and care management.

Prior to joining Capital Blue Cross in 2023, Dr. Wigginton served as Vice President of Health Quality and Innovation at Blue Cross and Blue Shield of Louisiana and led multiple areas focused on analytics, innovation, healthcare affordability, quality, health plan operations, and performance improvement. He received his medical degree from the University of Mississippi School of Medicine, holds an MBA, and has received certifications in health quality, self-funded insurance, and is a lean six sigma black belt. Dr. Wigginton is a fellow of the American Academy of Family Physicians and practiced Family Medicine with varying administrative and academic roles in both Mississippi and Louisiana prior to beginning his career in the health plan industry.