CH

Cigna Healthcare

20 open positions available

3 locations
1 employment type
Actively hiring
Full-time

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Behavioral Communications Senior Analyst - Evernorth - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$66K - 111K a year

Develop and manage internal communication strategies, create high-quality content, support change initiatives, and analyze communication effectiveness. | Minimum 2 years in communications or related roles, proficiency in MS Office, familiarity with SharePoint and project management tools, strong communication skills, and ability to manage multiple priorities. | As a Communications Analyst, you will play a critical role in shaping clear, engaging, and timely communication that supports organizational priorities across the Behavioral Change Management Office (CMO), Service Excellence Organization (SEO), and Behavioral Operations. You will help employees understand change, stay informed, and feel connected to the work we do every day, bringing creativity, curiosity, and a growth mindset to every project. Responsibilities: Develop, manage, and refine internal communication strategies that strengthen alignment and engagement across teams. Partner with Change Management Leads to support successful adoption of strategic initiatives through communication planning, targeted messaging, and stakeholder support. Create, edit, and publish high-quality content across channels, ensuring clarity, accuracy, and consistency in tone and brand. Maintain and enhance the Behavioral Iris Page, ensuring content is relevant, organized, and easy to navigate. Support communication readiness for change initiatives, including drafting talking points, stakeholder updates, presentations, and meeting support materials. Manage communication templates, documentation, and shared resources in a centralized repository. Develop and maintain communication calendars to track messaging timelines, deliverables, and key milestones. Analyze communication performance using engagement metrics such as readership, click‑throughs, and feedback trends, translating insights into improved communication strategies. Support process design and documentation. Build surveys, consolidate data, and prepare summaries to provide leaders with clear insights on engagement and adoption. Support Wrike work management tracking, updates, and reporting, ensuring timely and accurate status visibility. Coordinate technology and tools used across communication efforts, including SharePoint, Webex, and emerging communication platforms. Provide administrative and operational support, including PowerPoint creation, meeting moderation, distribution of recordings and notes, and other tasks as assigned. Required Qualifications: Minimum 2 years of experience in communications, digital engagement, media relations, or related corporate communication roles. Strong written and verbal communication skills with demonstrated ability to simplify complex information. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Familiarity with SharePoint, project management tools, and basic data analysis. Ability to manage multiple priorities, maintain attention to detail, and demonstrate a proactive approach to problem-solving. Demonstrated experience supporting communication planning and stakeholder engagement. Preferred Qualifications: Bachelor’s degree in Communications, Journalism, Marketing, Public Relations, or a related field. Experience with Wrike or similar work management platforms. Exposure to change management environments or organizational readiness work. Interest in researching and adopting new communication technologies. 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 66,300 - 110,500 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.

Content Strategy & Editorial Leadership
Stakeholder Engagement
Data Visualization
Direct Apply
Posted 16 days ago
Cigna Healthcare

Agile Technical Product Owner Senior Advisor - SAP OTC Contracts & Chargebacks (Vistex)

Cigna HealthcareAnywhereFull-time
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Compensation$116K - 193K a year

Serve as Technical Product Owner for SAP OTC Vistex contracts and chargebacks, managing product backlog, collaborating with cross-functional teams, and configuring SAP systems. | Extensive SAP Vistex experience, configuration skills in S/4 HANA Cloud, and strong understanding of SAP modules and Agile frameworks. | Job Description Position Title: Agile Technical Product Owner Senior Advisor – SAP OTC Vistex Contracts & Chargebacks Position Overview: CuraScript SD, a wholesale pharmaceutical distributor and wholly owned subsidiary of Evernorth – a Cigna Company, is seeking a highly motivated Agile Technical Product Owner Advisor to join its technology team. This strategic role will support the SAP S4/HANA Cloud ERP implementation with a focus on Order To Cash (OTC) contracts and chargebacks leveraging Vistex. The advisor will lead Agile product ownership efforts, drive contract and chargeback strategy, and ensure alignment with business goals. Responsibilities: • Serve as Technical Product Owner for SAP Order To Cash (OTC) Vistex contracts and chargebacks, managing product backlog and prioritization. • Collaborate with cross-functional teams including business stakeholders, developers, and SAP functional experts to define and deliver product increments. • Translate business requirements into clear user stories and acceptance criteria for SAP S4/HANA Cloud ERP enhancements. • Lead Agile ceremonies including sprint planning, backlog grooming, and product demos. • Define and communicate product vision, roadmap, and success metrics for Vistex contract and chargeback capabilities. • Configure and test end-to-end Vistex scenarios including vendor/customer rebates, chargebacks, pricing catalogs, and pharma billing. • Coordinate testing and validation of system changes including WRICEF developments and configuration updates. • Monitor and resolve system issues, ensuring timely delivery of solutions and enhancements. • Maintain up-to-date functional knowledge of SAP Vistex and associated OTC processes. • Ensure system changes are properly tested and documented using best-practice engineering principles. Functional SAP Experience: • 7+ years of hands-on experience with SAP Vistex including paybacks, chargebacks, billing, pricing catalogs, and pharma billing. • 3+ years of experience with Vistex V4 • 2+ years of configuration experience in S/4 HANA Cloud. • 7+ years of configuration experience in SAP ECC. • 7+ years of experience in documenting and managing business, functional, and nonfunctional requirements. • Experience with Vistex reporting via VIZI and EDI/IDOC processing. • Strong integration knowledge across SD, MM, FI, SC, LO, and FICO modules. • Experience with master data and external system integrations. • Strong understanding of Agile frameworks (Scrum, SAFe) and tools (JIRA, Confluence). • Familiarity with CPI, SAP Activate methodology, and Solution Manager. Preferred Qualifications: • Strong communication skills and ability to work independently and collaboratively. • Proven ability to manage multiple priorities and deliver results in Agile environments. • Experience in pharmaceutical distribution and supply chain management. • Prior involvement in SAP implementation or upgrade projects. Education: • Bachelor’s Degree in Computer Science or related field (or equivalent work experience). 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 115,600 - 192,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you 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.

SAP Vistex
Agile methodologies
System configuration
Verified Source
Posted 16 days ago
CH

Program Management Operations Senior Advisor - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$116K - 194K a year

Support day-to-day execution, governance, and process improvement initiatives within the PMO to enhance enterprise efficiency and effectiveness. | 8+ years in business analysis, consulting, or PMO roles with strong analytical, process mapping, and communication skills, and familiarity with continuous improvement concepts. | Overview: The Program Management Office (PMO) Operations Senior Advisor supports the day-to-day execution, governance, and operating rhythm of the Enterprise Efficiency & Effectiveness PMO. This role ensures that plans, data, reporting, change activities, and governance artifacts are accurate, timely, and well-coordinated, enabling senior PMO leaders to focus on insight, decision support, and value delivery. Key Responsibilities: Lead rapid diagnostics across processes, functions, and value streams. Analyze data related to cost, volume, cycle time, demand, rework, and capacity. Perform root cause analysis to identify drivers of inefficiency and complexity. Support opportunity sizing and prioritization. Document current-state processes using advanced process mapping techniques. Identify handoffs, pain points, redundancies, and control gaps. Initiate development of future-state process designs under senior guidance. Create process documentation and artifacts. Create more complex analyses, summaries, and visuals to drive recommendations. Help translate analytical findings into clear, business-friendly insights. Lead re-engineering initiatives through execution and implementation phases. Track actions, milestones, and risks related to process changes. Participate in working sessions, workshops, and on-site diagnostics as needed. Qualifications: 8+ years of experience in business analysis, consulting, operations, or PMO-related roles preferred. Experience in Finance, Operations, or Corporate Functions. Familiarity with Lean or continuous improvement concepts. Experience in leading process mapping or improvement work. Strong analytical and problem-solving skills. Strong proficiency in working with data, spreadsheets, presentations, and BI Tools. Strong attention to detail and organization. Strong written and verbal communication 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 116,100 - 193,500 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 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.

Process Mapping
Data Analysis
Change Management
Direct Apply
Posted 17 days ago
Cigna Healthcare

Sr. Technical Product Owner – SAP Order to Cash & Commerce Cloud – Strategy & Management

Cigna HealthcareAnywhereFull-time
View Job
Compensation$116K - 193K a year

Lead the product roadmap and technical strategy for SAP SD and Commerce Cloud, ensuring alignment with business needs and enterprise architecture. | Extensive SAP SD and S/4HANA experience, deep technical expertise in SAP integrations, and leadership in enterprise transformation projects. | Position Title: Sr. Technical Product Owner – SAP Order to Cash & Commerce Cloud (Strategy & Management) Position Overview CuraScript SD is a wholesale pharmaceutical distributor providing customized business solutions and access to specialty medications for community physicians, specialty pharmacies, and health systems. The organization is a wholly owned subsidiary of Evernorth, a Cigna company. We are seeking an experienced and highly motivated Senior Technical Product Owner for SAP Order to Cash (SD) and Commerce Cloud to join our Technology organization. This senior-level Agile role is responsible for ensuring alignment to product vision, principles, and multi‑year strategy. Acting as a key liaison between business stakeholders and technical delivery teams, this position drives the product roadmap for integrated e‑commerce and order management capabilities. The Senior Technical Product Owner provides deep domain expertise, technical product leadership, and strategic guidance across complex SAP environments. Operating with a high degree of autonomy, this role owns critical product decisions, backlog prioritization (in partnership with technical product owners), and solution integrity across SAP SD and Commerce Cloud. The ideal candidate will balance near‑term delivery needs with long‑term platform scalability, compliance, and alignment to enterprise strategy. Responsibilities Strategic Vision & Leadership • Define and communicate the end‑to‑end product vision and technical strategy spanning sales order management, pricing, billing, and customer experience across OTC and Commerce Cloud (S/4 and Digital). • Guide configuration and solution design decisions that balance SAP standard capabilities with evolving business needs. • Partner with Finance, Operations, and Compliance to ensure holistic process and data integrity across the value chain. Backlog & Delivery Management • Collaborate with technical product owners to prioritize the full technical backlog, including non-functional requirements, platform maintenance, and technical debt. • Translate business objectives into actionable technical requirements and ensure alignment across cross-functional teams. Stakeholder Engagement & Communication • Articulate complex technical concepts in clear business language for leaders and stakeholders. • Act as a bridge between business product managers and technical delivery teams to define and refine functional and technical specifications. Technical Guidance & Architecture Alignment • Drive high‑level decisions related to architecture, infrastructure, and system design feasibility. • Partner with engineering teams to support custom development that complements standard SAP functionality. Team Leadership & Coaching • Mentor and guide product owners and development teams to ensure alignment, collaboration, and delivery quality. • Champion standardization, continuous improvement, and best practices across the SAP SD and Commerce Cloud landscape. Operational Excellence • Partner with Sales, Operations, and Finance to ensure readiness across data, process, compliance, and change management for all releases. • Serve as a senior escalation point for complex or systemic production issues, leading root cause analysis and long‑term remediation planning. Qualifications Required • Bachelor’s degree in Information Technology or a related field, or equivalent experience. • 10+ years plus of hands‑on experience with SAP Order to Cash, including at least 5 years plus with S/4HANA. • Deep functional and technical expertise in SD areas such as sales order management, pricing/taxation, contracts, billing, returns, credit/debit processing, delivery scheduling, ATP, intercompany/third‑party scenarios, MTO/STO, logistics execution, and EDI/IDoc processing. • Strong knowledge of SAP SD and Commerce Cloud integrations, ensuring reliable orchestration of order capture, pricing, availability, and customer data across platforms. • Broad integration experience across EDI, IDocs, and cross‑module SAP environments. Preferred • Experience in pharmaceutical distribution, life sciences, or other regulated industries. • Deep understanding of SAP SD integrations with PTP, FICO, Vistex, and EWM. • Experience supporting large‑scale implementations, migrations, or enterprise transformation programs. • Prior Big Four consulting experience. 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 115,600 - 192,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you 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.

SAP SD
Order to Cash
API
Verified Source
Posted 17 days ago
CH

Business Analytics Lead Analyst -Express Scripts - Hybrid

Cigna HealthcareSt. Louis, MissouriFull-time
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Compensation$70K - 120K a year

Support data analysis, reporting, and maintenance of sales data, including SQL query development and data modeling. | Requires 3+ years of relevant experience, SQL skills, and knowledge of reporting tools, with a focus on business analytics. | The Business Analytics Lead Analyst will work directly with Econdisc management and analytics teams to support the data analysis, reporting, and maintenance of our wholesaler and supplier sales data. Additionally, the Lead Analyst will support financial modeling, pricing evaluations and other ad hoc analysis as required by the business. As a Business Analytics Lead Analyst, you will collaborate with the team to load daily/weekly sales files and review the data to identify variances and determine cause/resolution. The Lead Analyst will need to be able to write or modify SQL queries using Microsoft SQL Server to obtain necessary data for analysis. Responsibilities: Provides advanced professional input to complex Business Analytics assignments/projects. Works in collaboration with business partners to provide analyses and reports to aide decision making based on data, facts, and analytical findings across different parts of the organization. Analyzes and interprets collected data, spots trends, writes reports and recommendations and completes data modeling. Supports and provides direction to more junior professionals. Works autonomously, only requiring “expert” level technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Business Analytics. Qualifications: 3+ years relevant professional work experience preferred Advanced analytical and strategic thinking skills, highly organized, and self-motivated Analytical and detail-oriented in all work activities. Able to handle and prioritize multiple projects or tasks at a time. Able to solve complex problems, communicate professionally, both verbally and in writing. Advanced knowledge of Microsoft Excel is required. Knowledge of one or more query design tools (such as Microsoft SQL Server Management Studio, Teradata SQL Assistant, Oracle SQL Developer, etc.) is required. Ability to write, develop, tune, and maintain SQL statements is a plus. Knowledge of one or more ETL (Extract-Transform-Load) tools (such as Microsoft SQL Server Integration Services, Informatica, Ab Initio, Talend, SSIS, Alteryx, etc.) a plus. Demonstrated knowledge of reporting tools (Business Objects, Tableau, Power BI, etc.) is a plus. 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.

SAP MDG
Data Governance
Data Management
Direct Apply
Posted 19 days ago
Cigna Healthcare

[Hiring] Provider Command Center Representative - Customer Service Representative @Cigna Healthcare

Cigna HealthcareAnywhereFull-time
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Compensation$37K - 40K a year

Assist patients and providers with scheduling, support, and communication in a healthcare call center environment. | High school diploma, healthcare customer service experience, proficiency with CSAdmin and Microsoft Office, and strong communication skills. | This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The PCC team member reports to the Call Center Team Lead and serves as a critical gatekeeper for the Patient Waiting Room, Exception Queue, Customer Service email escalations, and occasional inbound call center support. As a PCC (HSS Level 3) team member, this role functions as a subject matter expert across call center operations, clinical workflows, provider support, and established policies and procedures. This position supports medical providers and conducts outbound patient outreach for appointment scheduling and rescheduling. • Schedule and reschedule phone or video consultations. • Support the scheduling of appointments, including outreach to providers for availability. • Coordinate language-specific phone or video consultations for non‑English‑speaking patients. • Send escalated alert notifications to medical providers via text when provider coverage is low for state‑specific consultations. • Monitor the PCC exception queue and on‑call waiting room to ensure patients are seen within 60 minutes, meeting MDLIVE SLAs. • Respond to customer service emails—including general inquiries, contact requests, appointment requests, refund inquiries, and billing questions—within 30 minutes or less. • Provide occasional support to the Inbound Call Center as needed. • Answer the dedicated provider support line and assist providers with inquiries. • Report system issues related to CSAdmin, the patient portal, or the provider portal to production support and submit Jira tickets as necessary. Qualifications • High School Diploma or GED required. • Legacy MDLIVE Call Center customer service experience required. • Experience with Health Service Specialist, (HSS) training required. • Experience with CSAdmin system required. • Exceptional attention to detail. • Ability to work effectively in a fast‑paced environment. • Strong multi‑tasking skills and ability to manage shifting priorities. • Excellent verbal and written communication skills. • Strong resolution and recovery capabilities. • Resilience in adapting to ongoing business updates, training, and evolving responsibilities. • Proficiency with Microsoft Word and Excel. • Work schedule – Monday, Tuesday, Friday, Saturday & Sunday 12:30pm – 9:00pm EST. Wednesday and Thursdays are days off. • 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. Requirements • For this position, we anticipate offering an hourly rate of 17.75 - 19 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. Benefits • Comprehensive range of benefits focused on supporting your whole health. • Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment. • 401(k), company paid life insurance, tuition reimbursement. • A minimum of 18 days of paid time off per year and paid holidays. 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.

Customer Service
Communication
Multitasking
Verified Source
Posted 23 days ago
CH

Individual & Family Plans (IFP) Portfolio Planning & Intake Senior Manager - Remote - Cigna Healthcare

Cigna HealthcareAnywhereFull-time
View Job
Compensation$131K - 218K a year

Oversee portfolio initiatives, prioritize projects, and align strategies across business segments. | Extensive experience in strategy, portfolio management, and leading large teams in complex environments. | The Individual Family Plans (IFP) & Small Group Product Group (SGP) Portfolio Planning Leader is a strategic role responsible for overseeing the intake, evaluation, prioritization, and governance of portfolio initiatives across business segments. This leader ensures alignment with enterprise strategy, drives value creation, and facilitates decision-making across cross-functional teams. Key Responsibilities: Lead team of Intake Managers Lead annual strategic planning cycles Stakeholder Experiences. Aggregate and prioritize initiatives vying for investment. Ensure alignment with enterprise goals and value drivers. Serve as a connector across Stakeholder Experiences to ensure initiatives are prioritized and escalated appropriately. Portfolio Prioritization & Value Optimization Own and facilitate road mapping sessions and Pitch Day Synthesize multi-year roadmaps into IFP & SGP Master Inventory Assist in determination of value optimization and strategic alignment Coordinate Stakeholder Experience Prioritization (1-n) Effort & Value Assessment EG: Impact & Feasibility Assessment, Business Case Validation Portfolio & Intake Management/ Governance & Decision Support Lead end-to-end management and coordination of all requests submitted into IFP & SGP Intake processes Own and facilitate portfolio governance, ensuring initiatives meet readiness criteria and are aligned with enterprise strategy. Guide business and partner with stakeholders to define problems and shape solutions. Identify, communicate and manage risks in an organized and detailed manner – timely escalation of barriers to success. Make initial Go/No-Go decisions, based on knowledge of aligned Stakeholder Experience Roadmap and backlogs (Strategic and Business Directed), and pipeline. Present GO recommendation to the Portfolio Leadership for disposition; if approved, include in backlog, and sequenced for delivery. Provide outcomes/status to the business submitters, including what the recommended outcomes mean. Drive trade-off and sequencing decisions across verticals, ensuring transparency and alignment. Qualifications: Bachelor’s degree preferred Minimum of 15+ years of experience working in strategy and operational leadership, with a proven background successfully leading organizations through business transformation. 15+ years of relevant Portfolio Management, Program/Project Management, and/or healthcare experience required. 10+ years of experience leading people. Experience and/or working knowledge across multiple growth platforms, sub-business and/or functions preferred. Ability to work effectively in a dynamic and rapidly changing team-based, heavily matrixed environment. High degree of flexibility and agility. Works well in a fast-paced environment. Thrives on dealing with ambiguity and managing complexity. Strong relationship management and cross-functional influence, including at the most senior levels of the organization. Ability to understand complex needs of stakeholders at all levels of the organization in order to drive sustainable change. Innovative and will challenge the status quo. Strategic mindset & enterprise thinker. Strong self-awareness and emotional intelligence. Strong business acumen to support strategic alignment of initiatives. Acts authentically with honesty and integrity to create trusted relationships. Courage to reimagine current operating model and recommend ways for working differently. Demonstrated ability to drive and influence diverse stakeholders to decisions, alignment, and commitment, often requiring significant cross-functional coordination to achieve desired business results. Independently identifies and frames opportunities in a structured, data-driven way to clearly communicate options, risks, trade-offs. Ability to design, gain alignment and successfully execute key enterprise initiatives from start to finish; works independently, with guidance in only the most complex situations. Strong Change Management exposure to the discipline and components of Change Management (measurements, delivery, planning, execution, theories) CRITICAL COMPETENCIES: Strategic Mindset – Looks to future needs and possibilities and translates Enterprise strategic goals into executable plans Action Oriented – Takes on tough challenges with sense of urgency, high energy, and enthusiasm Drives Results – Pushes team and cross functional partners to deliver needed results in tough circumstances and expedited timelines Decision Quality – Makes sound and timely decisions to keep work moving forward Directs Work – Provides direction to direct reports and cross functional teams and removes barriers to getting work done Manages Complexity – Makes sense of complex and sometimes contradictory information to effectively solve problems Manages Ambiguity – Operates effectively and drives work forward even when things are not certain or there is no clear way forward Balances Stakeholders – Anticipates and balances the needs of multiple stakeholders across Health Services and Enterprise Collaborates – Quickly builds partnerships and works collaboratively with others to ensure progress Courage – Steps up to address difficult issues and says what needs to be said Instills Trust – Quickly gains confidence and trust of others through honesty, integrity, and authenticity Communicates Effectively – Develops and delivers multi-mode communications that convey a clear message and adapts to multiple audiences Situational Adaptability – Adapts approach and demeanor in real time to match the shifting demands of different situations If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 130,700 - 217,800 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 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.

Portfolio Management
Strategic Planning
Cross-functional Leadership
Direct Apply
Posted 23 days ago
CH

Individual & Family Plans (IFP) Operations Compliance Senior Manager - Remote - Cigna Healthcare

Cigna HealthcareAnywhereFull-time
View Job
Compensation$129K - 215K a year

Lead and manage the IFP Operations Compliance team, ensuring process compliance with regulations, and collaborate on strategy and training. | Extensive experience in risk and compliance, leadership skills, understanding of healthcare systems and regulations, and ability to influence cross-functional teams. | GENERAL PURPOSE: The IFP Operations Compliance Senior Manager will be a member of the Cigna IFP Operations leadership team; responsible for the multiple functions that align within the Operations Compliance team including: Regulatory Intake, Risk Assessment, and Prioritization Vendor Compliance IFP Marketplace Liaison (FEE & SBE) Market Conduct Exams Privacy Incident Investigation and Compliance IFP & SGP AZ Product Availability Grids (PAGs) SBC Calculator iComply Regulations Review & Assessment Marketplace Integrity & Affordability IFP Operations Risk Management (i.e., proactive identification of segment risks, Corrective Action Plans (CAPs), Onspring risk management tracking, etc.) RESPONSIBILITIES: Primary responsibility (1 of 2) is to lead the IFP Operations Compliance team, including daily leadership, 1:1 meetings, formal check-ins, goals/objectives, Career Development Plans, training and onboarding. Primary responsibility (2 of 2) is to ensure the quality of the IFP operational processes are fully compliant with State and Federal requirements. Responsibilities include participation with the New Law Implementation process, Business Implementation for new regulations, iComply regulations review and assessment, State & Federal mandate reviews and impacts, and IFP Regulatory Portfolio funding request intake, risk assessments and prioritization. Partner to support other Cigna IFP team members in development of guidelines and best practices. Lead change by influencing and educating Business and IT partners. Crosstrain employees in best practices through knowledge share sessions. Train employees on processes, documentation requirements and tools to improve consistency, reduce complexity and ensure capacity needs and deliverables are supported. Ensure proper documentation and communication venues are created to support the standardization of process and procedures within team, including training, education and knowledge share. Manage on-boarding, partner knowledge share, educational material development and maintenance and team SME development. Collaborate with business partners to ensure compliant solutions and deliverables. Manage resource and capacity planning. Manage own assignments in addition to staff assignments. Partner in metrics reporting. Work closely with the Business partners to ensure continuous improvement: Participate in business strategy and planning activity. As applicable, assist in defining project plans, dependencies, risk mitigation, and project status reports for complex or cross-functional processes. Participate in knowledge share development and execution. Provide insight into solutioning and best practices for process/procedure standardization. Support development and implementation of training and education tools. Provide and/or coordinate instructor-led training – self or partner coordination. Provide timely and technically appropriate written communication to stakeholders when necessary. Provide alternative solutions as necessary to assist in problem resolution. QUALIFICATIONS / KNOWLEDGE: Bachelor's degree preferred. 10+ years of risk and compliance experience. Expertise in the Cigna Healthcare organization, business processes and workflows to facilitate execution of initiatives. Familiarity with Cigna Healthcare products and benefits. Understanding of Cigna Healthcare systems and data repositories. Previous employee management experience, including strong people leadership skill sets. Proven ability to motivate employees and provide tools for success, both individually and as a team. Ability to work in a fast paced, demanding and rapidly changing environment. Ability to lead, manage and influence teams in a heavily matrixed environment. Ability to lead cross-functional teams and drive results with strong sense of urgency Detail oriented, with proven prioritization, time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards). Ability to tie together complex issues and implement solutions to meet the needs of the global matrix. Ability to negotiate with peers and senior leaders to come to agreed upon and productive solutions to business problems. Strong oral, written, presentation and communication skills. Exceptional interpersonal, consulting and relationship management skills. Ability to foster collaboration, value other perspectives and gain support and buy-in for organizational proposals. Strategic and creative thinker with ability to think outside the box and translate strategies into actions/requirements/implementation. Can convey complex information in an understandable way to various audiences. Strong business acumen, with proven ability to leverage knowledge base to quickly come up to speed in new business areas and new types of projects. Process-oriented with quality mindset. Strong organization and planning skills. Demonstrated ability to drive results. Embraces change and drives through ambiguity. Customer-orientation and customer insight/experience skills. Ability to interpret and synthesize data and insights. Strong problem-solving skills; solution identification & development. Ability to perform contingency planning. Ability to interact effectively with all levels of the organization. ROLE-SPECIFIC CORE COMPETENCIES: Emotional Intelligence - Demonstrated strong EQ as evidenced by the ability to understand other people, what motivates them and how to work cooperatively with them. Proven track record of resilience, empathy, strong listening skills and the ability to work through challenging business situation in a highly collaborative way to drive the right business outcomes. Possesses strong self- awareness and curiosity. Communication - Exceptional executive presence in written and verbal communications. Poise in front of large, senior audiences. Strong persuasion skills and effective communicator; ability to create and communicate a compelling vision internally and externally. Anticipatory - Demonstrated results in being able to think strategically, anticipate future consequences and trends, and incorporate them into both a short-term and long-term organizational plan. Business Acumen - Strong business acumen and ability to make connections with broad experience within the Provider ecosystem. Demonstrated ability to influence across a matrixed organization and develop trusting working partnerships with internal and external business partners. Drive for Results - Proven track record of exceeding goals and a bottom-line orientation; evidence of the ability to consistently make good decisions through a combination of analysis, wisdom, experience, and judgment; high level of business acumen, the ability to balance the delivery of programs. Strategic Vision and Agility - Ability to think strategically, anticipate future consequences and trends, and incorporate them into the organizational plan. Leadership and Organization - Exceptional capacity leading and influencing cross-functional teams; ability to connect staff both on an individual level and in large groups; capacity to enforce accountability, develop and empower top-notch leaders from the bottom up, cultivate entrepreneurship, and learn the strengths and weaknesses of the team to put people in a position to succeed. Customer Focus - Is dedicated to meeting the expectations and requirements of clients; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind. Matrix Management/Relationship Building - Enterprise thinker with proven ability to influence across a matrix environment. Ability to develop strong relationships across all levels of the organization, and with external partners. Action Oriented - Enjoys working hard in a fast paced, dynamic environment; able to act and react as necessary, even if limited information is available; not afraid to take charge of a situation; can overcome resistance to leadership. 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 128,800 - 214,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About 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.

Risk Management
Compliance Oversight
Regulatory Review
Direct Apply
Posted 23 days ago
CH

Sr. New Business Manager, 0500(Hybrid; Newton, MA)

Cigna HealthcareNewton, MassachusettsFull-time
View Job
Compensation$40K - 70K a year

Develops and implements sales strategies for targeted key accounts, seeks out new clients, and manages the sales process including responding to RFPs. | Requires 5+ years of sales experience, preferably in insurance or managed care, with strong organizational and communication skills, and the ability to work independently. | Role Summary Develops and implements sales strategies for targeted key accounts in a plan, a territory, or a specified geographic area. Very knowledgeable of complete line of products/services and clients' issues and needs. Primarily focuses on seeking out new clients. Typically has at least three years of related sales experience. Responsibilities Obtain new accounts through direct or brokerage channels for sales. Meet or exceed annual business plan as measured by new firms, revenue, membership and profitability objectives. Maintain prescribed weekly activity levels. Manage the sales process for Medical, Dental, Pharmacy, Behavioral products. Review and respond to RFP's, manage internal strategy and present quotations. Manage database of prospects and assigned producers. Qualifications 5+ years sales experience strongly preferred Prior Insurance experience in Underwriting, Operations or Proven sales track record 1-2+ years’ experience in managed care sales Highly motivated with excellent organizational skills Self-starter with ability to work independently or as a team to achieve goals and objectives Excellent presentation skills, verbal and written communication skills Ability to work strategically with matrix partners to design presale strategies and proposals Ability to obtain necessary licenses Acceptable driving record 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.

Sales Strategy
Client Acquisition
Account Management
Direct Apply
Posted 24 days ago
Cigna Healthcare

Patient Care Coordinator, Specialty - Evernorth

Cigna HealthcareAnywhereFull-time
View Job
Compensation$40K - 70K a year

Coordinate patient care, manage case information, and communicate with medical staff and patients under pharmacist supervision. | High school diploma, customer service experience, proficiency in Microsoft Office, and ability to manage multiple tasks and maintain confidentiality. | Position Summary The Patient Care Coordinator is responsible for the timely intake and processing of all incoming cases, acting as a key liaison between patients, caregivers, medical providers, and internal teams. This role ensures accurate coordination of patient deliveries, monitors cases for proper escalation, and performs select activities related to clinical management and refill setup for specialty patients under the supervision of a licensed pharmacist. Responsibilities include completing prescription intake, creating and maintaining patient accounts, and utilizing electronic methods to send and receive information from medical professionals. Key Responsibilities • Serve as the primary point of contact between medical providers, insured individuals, and internal teams, primarily via phone and email. • Gather and verify necessary information to facilitate case processing and patient care coordination. • Complete prescription intake and maintain accurate patient accounts and medication profiles under pharmacist supervision. • Review and monitor cases, escalating to appropriate teams based on identified triggers. • Ensure compliance with established workflows, process documentation, and regulatory requirements. • Coordinate patient deliveries by communicating with patients, caregivers, and medical staff. • Make outbound and receive inbound calls to/from patients, caregivers, and medical staff; conduct follow-up calls as directed by a licensed pharmacist. • Provide support to specialty pharmacy team, including prescription order setup, refill requests, and processing. • Maintain accurate documentation in patient medical records and work proficiently in work queues. • Provide excellent internal and external customer service, maintaining a professional and service-oriented approach. • Act as a conduit of information between specialty pharmacy, operations, and patients, caregivers, or medical professionals. • Complete assigned daily/weekly tasks accurately and on schedule. • Perform other duties/tasks as required and assigned. Skills and Abilities • Strong customer service and interpersonal skills with a focus on client satisfaction. • Excellent written and verbal communication skills. • Ability to manage time efficiently, remain organized, and work independently or in a team environment. • Maintains confidentiality when handling patient information. • Demonstrates initiative by presenting ideas and suggestions to management. • Maintains professionalism and service orientation in all interactions. • Proficient in Microsoft Suite and familiar with business applications. • Ability to follow through and complete tasks on schedule while meeting quality standards. Qualifications • High School Diploma or GED required • Pharmacy Technician certification preferred. • 2 years+ of experience in customer service or claims; prior specialty healthcare experience is a plus. • Proficiency in English spoken and written • Strong research, planning, and coordination skills. • Ability to build relationships across teams and work effectively in a matrix environment. • Independent problem-solving skills with sound judgment; ability to escalate issues when necessary. As part of Evernorth Health Services, this role supports CarepathRx within our Pharmacy and Care Delivery organization. Our team focuses on specialty pharmacy and infusion services in partnership with hospitals and health systems. 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
Communication
Coordination
Verified Source
Posted 29 days 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 4 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 4 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 5 months ago
CH

Customer Service Representative - Accredo - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$40K - 60K a year

Respond to patient phone inquiries with empathy, provide pharmacy benefits information, track patient interactions, and escalate concerns as needed. | High school diploma or GED, 1+ year customer service or call center experience preferred, general PC knowledge including Microsoft Office, ability to work onsite near Memphis TN or Warrendale PA. | Summary of Position We want to make healthcare more affordable, more personalized, and more focused on helping the whole person to achieve better health outcomes. Transform healthcare and contribute to our industry-leading organization as a Customer Service Representative. Our Customer Service Representatives are dedicated team members who excel at customer service, helping us elevate our Patient Care to new heights. In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy. Responsibilities Help patients understand their pharmacy benefits better. Use the knowledge you gain from training, your problem-solving skills and support from your team to answer patient calls effectively. Help us keep track of our patient interactions. Ensure patients are equipped with the best advice. Identify and empathetically address patient concerns and, if necessary, escalate appropriately. Qualifications High School Diploma or GED required 1+ year of customer service/call center experience highly preferred General PC knowledge including Microsoft Office Excellent communication skills (verbal and written) Post-Training Schedule: Mon - Fri 10:00am - 7:00pm CST What you’ll love about working here: Fun, friendly, and unique culture – Bring your whole self to work every day! Medical, Dental & Vision start 1st day 18 days Paid Time Off & 8 Paid Holidays Employer Contributions for HRA and HSA accounts 401K with Company Match Tuition Assistance Advancement opportunities. **Must live within 50 miles from** Memphis TN or Warrendale PA 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.

Customer Service
Phone Communication
Problem Solving
Microsoft Office
Empathy
Patient Interaction Tracking
Direct Apply
Posted 5 months ago
CH

Presale Support Analyst (Remote)

Cigna HealthcareAnywhereFull-time
View Job
Compensation$26 - 39 hour

The Presale Support Analyst is responsible for reviewing RFPs and preparing medical, dental, and vision quotes. This role involves managing the RFP process and coordinating deliverables to clients and brokers to drive membership and revenue growth. | A Bachelor's Degree or equivalent work experience is preferred, along with a health insurance background. Strong communication, problem-solving, and organizational skills are essential for success in this fast-paced environment. | The U500 Presale Analyst is responsible for reviewing Request for Proposals (RFPs) and preparing medical, dental and vision quotes. The Presale Consultant works closely with the New Business Manager (NBM), Client Mangers (CM), Brokers and internal matrix partners to ensure an accurate and competitive Cigna quote is generated. Role Summary The selected candidate will partner with Sales leads and business partners to coordinate aspects of new business sales and existing business renewals within the U500 Business Segment. The position is integral in driving membership and revenue growth by managing multiple aspects of the RFP (Request for Proposal) process and coordinating all deliverables to clients and/or producers. Role Components Prepare medical, dental and vision field quotes using Cigna rating systems Support new and existing sales managers Manage the RFP process, report results and meet submission turnaround times. Ensure accuracy of information and opportunities in Salesforce.com Timely submission of complete and accurate proposal data to Underwriting and other matrix partners Proactive communication with internal and external customers to facilitate the RFP workflow. Communicate effectively with Brokers to demonstrate the value that Cigna brings to the market Develop and build relationship with matrix partners Support New Business Managers with benefit optimization May work on various projects within the sales office Minimum Qualifications Bachelor's Degree or equivalent work experience may substitute in lieu of degree Health insurance background with general understanding of the overall sales process preferred Strong written & verbal communication skills Strong problem-solving and analytical skills Detail oriented with exceptional follow-up skills Basic math skills Ability to work in a production-like, fast paced environment and adapt quickly to change Strong organization skills with the ability to work both independently and in a team environment; manage, prioritize and work on numerous projects at one time. Ability to consistently meet tight deadlines and work under pressure while anticipating the needs of the customer and/or business partner and understanding the consequences of actions. Strong computer based technical skills including Outlook, Excel and Word and internet/web navigation 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 26 - 39 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. 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.

Health Insurance Background
Sales Process Understanding
Written Communication
Verbal Communication
Problem-Solving
Analytical Skills
Detail Oriented
Follow-Up Skills
Basic Math Skills
Organization Skills
Teamwork
Project Management
Salesforce.com
Proactive Communication
Relationship Building
Benefit Optimization
Direct Apply
Posted 5 months ago
CH

Customer Service Senior Representative - Express Scripts - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$17.98 - 26 hour

Assist internal and external clients by clarifying and researching information and resolving non-clinical problems. Schedule visits for home infusion, coordinate nursing referrals, and monitor patient appointments for accuracy. | High School education or GED is required along with 5+ years of relevant customer service experience. Proficiency in Excel and Outlook, along with excellent communication skills, are essential for this role. | Express Scripts is currently seeking a Customer Service Senior Representative. In this exciting and challenging role as a Customer Service Senior Representative, you will be working within the fast-paced environment of the Central Nursing Team. As a first line of contact, this role will independently assist both internal and external clients within scope by clarifying and researching desired information and resolving non-clinical problems. RESPONSIBILITIES: Work with Nurse Managers/Supervisors, field staff, and patients to schedule visits for home infusion within a region of branches. Complete all nurse assignments for patients, reschedules visits based on patient availability, staff new patients with appropriate nurses, and proactively monitors all patient appointments to confirm accuracy. Work with pharmacy, reimbursement, and nursing departments as coordinator for nursing referrals while providing great customer service. Work with various staff, departments, and prescribers via fax, email, IM, and phone. Monitors both personal email as well as nursing mailboxes for follow up needed, prioritizing by ask. Manipulate multiple Excel documents to determine what needs to be completed and urgency of completion. Respond timely to inquiries from patients, field staff, and other departments for information and assistance regarding nursing and patient referrals and schedules. Investigate/research issues and provide resolution. Take initiative for problem solving with ability to multitask effectively and use critical thinking. Correct and timely entry of data in appropriate systems. QUALIFICATIONS: High School education or GED required. 5+ years of relevant Customer Service experience. High proficiency and regular use of Excel and Outlook required. A pro-active work ethic with ability to be managed/trained virtually. Detail orientation. Excellent written and oral professional communication skills. Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make independent decisions. REMOTE POSITION BUT MUST BE LOCATED WITHIN 50 MILES: 261 CEDAR HILL ST., BUILDING C, MARLBOROUGH, MA 01752 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 17.98 - 26 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. 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 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.

Customer Service
Excel
Outlook
Problem Solving
Critical Thinking
Data Entry
Communication
Multitasking
Detail Orientation
Adaptability
Direct Apply
Posted 5 months ago
CH

Customer Service Senior Representative - Express Scripts - Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$Not specified

Assist internal and external clients by clarifying and researching information and resolving non-clinical problems. Schedule visits for home infusion, coordinate nursing referrals, and monitor patient appointments. | High School education or GED is required along with 5+ years of relevant customer service experience. Proficiency in Excel and Outlook, along with excellent communication skills and the ability to adapt in a dynamic work environment, are essential. | Express Scripts is currently seeking a Customer Service Senior Representative. In this exciting and challenging role as a Customer Service Senior Representative, you will be working within the fast-paced environment of the Central Nursing Team. As a first line of contact, this role will independently assist both internal and external clients within scope by clarifying and researching desired information and resolving non-clinical problems. RESPONSIBILITIES: Work with Nurse Managers/Supervisors, field staff, and patients to schedule visits for home infusion within a region of branches. Complete all nurse assignments for patients, reschedules visits based on patient availability, staff new patients with appropriate nurses, and proactively monitors all patient appointments to confirm accuracy. Work with pharmacy, reimbursement, and nursing departments as coordinator for nursing referrals while providing great customer service. Work with various staff, departments, and prescribers via fax, email, IM, and phone. Monitors both personal email as well as nursing mailboxes for follow up needed, prioritizing by ask. Manipulate multiple Excel documents to determine what needs to be completed and urgency of completion. Respond timely to inquiries from patients, field staff, and other departments for information and assistance regarding nursing and patient referrals and schedules. Investigate/research issues and provide resolution. Take initiative for problem solving with ability to multitask effectively and use critical thinking. Correct and timely entry of data in appropriate systems. QUALIFICATIONS: High School education or GED required. 5+ years of relevant Customer Service experience. High proficiency and regular use of Excel and Outlook required. A pro-active work ethic with ability to be managed/trained virtually. Detail orientation. Excellent written and oral professional communication skills. Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make independent decisions. The candidate must reside within from miles of branches located in Norcross, Georgia or Ashburn, Virginia. 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.

Customer Service
Excel
Outlook
Problem Solving
Critical Thinking
Data Entry
Communication
Scheduling
Research
Multitasking
Detail Orientation
Adaptability
Initiative
Coordination
Follow Up
Time Management
Direct Apply
Posted 5 months ago
CH

Individual & Family Plans (IFP) Product Management Lead Analyst - Remote - Cigna Healthcare

Cigna HealthcareAnywhereFull-time
View Job
Compensation$75K - 125K a year

The Product Management Lead Analyst will support the development and implementation of product strategies for Cigna's Individual and Family Plans segment. This includes market analysis, product design, and collaboration with various teams to enhance product offerings. | Candidates should have a minimum of 3 years of product management experience in health insurance, preferably in individual ACA health insurance. A bachelor's degree or advanced degree in Business or a health-related field is preferred. | POSITION SUMMARY Join one of the fastest growing business segments at Cigna. As a Product Management Lead Analyst you will support the development and implementation of product strategies to maximize profitable growth and membership targets within Cigna's Individual and Family Plans (IFP) segment. As part of the IFP Product Team, you will be responsible for market and segment analysis, product definition, competitive assessment, product design and price positioning strategies, and ensuring our products deliver superior value to customers who buy their own individual health insurance. JOB DESCRIPTION The Product Management Lead Analyst will develop and implement health insurance plans for specific market areas and provide in-depth SME support of key initiatives and projects. A successful person in this role has or will rapidly become a functional expert in the individual business segment. Success will be achieved through strong, proactive partnerships with areas/individuals such as IFP Market Managers, Pricing, Risk Management, Sales/Distribution, Network/Provider Contracting, Service Operations and IT. Individuals with experience in developing benefit & plan design strategies and/or health related products for the individual health insurance industry are preferred. Intellectual curiosity & analytical acumen are highly desirable. DUTIES AND RESPONSIBILITIES Evaluate, develop and refine market level product portfolios through analysis and understanding of targeted markets, market trends, new technology, customer business issues and the competitive environment Partner with matrix partners/organizations such as Network/Provider Contracting, Segment Market and distribution managers, Network, IT, Pricing, Analytics, and Service Operations to identify and implement new product and/or enhancements that will result in increased membership/earnings Independently gather and summarize competitor information from publicly available sources Identify tactics to maximize product advantages while aligning with the profitability and growth goals of the IFP segment Guide development of and utilize performance metric reports to monitor, communicate and positively influence areas of opportunity Project manage the annual product portfolio process, organize key meetings, document progress & key milestones, and manage key product artifacts Collaborate with the Mental Health Parity team to ensure products meet or exceed regulatory guidelines Help to manage IFP Product’s source-of-truth product data management system and improve/expand the processes to leverage and socialize the data. Identify potential issues and roadblocks from a benefits/product perspective and works to mitigate risks to ensure success. Maintain and/or update product policies, procedures and practices POSITION REQUIREMENTS BA or advanced degree in Business or a health-related field preferred; high school diploma or equivalent required 3+ years minimum product management experience in health insurance required, preferably individual ACA health insurance Experience in one or more self-service data reporting tools such as: Tableau, Looker, or Cognos Ability to forecast market trends based on historical information Proven success in a heavily matrixed environment Collaborative approach to achieving results Drives resolution of issues, escalating when appropriate Ability to make sound business decisions by interpreting data and key metrics Excellent presentation and communication skills Strong proficiency in Microsoft Word, Excel, PowerPoint, SharePoint 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 75,000 - 125,000 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.

Product Management
Market Analysis
Competitive Assessment
Data Reporting
Forecasting
Collaboration
Communication
Analytical Skills
Project Management
Health Insurance
Benefit Design
Regulatory Compliance
Performance Metrics
Risk Management
Microsoft Office
Intellectual Curiosity
Direct Apply
Posted 5 months ago
CH

Data Science Lead Analyst - Cigna Healthcare- Remote

Cigna HealthcareAnywhereFull-time
View Job
Compensation$90K - 150K a year

Develop and maintain web development frameworks and software applications to evaluate models from unstructured data, collaborating with cross-functional teams and ensuring security compliance. | 3-5 years software engineering experience with strong programming in JavaScript, Python, SQL, advanced web development skills, cloud platform experience, and preferably healthcare data or NLP experience. | OVERVIEW: A career within Forsyth Health’s Product team will provide you with the opportunity to help Pharma/Life Science organizations uncover patient and market insights. At Forsyth Health, we focus on a collection of data management, business intelligence and advanced analytics and data science capabilities to support various functions within these organizations to meet their business needs around market access and patient support programs. How you'll make a difference: The Data Science Lead Analyst role is a crucial role to the development of evaluation processes of output extracted from unstructured data which will lead to the broadening of our product development space. As a strong individual contributor, the role will engage in product development efforts using best practices in web development. Responsibilities include setting up an internal web development framework that allows for the quick spin up of evaluation processes, this includes processes with varied requirements, and the maintenance of framework. This role will work closely with the internal Technology to make sure the framework adheres to security and practices of Forsyth Health. Role Summary: The Data Science Lead Analyst position is an opportunity for a data scientist/software engineer to strengthen web development workflows, establish crucial evaluation processes, and meaningfully impact the development of the Forsyth Enterprise Data Model. The job responsibilities include, but are not limited to the following: • Write, test, and deploy software applications that will help propel the evaluation of models created from unstructured data. • Collaborate with data engineers to understand back-end capabilities. • Work with other cross-functional teams to gather and refine requirements for various evaluation initiatives. • Efficiently query multiple data types (medical and pharmacy claims, EMR, lab, chargemaster) as needed to gain a deeper understanding of patient / clinical activity from Forsyth data to validate and further refine NLP/ML models and output. • Create and maintain technical documentation for full-stack development. Qualifications: • 3-5 years of experience in software engineering. Bachelor’s degree in a related field preferred. • Excellent programming skills in languages like JavaScript, TypeScript, Python, SQL, etc. • Advanced knowledge in web development tools such as React.js, Django, etc. • Experience with cloud computing platforms and development tools such as Azure Databricks, Azure Data Lake, AWS, etc. • Demonstrated attention to detail, ability to compile and analyze information, ensure code quality and data integrity, and provide resolutions or recommendations for improving operational processes. • Excellent communication and presentation skills. • Desired: experience with NLP models and at least 1-2 years in healthcare data space. 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 89,700 - 149,500 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. 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 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.

JavaScript
TypeScript
Python
SQL
React.js
Django
Azure Databricks
Azure Data Lake
AWS
NLP models
Direct Apply
Posted 5 months ago
CH

Data Measurement & Reporting Senior Analyst (Medical Disruption Analysis) - Remote

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

The Senior Analyst will provide custom and complex reporting needs and recommendations based on analytical trends to deliver accurate results. This role will also collaborate with stakeholders to support business-critical contract reporting and analysis. | Candidates should have analytical, data visualization, and problem-solving skills, with healthcare analytics experience preferred. Strong attention to detail and experience with large datasets are essential. | Summary We are seeking self-motivated and inquisitive data analytics professional with a strong desire to learn and join our team. This individual should be a team player who enjoys working with data in a dynamic and fast-paced environment. As part of Actuarial Data Strategy & Solutions, the Disruption Analytics team supports presale and renewal process and is responsible for providing provider network reporting which assists potential customers in the decision-making process of the proposal process which drives new sales and client retention. This role will work collaboratively to support our Stakeholders (Sales and Repricing) with business-critical contract reporting and analysis. The Senior Analyst will be expected to complete day-to-day assigned business requests without immediate supervision. The responsibilities include providing custom and complex reporting needs and discretionary recommendations based on analytical trends and reporting methodologies to deliver accurate results and value-added reporting. This position also collaborates with matrix partners, acting as a team lead and representative for specialized disruption reporting and processes based on product/network and/or market or segment requirements. Responsibilities Data manipulation, cleansing and standardization functions for data validation and quality using Microsoft Excel and Access applications. Requires attention to detail and intermediate to advanced skills managing and working with large and complex datasets. Requires knowledge and understanding of processes and requirements related to the process and reporting for specialized products/networks and/or markets/segments Utilize independent judgment and discretion in analyzing the data supplied to determine best methodology on processing the information to yield the highest possible match results. Delivering information in a timely and efficient manner Requires combining business knowledge (i.e., products, networks, and provider data) along with data visualization and technical skills to efficiently create the disruption reporting on a case-by-case basis Perform data quality audits of system match results (visual scan and quality review) and peer review audits to ensure accuracy of system and reporting results and identification of gaps and/or inaccuracies utilizing HCPM/PRDS data, Activity Manager and/or Oracle Review tools to validate provider contract status Work with Network Contracting to identify and resolve provider data quality issues and raise identified risks or data gaps to management in a timely manner Provide analytic support and consultation to core stakeholders (Sales, Repricing/Discounts, Data Analytics Teams) related to disruption methodology logic and reporting by collaborating with stakeholders to understand objectives and deliver meaningful disruption provider reporting Recommend improvements in disruption database tools for efficiency gains and accuracy improvements Effectively communicate with sales partners to educate them on disruption match logic and methodology. Communicate file specific data gaps and deficiencies that impact overall match results cultivating strong working relationships with stakeholders Qualifications Analytical, data visualization and problem solving skills required; experience with healthcare analytics is highly preferred Intermediate to advanced Microsoft Office skills for Excel and Access Strong attention to detail and experience working with data or reporting analytics. Experience with large data sets is a plus Self-motivated, adapt to changes quickly, and function well in fast-paced environment Demonstrated productivity skills through the efficient use of time and commitment to strong results to meet production and quality demands and standards Ability to independently prioritize and manage multiple responsibilities while meeting deadlines Strong verbal and written communication skills, with technical and non-technical audiences Proven ability to quickly learn new applications, processes, and procedures 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. 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
Data Visualization
Problem Solving
Healthcare Analytics
Microsoft Excel
Microsoft Access
Data Quality Audits
Data Manipulation
Data Cleansing
Attention to Detail
Communication Skills
Analytical Skills
Team Collaboration
Independent Judgment
Time Management
Stakeholder Engagement
Direct Apply
Posted 5 months ago

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