by Stephani Simmons
April 7, 2017
Chief Medical Officer, Behavioral Health,
Dr. Doug Nemecek is the chief medical liaison for behavioral health integration, quality and clinical operations. He helps ensure network access and availability, patient safety, compliance with clinical guidelines, customer and provider satisfaction, and utilization management. Additionally, he works directly with customers and clients to mold operations and provides clinical expertise in new and existing behavioral health and integrated program development. Dr. Nemecek also leads Cigna’s national Coverage Policy team, responsible for developing policies and tools that are used to interpret standard medical, behavioral, and pharmacy benefit plan provisions. Additionally, he helps to coordinate Cigna’s national medical cost trend analysis and initiatives to address major medical cost drivers for our clients.
Since joining Cigna, Dr. Nemecek has helped establish workflows, protocols, and collaborative procedures to create a unified medical management team across the company. He leads Cigna’s initiatives and provides thought leadership to key issues such as the national opioid epidemic, and loneliness. Additionally, he continues to develop unique relationships with our network providers to ensure our customers and providers achieve the best possible total health outcomes.
Prior to joining Cigna, Dr. Nemecek served as Executive Medical Director for Allina Behavioral Health Services in Minneapolis, overseeing five outpatient clinics and four inpatient mental health units with over 80 mental health providers. He also has 10 years of clinical experience with an inpatient and outpatient psychiatric practice in Minneapolis.
Dr. Nemecek received his M.D. and completed his psychiatric residency at Washington University in St. Louis in 1993. He is recognized as a Distinguished Fellow with the American Psychiatric Association, is board certified by the America Board of Quality Assurance and Utilization Review Physicians and holds an M.B.A. from the University of St. Thomas in Minneapolis. Dr. Nemecek currently serves as the Chair for the Board of the Association for Behavioral Health and Wellness. He also serves on the Scientific Board for Shatterproof, a national non-profit organization dedicated to ending the devastation that addiction causes families.