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Cigna Healthcare

20 open positions available

5 locations
1 employment type
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Full-time

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Account Manager, VHUB - Verity Solutions - Remote

Cigna HealthcareAnywhereFull-time
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Compensation$63K - 105K a year

Build and maintain strategic relationships with pharmacy accounts, analyze program performance, and collaborate across teams for process improvements. | 3+ years in customer support, technical support, or SaaS account management, with data analysis skills and strong communication. | VHUB Account Manager Join Verity Solutions as a VHUB Account Manager and help transform healthcare savings. You will build strong partnerships with pharmacies, optimize 340B programs, and deliver measurable outcomes that improve compliance and financial performance. Responsibilities Develop and maintain strategic relationships with assigned pharmacy accounts to maximize 340B program success. Serve as a trusted advisor by analyzing program performance and providing actionable insights. Lead business reviews and training sessions to ensure clients achieve measurable results. Collaborate across teams to resolve data anomalies and implement process improvements. Monitor key metrics and proactively identify opportunities for growth and optimization. Champion Verity Solutions’ values through positive, solution-oriented interactions with stakeholders. Required Qualifications 3+ years of experience in customer support, technical support, or SaaS account management preferred Proven ability to analyze data and communicate insights effectively. Strong verbal and written communication skills, including experience managing challenging conversations. Proficiency with Microsoft Office tools, especially Excel. Ability to manage multiple priorities in a fast-paced environment with a proactive mindset. Preferred Qualifications Bachelor’s degree in Business or related field preferred Experience in pharmacy operations or 340B program management. Familiarity with SaaS platforms and continuous learning of new software features. 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 62,700 - 104,500 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 Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Data analysis
Customer support
Technical support
SaaS platform familiarity
Communication skills
Direct Apply
Posted 6 days ago
Cigna Healthcare

Vice President, Clinical Transformation & Quality- Evernorth

Cigna HealthcareAnywhereFull-time
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Compensation$Not specified

Leading enterprise-wide clinical transformation and quality improvement initiatives to enhance care delivery, patient outcomes, and operational efficiency. | Requires a PharmD or B.S. in Pharmacy with at least 10 years of pharmacy experience, proven leadership in clinical transformation, and compliance certification or residency training. | As the Vice President of Clinical Transformation & Quality, you will lead enterprise-wide initiatives that strengthen clinical performance, enhance care delivery models, and elevate quality standards across the infusion and specialty pharmacy business lines. You will champion innovation, guide interdisciplinary teams, and develop scalable strategies that improve patient outcomes, operational efficiency, and organizational growth. Your leadership will ensure CarepathRx remains a forward-thinking, patient-centered, and quality-driven organization. Responsibilities • Lead clinical transformation strategies that advance care delivery and improve patient outcomes. • Identify and implement innovative practices that strengthen clinical quality, safety, and operational effectiveness. • Oversee quality improvement programs, including metric development, data analysis, benchmarking, and performance reporting. • Drive continuous improvement through evidence-based practices and cross-functional collaboration. • Ensure adherence to accreditation standards and regulatory requirements across all clinical operations. • Partner with legal, compliance, and risk teams to proactively address regulatory needs and support clinical integrity. • Provide strategic guidance to clinical leaders and interdisciplinary teams. • Foster a culture of accountability, collaboration, learning, and professional development. • Support growth and marketing teams by aligning clinical strategies with brand objectives and market initiatives. • Offer clinical insight for marketing content, service line development, and external engagements. • Represent the organization in industry forums, regulatory discussions, and community leadership initiatives. • Evaluate, recommend, and support emerging technologies that improve clinical workflows and digital health integration. • Review and enhance best practices in home infusion and specialty pharmacy to strengthen compliance and operational efficiency. • Contribute to policy and procedure development and ongoing refinement. • Provide problem resolution and ongoing oversight that supports partner relations and experience. • Guide system selection, configuration, and optimization for pharmacy information systems. • Lead process improvement initiatives that elevate service quality and operational excellence. • Educate and mentor PharmD students, PGY1 residents, and clinical staff as needed. • Perform additional responsibilities as assigned. Required Qualifications • B.S. or PharmD degree from an accredited School of Pharmacy. • Minimum 10 years of pharmacy experience. • Proven experience leading clinical transformation initiatives and interdisciplinary teams. • Experience working within complex health systems or integrated care networks. • Compliance certification or residency training. Preferred Qualifications • Master of Health Administration or related graduate degree. • 3+ years of specialty or home infusion experience. • 3–5 years of management experience. • Experience with digital health tools, EHR systems, and clinical analytics. 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. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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.

Healthcare Executive Leadership
Strategic Planning
Operational Transformation
Financial Oversight
Cross-Organizational Collaboration
Verified Source
Posted 12 days ago
Cigna Healthcare

[Remote] Business Analyst- Evernorth

Cigna HealthcareAnywhereFull-time
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Compensation$70K - 90K a year

Transform complex data into insights, develop dashboards, and collaborate with teams to improve business processes. | Proficiency in Power BI, Excel, SQL, and experience in data analysis and reporting, with strong communication skills. | Note: The job is a remote job and is open to candidates in USA. Cigna Healthcare is dedicated to improving health and vitality through its divisions, including Evernorth Health Services. The Business Analyst will transform complex data into insights to guide strategic decisions, collaborating across teams and delivering reporting tools to support organizational growth. Responsibilities • Collaborate with IT, Finance, and Business Administration to understand key performance drivers and incorporate reporting needs into projects • Promote a collaborative, customer-focused approach when partnering with internal and external stakeholders • Work with sales and operations teams to evaluate business processes and recommend improvements • Create executive-level presentation materials summarizing project findings and key metrics • Extract, analyze, and interpret operational and financial datasets to identify trends and root-cause drivers • Prepare accurate reporting metrics and ensure timely delivery of scheduled reports • Develop, maintain, and deploy Power BI dashboards supporting operational and sales teams • Reconcile data across systems and identify discrepancies to improve reporting accuracy Skills • Bachelor's degree in Information Systems, Computer Science, Finance, Economics, or related field • Advanced Excel and Power BI skills • Proficiency with Microsoft Office, including spreadsheet applications • SQL skills • Ability to interpret complex data and present insights for executive audiences • Strong communication, analytical, and problem‑solving skills • Ability to manage multiple projects independently • Experience collaborating with cross-functional teams Benefits • Medical • Vision • Dental • Well-being and behavioral health programs • 401(k) • Company paid life insurance • Tuition reimbursement • A minimum of 18 days of paid time off per year • Paid holidays Company Overview • We are a health benefits provider that advocates for better health through every stage of life. It was founded in 1982, and is headquartered in Bloomfield, CT, US, with a workforce of 10001+ employees. Its website is http://www.cigna.com. Company H1B Sponsorship • Cigna Healthcare has a track record of offering H1B sponsorships, with 338 in 2025, 335 in 2024, 324 in 2023. Please note that this does not guarantee sponsorship for this specific role.

Power BI
Data Analysis
Excel
Cross-Functional Collaboration
Reporting and Dashboard Development
Verified Source
Posted 12 days ago
CH

Product Management & Implementation Principal – Evernorth - Remote (Coverage Review Organization)

Cigna HealthcareAnywhereFull-time
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Compensation$142K - 236K a year

Lead strategic product development and implementation for pharmacy and medical benefit management, ensuring operational excellence and client satisfaction. | Extensive experience in pharmacy benefit management, product lifecycle management, compliance standards, and stakeholder engagement, with a relevant healthcare or pharmacy background. | The Principal roles leads strategic product development and innovation for the Coverage Review Organization (CRO), driving execution of coverage review solutions across pharmacy and medical benefit management. This role blends product management and implementation strategy to deliver seamless experiences for health plan partners and members, ensuring compliance, operational excellence, and client satisfaction. The position influences enterprise transformation, staying ahead of market trends, regulatory changes, and technology to maintain competitive, innovative strategies. It requires close collaboration with Pharmacy Benefit Services (PBS) product and clinical teams to co-create solutions, integrate clinical insights, and ensure excellence throughout the product lifecycle. Key Responsibilities Define and execute product vision, strategy, and roadmap aligned with enterprise objectives and regulatory requirements. Lead and support the end-to-end product lifecycle activities, including ideation, design, enhancements, and performance monitoring. Utilize market insights, client feedback, and operational data to inform product innovation and continuous improvement. Establish success metrics and KPIs for product performance and refine based on outcomes. Oversee implementation of new products and enhancements across CRO, ensuring readiness of systems, workflows, and teams. Develop structured implementation plans integrating compliance standards and client-specific requirements. Partner with cross-functional teams (Operations, IT, Compliance, Clinical) to ensure timely and accurate delivery of solutions. Serve as the primary escalation point for client readiness issues, driving resolution and maintaining strong relationships. Influence long-term product roadmap decisions impacting pharmacy and medical drug authorization processes. Represent CRO in enterprise forums, advocating for operational needs and client priorities. Stay abreast of industry trends, emerging technologies, and best practices. Conduct competitive analysis to ensure products are differentiated and deliver maximum value. Qualifications Bachelor’s degree in Pharmacy, Pharm.D. preferred, with current active U.S. Pharmacist License Minimum of 10+ years in product management, client implementation and operations leadership within pharmacy benefit management. Experience in Regulated Markets/CMS/Medicare/Medicaid Proven track record of delivering complex product solutions and driving operational readiness at scale. Strong knowledge of pharmacy and medical drug authorization processes, compliance standards, and payer/provider dynamics. Exceptional leadership, communication, and stakeholder management skills. 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 141,500 - 235,900 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Product Management
Client Implementation
Operations Leadership
Stakeholder Management
Regulatory Compliance
Direct Apply
Posted 14 days ago
CH

Business Architect, Operations Senior Advisor - Cigna Healthcare - Remote

Cigna HealthcareAnywhereFull-time
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Compensation$114K - 189K a year

Lead strategic initiatives to optimize EHR systems and healthcare utilization management, collaborating with IT and clinical teams, and ensuring compliance. | Requires 5+ years in program management or business analysis, healthcare insurance experience, and hands-on experience with EHR platforms like Epic or Cerner. | Senior Program Manager (Business Architect) We are seeking a dynamic healthcare professional to drive innovation in utilization management (UM) and Electronic Health Record (EHR) strategy. A key focus of this role is the implementation and optimization of EHR platforms to enable bi-directional data exchange and support Cigna’s strategic business objectives. As Senior Program Manager (Business Architect), you will lead project work and strategic decision-making to lower costs, mobilize EHR data with providers, and ensure compliance with privacy and security standards. Your responsibilities span defining strategic intent, building business cases, collaborating with IT and clinical teams, developing go-to-market strategies, and educating delivery teams on capability needs. Key Responsibilities: Define strategic intent, scope, product strategy, risks, and benefits in collaboration with matrix partners. Build lean business cases by partnering with multiple stakeholders across the organization. Specify operating models and clarify business functions for solution delivery. Assess existing capabilities and gather requirements for new capabilities. Facilitate cost estimation process and identify operational impacts. Develop Go-To-Market strategies: pricing, performance guarantees, client elections, marketing, reporting, and timing. Facilitate leadership decisions to rank new opportunities against an existing prioritized backlog. Educate delivery teams on strategic intent, scope, and capability needs. Stay engaged in execution to ensure strategic intent is achieved; assist in facilitating decisions and resolving key issues/risks. Monitor timeliness of execution and value realization along the targeted benefits schedule. EHR Platform-Specific Responsibilities: Lead integration and optimization efforts for Epic Payer Platform and other EHR systems. Collaborate with IT and clinical teams to ensure seamless data exchange between payer and provider systems. Analyze workflows and recommend improvement opportunities across the enterprise by leveraging EHR capabilities. Oversee implementation of new features or modules within EHR platforms to meet business requirements. Ensure compliance with data privacy and security standards during implementation. Train and support stakeholders on EHR platform functionalities relevant to payer operations. Partner with business leads to monitor project performance and troubleshoot issues. Qualifications & Competencies: Bachelor’s degree required; master’s degree (MBA, MHA, MPH) preferred. 5+ years’ experience as a Program Manager, Business Analyst or Business Architect. Healthcare insurance experience is highly preferred. Demonstrated hands-on experience with Electronic Health Records (EHR) platforms like Epic, Oracle Cerner, Athena, etc. highly preferred. Experience implementing clinical programs (utilization management, level/site of care). Experience with process modeling tools (IBM Blueworks Live, MS Visio). Agile/Project Management certification (PMI, CSM, SAFe) or Six Sigma preferred. Proficient in Microsoft Office. Strong business acumen and ability to quickly learn new business areas. Excellent verbal, written, and presentation skills. Ability to lead and influence in direct and matrixed environments. Self-directed, results-driven, and comfortable with ambiguity and change. Some travel required (10%). 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 113,600 - 189,300 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 Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Process Improvement
Data Analytics
Workflow Optimization
Business Intelligence
Stakeholder Engagement
Direct Apply
Posted 15 days ago
CH

Legal Compliance Senior Manager - Express Scripts - Remote

Cigna HealthcareAnywhereFull-time
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Compensation$127K - 211K a year

Lead a team responsible for pharmacy licensure compliance, manage regulatory reporting, and collaborate with internal and external partners. | Bachelor's degree, 8+ years of relevant experience in regulatory/compliance roles, prior people management experience, and knowledge of pharmacy processes. | Leads team of Analysts with full responsibility for team output including compliance to licensure regulations and associated reporting activity. Implements protocols for license management and record keeping regarding healthcare licensure requirements. Provides guidance to team on impact of regulatory changes may affect licensure and documentation. Ensures short to medium term outputs are timely and accurate while also planning for long term outputs. Manages workforce planning and recruitment activities. Serves as a point of escalation for the team and ensures that regulatory information is communicated to all team members. Internally interfaces with Pharmacy Compliance, State Regulatory Affairs, Pharmacy Practice, Accreditations, the Office of the Corporate Secretary and other teams. Collaborates with business partners on pharmacy projects impacting licensure and insures that related material changes are reported appropriately. Manages licensure projects related to material changes. Provides input to corporate projects with impact on pharmacy licensure. Externally interfaces with appropriate regulatory agencies. Experience: Manage a team of 2 Analysts responsible for pharmacy licensure and reports Ensure that all required filings and renewals are timely Develop customized reports that meet business needs related to pharmacy licensure Update and maintain, and ensure team updates and maintains, current information in applicable internal databases and tracking tools. Ensure consistent use of the tools and implement improvements to support Enterprise Compliance goals and priorities. Provide input to enterprise projects that impact licensure. Develop and maintain strong working relationships with internal partners including Government Affairs, Regulatory, Pharmacy Compliance, Pharmacy Practice, Accreditations, etc. Develop and maintain good working relationships with external regulatory points of contact Develop and maintain a strong working knowledge of Cigna's pharmacies and license requirements Draft team policies and procedures and ensure P&Ps remain current Maintain license discipline records and manage responses and notifications as applicable Manage quality of the team’s output, including addressing data errors and providing quality checks Assess compliance risk issues within organization, take appropriate actions to resolve, and escalate issues when necessary. Qualifications: Bachelor’s Degree or equivalent with 8 plus years of relevant experience required. Must have regulatory/compliance experience and understand home delivery and specialty pharmacy processes. Prior people management experience is required. Possesses strong analytical, problem solving, research and organizational skills. Proven ability to innovate. Experience working in a large, highly matrixed organization. Strong decision-making skills. Demonstrated strong sense of urgency and perseverance. Demonstrated ability to multi-task and reprioritize deliverables independently. 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 126,800 - 211,400 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Regulatory compliance
Team management
Licensure and licensing regulations
Data analysis and reporting
Stakeholder engagement
Direct Apply
Posted 20 days ago
CH

Client Account Support Analyst - Cigna Healthcare - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$48K - 73K a year

Supporting sales commission processes, analyzing data, resolving discrepancies, and collaborating with teams. | Proficiency in Microsoft Office, strong organizational and analytical skills, ability to work independently, and a bachelor's degree. | This is a full-time remote position. The work schedule is Monday- Friday with an 8-hour CST dayshift during business hours. Candidates must be flexible to work outside of these hours to accommodate business needs. Position Summary The Sales Commission Analyst plays a critical role in supporting the U3000 Business Operations Team by ensuring accurate and timely processing of sales commissions. This position manages key workflows such as CBAF/CAF submissions, commission analysis, and issue resolution. The role requires strong analytical skills, attention to detail, and the ability to work independently while collaborating with internal teams and external broker partners. Key Responsibilities Commission Management Own creation and submission of CBAF/CAF and keep sales teams informed on processing status and issues. Analyze commission processes and identify opportunities for improvement. Audit broker and commission information, resolve any discrepancies promptly. Broker & Sales Support Serve as the primary contact for sales and broker commission inquiries. Build strong relationships with sales and commission partners. Proactively follow up on missing or incomplete information. Process & Compliance Ensure accuracy and completeness of paperwork for new business, renewals and broker of record changes. Monitor sales timelines and maintain compliance with internal as well as state insurance standards. Maintain detailed documentation in various systems. Collaboration & Continuous Improvement Act as a resource for managers and team members on special projects. Support departmental initiatives and participate in training for new systems. Recommend process improvements and adapt to changing priorities. Qualifications Required Proficiency in Microsoft Outlook, Word, and Excel. Strong organizational, communication, and problem-solving skills. Ability to work independently and meet tight deadlines. Attention to detail and analytical thinking. Preferred Knowledge of Cigna systems (Sircon, SFDC, CIT, CFE). Experience with DocuSign and reporting tools. Bachelor’s degree. Why Join Us? This role offers the opportunity to make a direct impact on sales operations and client satisfaction. You’ll work in a dynamic environment, collaborate with cross-functional teams, and contribute to process improvements that drive business success. 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 hourly rate of 23 - 35 USD / hourly, 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 Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Microsoft Excel
Microsoft Outlook
Microsoft Word
Analytical skills
Attention to detail
Problem-solving
Communication
Direct Apply
Posted 21 days ago
CH

Growth Lead (Senior Advisor) – Cigna Global Health Benefits Americas - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$125K - 208K a year

Develop and execute growth initiatives and strategies for the Americas region, collaborating with cross-functional teams. | 8+ years in growth strategy, business development, or related roles, with strong analytical and leadership skills. | The Growth Lead for Global Health Benefits (GHB) Americas is a senior advisor responsible for identifying, developing, and executing growth initiatives across the Americas region. This strategic role partners with cross-functional teams to drive profitable expansion in targeted geographies and customer segments, ensuring alignment with organizational objectives and market opportunities. The Growth Lead provides expert insights to strategic planning, leverages market research and analysis, and translates growth strategies into actionable business and marketing plans. Scope Drives growth initiatives impacting the Americas region, with influence across commercial, product, marketing, and operational teams. Collaborates with senior leadership and matrix partners to align resources and efforts around targeted growth strategies. Supports the execution of new product launches, market expansion, channel development, and other growth-related initiatives. Responsibilities Identify and prioritize growth opportunities in the Americas, including market expansion, product diversification, channel optimization, and other growth prospects. Lead the execution of strategic initiatives, partnering with commercial and all key stakeholder teams to deliver results. Conduct market research, competitive analysis, and customer insights to inform growth strategies. Develop and track action plans to ensure achievement of growth objectives. Support the annual strategic planning process, providing data-driven recommendations and scenario modeling. Foster strong relationships with internal and external stakeholders to influence sales, retention, and product strategies. Monitor and report on performance metrics, identifying opportunities for continuous improvement. Represent GHB Americas in cross-functional and external forums as needed. Requirements Bachelor’s degree in Business, Marketing, or related field required; Master’s preferred. 8+ years’ experience in growth strategy, business development, or related roles within global healthcare or insurance. Demonstrated ability to develop and execute growth strategies across market segments of varied size, maturity and specialty. Previous success leveraging commercial insights and removing barriers to entry in new markets and/or with customers who are detractors Strong analytical, strategic thinking, and organizational skills. Excellent communication, relationship management, and negotiation skills. Proven ability to inspire cross-functional teams and influence at all levels within an organization. Customer-focused mindset with a track record of delivering revenue results. 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 124,900 - 208,100 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 Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

CRM
Lifecycle Marketing
Email Campaigns
Data Analytics
Segmentation
Direct Apply
Posted 21 days ago
CH

Data Management Strategy & Governance Lead Analyst - Cura Script - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$80K - 134K a year

Lead data management strategies, champion data governance initiatives, collaborate across teams to improve data practices, analyze complex data sets for insights, and contribute to organizational data capabilities. | Minimum 5 years in data management or governance, proven expertise in data analysis and system validation, strong communication skills, and ability to lead initiatives in complex environments. | Join Us as a Data Management Strategy & Governance Lead Analyst Are you passionate about transforming data into strategic insights that drive organizational excellence? At Cura Script, we’re ambitious experts who believe in the power of data to shape a better future. We’re looking for a dynamic leader who thrives on solving complex challenges, inspires collaboration, and is energized by making a meaningful impact. If you’re ready to grow with a team that values innovation, compassion, and expertise, this is your opportunity to shine. Responsibilities: Lead the design and execution of data management strategies that elevate data quality, integrity, and accessibility across the organization. Champion data governance initiatives, ensuring data is reliable, secure, and used to its fullest potential for business outcomes. Collaborate with cross-functional teams to drive consistency and excellence in data practices, fostering a culture of continuous improvement. Analyze complex data sets to uncover actionable insights, supporting strategic decision-making at all levels. Develop and implement solutions for data validation, system integrity, and process optimization, proactively addressing challenges. Provide thought leadership and expert guidance on data management best practices, influencing both immediate projects and long-term vision. Contribute to the SharePoint Community of Practice, sharing knowledge and advancing organizational capabilities. Qualifications: Required: Minimum 5 years of experience in data management, data governance, or a related field. Proven expertise in data analysis, data governance, and system validation. Strong communication skills with the ability to influence and collaborate across departments. Demonstrated ability to lead initiatives and deliver results in complex environments. Preferred: Bachelor’s degree in a relevant field. Experience with SharePoint and Power Platform. Recognized as a subject matter expert in data management or governance. Track record of contributing to communities of practice or similar collaborative groups. Why Cura Script? We are a team of ambitious and compassionate professionals, committed to growth—both for our people and our organization. Here, your expertise will be valued, your ideas will shape our future, and your career will flourish. 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 80,400 - 134,000 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 Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Data governance
Data analysis
System validation
Cross-functional collaboration
Data quality and integrity
Direct Apply
Posted 22 days ago
CH

Senior Client Manager - Remote - Cigna Global Health Benefits

Cigna HealthcareAnywhereFull-time
View Job
Compensation$120K - 200K a year

Manage a portfolio of global health accounts, support renewals, upsell services, and serve as a primary client contact. | Bachelor's degree or equivalent experience, health benefits or global health experience preferred, proficiency in Salesforce and MS Office, strong communication skills. | The Senior Client Manager is responsible for managing a client book of business for existing and new global health accounts. These clients are typically large, complex in nature with multiple Cigna Healthcare relationships across product lines and borders. Responsible for renewing global health element of the account, selling new business to existing accounts, and converting accounts to a higher level of products/services. Overall responsibility to manage the relationship with the client and provide proactive and consultative approach for solutions with benefits across the globe, collaborating with internal Cigna Healthcare partners. This role is Incentive Compensation eligible. Responsibilities: Client and customer facing responsibility for day to day support of client needs as well as strategic interface for key client decision makers and their consultants / brokers. Provide consultative pro-active information/recommendations with clients on an on-going basis. Manage a block of business of approximately 25-35 accounts and average premium of $25m+ in premium. Possess knowledge of the practices, techniques and tools associated with providing outstanding consultative service to clients and customers. Manage renewals for existing block of business. Upsell/cross-sell additional product lines within Cigna Global and other matrix partners. Communicate/educate clients about Cigna Global updates/changes related to compliance or processes. Handle and resolve escalated issues related to eligibility, premium/invoicing, and/or service related matters. Thorough understanding of health service products and services, and associated operating requirements to support the client management plan goals and sales processes. Utilize organization's sales information systems and document in Sales Force. Competencies: Business Acumen Cross-Cultural Agility Managing and Measuring Work Conflict Management Motivating others The ideal candidate will possess the following skills: Bachelor's degree preferred or equivalent work experience. Previous global health/benefits experience strongly preferred. Familiar with multiple software and system-based applications such as Salesforce, Microsoft Office database and spreadsheets (Excel, Access, sales tracking systems). Requires strong written and verbal communication skills. Excellent presentation skills. Ability to effectively manage productive meetings Client and customer focused with the ability to be a team player with the client management organization and matrix partners. Requires strong background or experience in marketing, account management, account service, sales, or other areas requiring significant client and customer interaction. State required Life, Accident and Health Licensure or ability to obtain required. 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. This role is also anticipated to be eligible to participate in an incentive compensation 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 Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Client Relationship Management
Health Benefits Knowledge
Salesforce and CRM proficiency
Cross-Cultural Communication
Account Management
Direct Apply
Posted 25 days ago
CH

Provider Data Management Specialist - Hybrid

Cigna HealthcareDenver, Colorado, Bloomfield, Connecticut, St. Louis, Missouri, Philadelphia, Pennsylvania, Houston, TexasFull-time
View Job
Compensation$77K - 129K a year

Manage healthcare provider data, oversee data quality, collaborate on system enhancements, and ensure compliance. | Minimum 2 years of experience in data management, strong analytical skills, familiarity with healthcare data and claim systems, and proficiency with Excel and Access. | Provider Data Management Analyst Are you ready to make a difference in healthcare analytics? Join our Market Analytics, Pricing & Solutions team as a Provider Data Management Analyst and help drive innovation, accuracy, and compliance in provider data management. If you thrive on solving complex challenges and collaborating with talented colleagues, this is your opportunity to grow and make an impact. Responsibilities Manage and maintain Healthcare Professional (HCP) contracted rates and demographic data for assigned markets, ensuring accuracy and compliance. Lead monthly review sessions with the contracting team to ensure the best line of sight on rate schedules and projections. Oversee the claim match and rating area review processes, driving improvements in data quality and operational efficiency. Collaborate with project teams to develop and test new PMT features, enhancements, or fixes. Recommend new tools or processes to enhance the Provider Management Tool and related systems. Ensure compliance with PMT, Rate Sheet History (RSH), and Chargemaster Input Tool (CMI) policies and procedures. Support continuous improvement by identifying opportunities to streamline data management and reporting. Qualifications Required Strong analytical and problem-solving skills. Excellent written, oral, and group presentation communication skills. Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management. Familiarity with data mining and reporting tools, such as Microsoft Excel & Access. Ability to work independently while managing multiple tasks and meeting deadlines. Experience working with claim data and familiarity with standard medical coding (CPT, ICD9, HCPC preferred). Minimum 2 years of relevant experience. Preferred Bachelor’s degree in Finance, Economics, Business, Health Policy Analysis, Healthcare Administration, Mathematics, or Statistics. Experience collaborating with cross-functional teams and leading process improvements. 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 77,300 - 128,800 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Data analysis
SQL/MySQL
Excel and Power BI
Stakeholder communication
Process improvement
Direct Apply
Posted 25 days ago
CH

Business Analytics Senior Analyst - Remote - Express Scripts (Provider Engagement)

Cigna HealthcareAnywhereFull-time
View Job
Compensation$67K - 111K a year

Analyze clinical and financial data to identify trends, support provider outreach strategies, and automate reporting tools. | Bachelor’s degree, 4+ years in analytics or related fields, proficiency in SQL, Excel, and data visualization tools, strong communication and project management skills. | Business Analytics Senior Analyst – Provider Engagement Team Band 3 The Clinical & Financial Analytics Advisor plays a pivotal role in supporting both clinical program strategy and financial performance management. This role bridges clinical data analysis with financial modeling to drive informed decision-making across internal teams and external client engagements. The advisor will collaborate with Clinical Program Management, Account Teams, and Pricing to ensure the delivery of high-impact solutions that align with business goals and client expectations. Essential Functions Clinical & Financial Data Analysis Analyze clinical and financial data to identify trends in medication utilization, pricing, and plan design. Apply findings to client-specific provider outreach strategies, including both prescribers and pharmacies Strategic Program Support Support the Provider Engagement team in measuring outcomes related to provider outreach campaigns Utilize internal tools to help transmit and automate provider outreach through the electronic medical record Partner with internal stakeholders to align analytics with strategic objectives Reporting & Automation Assist team in the standardization and automation of reporting tools for consistent and accurate analytics delivery Develop financial models and forecasting tools to support decision-makers. Cross-Functional Collaboration Work with internal and external stakeholders to support team and client goals. Participate in training and professional development to enhance analytical and strategic capabilities. Qualifications Bachelor’s degree in a related field (Master’s preferred) 4+ years of experience in analytics, clinical strategy, or financial modeling Advanced proficiency in Microsoft Excel (macros), SQL, and data visualization tools (Tableau, Alteryx preferred) Strong analytical, organizational, and communication skills Demonstrated ability to work cross-functionally and manage large datasets Experience in client-facing roles and project management 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 66,500 - 110,900 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

SQL
Data Visualization (Tableau, Alteryx)
Financial Modeling
Clinical Data Analysis
Direct Apply
Posted 25 days ago
Cigna Healthcare

Customer Service Representative - Express Scripts - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$Not specified

Handle inbound calls, resolve customer issues, and meet call center metrics. | High school diploma or equivalent, 1 year call center experience, proficiency in Microsoft Outlook, good communication skills, and a dedicated workspace. | The Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality. Our Pharmacy Benefit Management (PBM) team seek dedicated, compassionate, and empathetic Customer Service Representatives to join our team who are genuinely interested in helping people at some critical points of their lives. The Call Center Customer Service Representative represents the company, and our people make all the difference in our success. RESPONSIBILITIES • Answer inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Management (PBM) benefits and mail-order pharmacies. • An average of 70-80 calls are expected daily. • Take calls back-to-back while toggling through several applications on multiple screens. • Attend 100% of trainings, and the first 90 days of employment. • Regular and predictable attendance. • Resolve customer complaints through independent problem-solving skills and one-call resolution. • Understand and strive to meet or exceed call center metrics while providing excellent consistent customer service. QUALIFICATIONS • High School diploma or equivalent • 1 year of call center experience is required • A dedicated workspace with no distractions is required • Intermediate proficiency in Microsoft Outlook • Strong organization skills, written, and verbal communication skills • Ability to remain calm and helpful even when dealing with difficult situations • Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience • Computer literacy and ability to manage multiple applications simultaneously. 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. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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.

Customer Service
Call Center Operations
Communication Skills
Problem Solving
Verified Source
Posted 25 days ago
CH

Business Analytics Advisor - Cigna Healthcare - Hybrid

Cigna HealthcareBloomfield, Connecticut, St. Louis, Missouri, New York, New York, Franklin, Tennessee, Austin, TexasFull-time
View Job
Compensation$96K - 160K a year

Develop and apply actuarial frameworks to evaluate EHR and UM program performance, support strategic decision-making, and communicate insights. | Bachelor’s in a related field, 4+ years in healthcare analytics or actuarial work, proficiency in Excel, experience with dashboards, and healthcare systems knowledge. | Job Summary: As a key contributor within the Network Strategy & Product Solutions team, the Business Analytics Advisor will spearhead analytical efforts to quantify, demonstrate, and communicate the value of Electronic Health Record (EHR) and Utilization Management (UM) solutions across the enterprise. This role is responsible for developing and applying actuarial methodologies to evaluate program performance, support strategic decision-making, and guide the evolution of EHR and UM initiatives. The Business Analytics Advisor will work independently and cross-functionally, translating complex data into actionable insights that drive affordability, clinical outcomes, and operational efficiency. Key Responsibilities: Value Measurement & Impact Analysis Design and implement actuarial frameworks to measure the financial and clinical impact of EHR and UM programs. Lead the development of models, tools and dashboards to track program performance and identify opportunities for optimization. Strategic Decision Support Build and validate business cases for EHR investments in collaboration with finance, product, and clinical teams. Provide strategic insights to support pricing, positioning, and go-to-market strategies. Program Monitoring & Optimization Lead analyses to assess program health and recommend enhancements. Partner with provider-facing teams to ensure effective implementation and communication of EHR strategies. Cross-Functional Collaboration Collaborate with operations, data science, and technology teams to ensure analytics are aligned with solution architecture and enterprise goals. Contribute to broader strategic initiatives such as gold carding and high-performing provider strategies. Leadership & Influence Serve as a subject matter expert on actuarial modeling and healthcare analytics. Mentor junior analysts and contribute to a high-performing analytics culture. Present findings and recommendations to senior leadership and stakeholders. Qualifications: Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, Data Analytics, or a related field. 4+ years of actuarial or healthcare analytics experience. Technical Skills: Advanced proficiency in Excel required; experience with Python, R, or SQL is a plus. Experience creating dashboards (Databricks, Tableau, etc.) preferred. Excellent written and verbal communication skills; ability to influence stakeholders and translate data into strategic insights. Proven ability to work across functions and lead analytical initiatives. Deep understanding of EHR systems, utilization management, and provider network dynamics preferred. Strategic mindset with passion for healthcare innovation ideal. Strong business acumen and ability to drive measurable impact desired. 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 96,000 - 160,000 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. We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Healthcare analytics
Actuarial methodologies
Data modeling and dashboard creation
Cross-functional collaboration
Direct Apply
Posted 27 days ago
CH

Provider Contracting Manager - Sunrise, FL Market - Cigna Healthcare - Hybrid

Cigna HealthcareSunrise, FloridaFull-time
View Job
Compensation$120K - 200K a year

Manage complex provider contracts, develop network strategies, and build provider relationships to optimize healthcare network performance. | Requires 3+ years in managed care contracting, strong negotiation skills, and knowledge of healthcare reimbursement models. | The Provider Contracting Manager serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. Duties and Responsibilities Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. Position Requirements Should possess a bachelor’s degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor’s degree. MBA or MHA preferred. 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required. Experience in developing and managing key provider relationships Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. 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. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

contract negotiation
provider relationship management
healthcare reimbursement methodologies
financial analysis
Direct Apply
Posted 29 days ago
CH

Operations Lead Analyst - Express Scripts - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$70K - 120K a year

Monitoring client requests, resolving operational issues, and supporting process improvements. | High school diploma or GED, 1+ years relevant experience, proficiency in Microsoft Office, and strong communication and problem-solving skills. | Express Scripts is currently seeking an Operations Lead Analyst. The responsibilities of an Operations Lead Analyst include monitoring daily request execution, reporting, and issue triaging for one or more owned client(s) upon request. Identifying operational or productivity enhancements, barriers, and opportunities for configuration and workflows. The Sr. Operations Analyst will provide project and administrative support to leadership teams or Operations Advisors through escalation of issues, risks, and concerns as needed. Provides support to assigned projects by responding to inquiries or resolving complex issues using independent judgment, discretion, and general client knowledge. Routine communication of risk and status of owned clients and processes to leadership teams. RESPONSIBILITIES: Execution of client’s requests and inquiries in aligned to SLAs and other contractual terms. Monitor and triage of client issues aligned to SLAs and other contractual terms. Routine communication directly with client. Adherence to all organizational SOPs and Compliance standards; provide subject matter input as it relates to checklists and SOPs. Assist with operation input related to new process development; identification, research and resolution of operational issues; provide training and mentoring for new team members, off-shore and contingent employee resources. Comply with ESI document and retention requirements. Provide exceptional service to clients. Cross-functional collaboration & communication with necessary internal partners Clear and timely communication of issues and status to leadership teams.. Requirements intake and resolution of issues for client account management. IT systems issues, setup, and testing. Coordinate set-up and resolution of issues with Product teams. Issue resolution and documentation with Quality teams. Initiative engagements and client health updates. QUALIFICATIONS: High School Diploma or GED required. Bachelor's degree preferred. 1+ years of relevant experience. Preferred experience in PBM and benefit set-up knowledge. Microsoft Office required. Excellent verbal, written, and presentation skills. Strong analytical problem solving skills. Detailed oriented. Ability to manage and meet tight deadlines. Ability to adapt in a dynamic work environment and make independent decisions. Strong customer service focus. Experience with use of ERP systems. Experience with data input and reconciliation. 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. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Operational monitoring and reporting
Client communication
Issue triaging and resolution
Process development and improvement
Data input and reconciliation
Direct Apply
Posted 29 days ago
CH

Systems Analysis Lead Analyst - Express-Scripts - Hybrid

Cigna HealthcareSt. Louis, Missouri, Morris Plains, New Jersey, Washington Township, OhioFull-time
View Job
Compensation$89K - 148K a year

Designing and documenting technical solutions for client benefit setup automation, analyzing business requirements, and liaising between teams. | Bachelor's degree in a relevant technical field, 1+ years experience in systems analysis, proficiency in SQL, business analytics, and familiarity with big data and cloud technologies. | Summary: We are looking for an experienced Systems Analysis Lead Analyst to join a growing team working on client benefit setup automation. As a member of the team, you will be challenged to design and document technical solutions based on your knowledge of our automation capabilities, client benefit setup and requirements from our business partners. As an ideal candidate, you are a highly motivated, quick learner with proven experience in a technical setting. Responsibilities: Obtain in-depth knowledge of current client benefit setup and automation capabilities. Contribute innovative ideas while assisting in the design of new solutions. Be at the table with clients, agile product owners and developers for automation capability, scope and timeline discussions. Analyze and understand business requirements to produce high quality technical requirements for each client specific solution, based on information from BPOs, benefit operations and the configuration team and client intent documents. Serve as a liaison between benefit operations and the configuration team during requirement analysis, development and testing. Write, prioritize, and manage user stories. Qualifications: Bachelor's degree or above in relevant technical field preferred 1+ years experience as an effective systems analyst. Experience in business and data analytics involving ETL, Business Intelligence, SQL queries, business and functional requirement gathering and documentation and source to target data mapping required. Experience with Ab Initio (Express>It, Metadata Hub, Business Rules Environment (BRE)) a major plus. Knowledge of big data and cloud components like AWS, Cloudera, Rest APIs, Hadoop, Activiti, Kafka, etc. Experience with Agile and Jira (or similar project management software). Excellent written and verbal communication skills. Proven ability to analyze, understand and explain complex topics. Great coordinator with strong problem solving and organization skills. Skilled at multi-tasking and prioritization. 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 88,700 - 147,900 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. We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Data analytics
SQL queries
Requirement gathering
Business Intelligence
ETL
Direct Apply
Posted about 1 month ago
CH

Provider Relations Lead Analyst - Cigna Healthcare - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$Not specified

The Provider Relations Lead Analyst is responsible for dental provider recruitment and contracting, as well as managing contracted provider relationships within a specified territory. This includes conducting outreach to dental offices, negotiating contracts, and maintaining positive relationships with healthcare professionals. | Candidates must have a High School Diploma or equivalent and 1-3 years of experience in healthcare administration or provider relationship management, preferably with dental offices. Strong analytical, negotiation, and communication skills are essential for this role. | This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental provider recruitment and contracting as well as managing contracted provider relationships for a specified territory. Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks. Ability and willingness to travel frequently within the US including overnight stays. Conduct quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and reimbursement data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented and standard operating policies and procedures. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in the Network Management Organization. Responsibilities: Identifying, recruiting, contracting, and retaining qualified health care professionals in geographic area within established guidelines to meet health plan needs Achieve competitive and cost-effective contracts in assigned areas or assigned client/customer needs Negotiate contracts and recruit dental providers to become a Cigna network provider Explain plans, policies, and procedures to potential providers A point of contact for Providers who are contracted within a specified target market (Florida, Puerto Rico & Virgin Islands) Maintain positive relationships with health care professionals and their office staff extending high quality service Conduct negotiations and ensure the smooth operation and administration of provider agreements Support and retention of offices in our dental networks Complete onsite quality assessments Respond to provider inquiries, concerns, complaints, appeals and grievances Provide ongoing product education to dentists and their staff Work to achieve contract discounts with new providers and current providers through thoughtful negotiation Use data and facts to identify and overcome objections Prioritize and organize own work to meet deadlines, and reach established personal and department goals Conduct ongoing support to contracted providers in our networks via telephone or by personal relationship visits. Requirements: High School Diploma or equivalent 1-3 year experience in healthcare administration or provider relationship management, preferably experience working with Dental offices Strong skill set required in the following areas: analytical, negotiations, financials, presentation skills, written and oral communication skills Strong negotiation and communication skills Self-Starter and organized Intermediate proficiency in Microsoft Office products Valid drivers license The person in this position will report virtually and should be located within the territory of FL,PR, &VI 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. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Analytical
Negotiations
Financials
Presentation Skills
Written Communication
Oral Communication
Self-Starter
Organized
Microsoft Office
Direct Apply
Posted 3 months ago
CH

Provider Relations Lead Analyst - Cigna Healthcare - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$66K - 109K a year

The Provider Relations Lead Analyst is responsible for dental provider recruitment and contracting, as well as managing provider relationships within a specified territory. This includes conducting outreach to dental offices, negotiating contracts, and ensuring the smooth operation of provider agreements. | A high school diploma is required, with a bachelor's degree preferred. At least one year of experience in healthcare administration or provider relationship management is necessary, along with strong analytical and negotiation skills. | Summary: The position is responsible for dental provider recruitment and contracting as well as managing contracted provider relationships for a specified territory (UT, NV, NE, WA, WY, ID, OR, MT). Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks. Ability and willingness to travel frequently within the US including overnight stays. Conduct quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and reimbursement data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented and standard operating policies and procedures. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in the Network Management Organization. Responsibilities: Identifying, recruiting, contracting, and retaining qualified health care professionals in geographic area within established guidelines to meet health plan needs Achieve competitive and cost-effective contracts in assigned areas or assigned client/customer needs Negotiate contracts and recruit dental providers to become a Cigna network provider Explain plans, policies, and procedures to potential providers A point of contact for Providers who are contracted within a specified target market (for this position: UT, NV, NE, WA, WY, ID, OR, MT) Maintain positive relationships with health care professionals and their office staff extending high quality service Conduct negotiations and ensure the smooth operation and administration of provider agreements Support and retention of offices in our dental networks Complete onsite quality assessments Respond to provider inquiries, concerns, complaints, appeals and grievances Provide ongoing product education to dentists and their staff Work to achieve contract discounts with new providers and current providers through thoughtful negotiation Use data and facts to identify and overcome objections Prioritize and organize own work to meet deadlines, and reach established personal and department goals Conduct ongoing support to contracted providers in our networks via telephone or by personal relationship visits. Qualifications: High School Diploma or equivalent required Bachelors degree preferred and/or equivalent work experience At least one year of experience in healthcare administration or provider relationship management, preferably experience working with Dental offices Strong skill set required in the following areas: analytical, negotiations, financials, presentation skills, written and oral communication skills Strong negotiation and communication skills Self-Starter and organized Intermediate proficiency in Microsoft Office products required Valid drivers license This position can be work at home and should be located within the territory 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 65,500 - 109,100 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. We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Analytical
Negotiations
Financials
Presentation Skills
Written Communication
Oral Communication
Self-Starter
Organized
Microsoft Office
Direct Apply
Posted 3 months ago
CH

Business Analytics Lead Analyst - Adoption Intelligence Analyst - Evernorth - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$77K - 129K a year

Perform deep outcomes analysis, identify risks and breakdowns in business processes, generate actionable insights, collaborate cross-functionally, and support continuous improvement in adoption efforts. | Bachelor’s degree or equivalent experience, 5+ years in business analysis or operational insights, strong analytical and communication skills, proficiency in Microsoft Office, and familiarity with transformation initiatives. | The Adoption Intelligence Analyst is a critical thinker and independent contributor within the Outcomes & Insights team of the Adoption Center. This role is responsible for performing deep outcomes analysis, identifying gaps and breakdowns in business processes, and surfacing risks that impact the successful adoption of new capabilities across strategic initiatives. This position plays a key role in enabling data-informed decision-making, supporting rapid iteration, and ensuring that adoption efforts are aligned with operational goals and measurable outcomes. The Analyst partners closely with the Adoption Design Team, Issue Managers, and Adoption Experience Managers to ensure insights are actionable and drive continuous improvement. Job Responsibilities Outcomes Analysis & Risk Detection Conduct detailed analysis of process outcomes to identify breakdowns and enable rapid iteration. Act as an early detector of risks and issues across delivery, program, and business operations. Organize and submit findings to Adoption Issue Management for resolution. Insight Generation & Communication Translate complex data into clear, actionable insights that inform strategic decisions. Support the development of scorecards and dashboards that track performance against expected outcomes. Collaborate to ensure insights are visualized effectively. Cross-Functional Collaboration Partner with Adoption Design Team and Adoption Issue Managers to validate findings and inform resolution strategies. Engage with Adoption Experience Managers to ensure insights are aligned with the Adoption Business Plan. Contribute to simulation and incubation efforts by surfacing operational risks and performance trends. Continuous Improvement Apply structured analysis methods to support scalability and transformation. Contribute innovative ideas to enhance analysis frameworks and methodologies. Support the scaling of successful insights across initiatives and operational teams. Qualifications: Bachelor’s degree higher strongly preferred or equivalent work experience required 5+ years of experience in business analysis, performance measurement, or operational insights highly preferred Strong analytical and organizational skills required Excellent communication and documentation abilities required Proficient in Microsoft Office Suite (VLOOKUPs and pivot tables highly preferred) Experience supporting transformation initiatives or strategic programs preferred Familiarity with structured testing, simulation, or test and learn methods highly preferred Knowledge of Medicare and/or Commercial provider data elements is a plus Experience working in CPF or HCPM systems preferred Required Competencies Analytical & Insight-Driven Strong ability to identify root causes, trends, and risks using structured analysis. Comfortable working with large datasets and translating findings into business impact. Collaborative & Cross-Functional Works effectively across Delivery Teams, Adoption Design Team, Adoption Issue Manager, and Adoption Experience Managers. Fosters shared ownership of insights and resolution strategies. Outcome-Focused Prioritizes insights that accelerate adoption and improve operational performance. Aligns analysis efforts with strategic goals and measurable KPIs. Comfortable Navigating Ambiguity Operates effectively in complex, evolving environments. Maintains clarity and focus amid shifting priorities. 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 77,300 - 128,800 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. We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. 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. 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.

Data Analysis
Business Intelligence
Microsoft Office Suite (VLOOKUP, Pivot Tables)
Outcome Analysis
Cross-Functional Collaboration
Insight Generation
Risk Detection
Communication and Documentation
Direct Apply
Posted 3 months ago

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