20 open positions available
The Program Management Lead Analyst supports the Clinical Sales and Network Organization team by aligning complex clients and provider partners with Cigna’s clinical programs. Responsibilities include conducting clinical summary reviews and collaborating with multiple partners to implement process improvements. | Candidates must have a minimum of 5 years of clinical or clinical support experience and strong analytical skills. Experience with relevant systems and coding is preferred, along with excellent communication and organizational skills. | Position Summary: The Program Management Lead Analyst plays a key role within the Clinical Sales and Network Organization (CSNO) team, supporting CSNO Clinicians who represent Cigna externally. This position enables successful alignment between Cigna’s most complex clients, provider partners, and internal stakeholders with Cigna’s clinical programs, products, and services. The analyst supports the Sales Organization and contributes to the execution of value-based partnerships, such as Cigna’s Collaborative Care Organizations (CCC), driving cross-functional collaboration to improve quality, affordability, and customer satisfaction. Key Responsibilities: Complete care management summary reviews for high-cost claimants in accordance with corporate guidelines. Conduct in-depth clinical summary reviews, including analysis of medical records and claims data. Summarize and compile findings to support Market Medical Executives and Nurse Executives in client-facing engagements. May lead to small to mid-sized stretch projects focused on implementing process improvements. Collaborate with multiple-matrix partners in a fast-paced, dynamic environment. Navigate and utilize systems including ICMS, HC ICMS, CCMS, HEV, OneView, Evernorth Express Scripts, and TruCare. Demonstrate understanding of Cigna’s core clinical programs and their application. Qualifications: Minimum of 5 years of clinical or clinical support experience. Strong analytical and research skills with the ability to interpret complex clinical information. Experience with ICMS, HC ICMS, CCMS, HEV, OneView, Evernorth Express Scripts, or TruCare strongly preferred. Experience with CPT and ICD-10 coding is highly recommended. Excellent time management, organizational, and communication skills. Proven ability to build strong relationships and influence cross-functional teams. Demonstrates flexible, consultative critical thinking and effective action planning. Proficient in Microsoft Office and other relevant technology platforms. 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 76,400 - 127,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. 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.
The Provider Services Lead Analyst is responsible for managing the overall provider experience and service delivery for a medium to low complex book of business. This role involves collaborating with matrix partners to drive service improvements and resolve service impacts. | A Bachelor's Degree or equivalent work experience is strongly preferred, along with 3+ years of experience in provider relations and account management. Candidates should possess excellent communication and analytical skills, as well as a solid understanding of managed care operations in California. | Due to the Book of Business, we are planning to hire a candidate from within the Southern California area. SUMMARY This position is an external provider facing role with account management responsibilities for a medium to low complex book of business. The role is accountable for the overall provider experience by working in collaboration with matrix partners to drive on-going service improvements, understand, articulate and resolve service impacts, and drive the overall provider strategic planning solutions. This individual is empowered within their scope to make decisions as it pertains to the experience with Cigna, is required to have local market knowledge and visibility, builds and continuously improve the relationship between Cigna and the provider. DUTIES AND RESPONSIBILITIES Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business aligned to medium to low complex providers Leads, collaborates, and supports local market direction as it relates to improving the provider experience Creates and maintains individual provider strategic action plans Proactively identify new opportunities and risks for providers at market or national level and drives resolution Exercises good judgment and discretion to support the provider experience Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements External facing with providers in assigned BOB Collect, analyze, interpret, translate and distribute provider informatics, reports, dashboards Track and monitor performance guarantees for assigned BOB Promotes Provider Index score improvement through proactive and effective service and support of network Review provider reports/dashboard with individual providers Proactively educate providers on Cigna's business objectives, standard operating procedures, policies and programs to influence behavior and how to work with Cigna Serve as a provider advocate both internally and externally Understands and applies service culture principles and methodology Serves as a provider advocate both internally and externally Serves in a consultative role or subject matter expert to key matrix partners Develops and participates in presentations to existing and prospective providers and/or clients Serves as advocate in external community, representing Cigna to medical societies and external provider associations. Manage joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities QUALIFICATIONS Bachelor's Degree or higher strongly preferred or equivalent work experience required. 3+ years of experience in provider relations highly preferred. Account management experience required. Client facing experience with providers would be required. Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills. Intermediate experience with MS Office is required (pivot tables and VLOOKUP experience highly preferred). Ability to run reports and extract/manipulate data is highly preferred. Solid understanding of managed care/provider operations in CA is required. Ability to work in a matrix environment. Up to 25% travel may be required within the CA area. CORE COMPETENCIES Organizational savvy Plans and aligns Collaborates Communicates Effectively Interpersonal Savvy Tech Savvy Being Resilient Action oriented Decision quality Customer Focus Builds Networks Instills Trust 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 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.
Lead and manage settlement processes, coordinate with internal teams and external parties, maintain databases, report on settlement activities, and support financial audits. | Bachelor's degree or equivalent experience, 3+ years in finance or business analysis, strong organizational and communication skills, proficiency in Microsoft Office with advanced Excel skills, and understanding of managed care processes. | Cigna is seeking a highly motivated and innovative team member to join our analytics team as a Business Analytics Lead Analyst. In this role, you will lead contractors and attorneys through the internal provider settlement process and partner closely with the settlement team. Responsibilities Manage the settlement team mailbox, responding to internal requests and inquiries Set up settlement meetings, document take-aways and send out meeting notes Maintain database inventory of settlements (tracking requests, payments, chargebacks, etc) Report on settlement activity (bi-weekly, monthly, quarterly and annual reporting). Enter payments into payment system to issue settlement payments Review and summarize financial analysis on potential settlements Lead the client chargeback process once a settlement payment is made Respond to external financial audits Collaborate with attorneys and contractors in preparation for quarterly reserve reviews and reporting Qualifications Bachelor’s degree or higher strongly preferred or equivalent work experience required 3+ years of experience in finance, business analysis or health care/managed care Strong organizational skills and attention to detail Excellent communication and documentation abilities required Understanding of managed care business processes, data, systems, and claim payments Proficient in Microsoft Office Suite (Microsoft Word, Microsoft Excel and Microsoft Access). VLOOKUPS and pivot tables required. Ability to work independently while managing multiple tasks and meeting deadlines 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.
The Senior Analyst is responsible for auditing medical documentation for diagnostic code abstraction and ensuring compliance with quality standards. They also lead and mentor junior team members while contributing to the execution of Risk Adjustment programs. | Candidates should have at least 5 years of experience in medical record coding and hold relevant certifications. Familiarity with Risk Adjustment coding and proficiency in ICD-10-CM is essential. | The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the HHS’ Risk Adjustment (RA) program and Risk Adjustment Data Validation (RADV) audits. The Senior Analyst is responsible for all aspects of auditing medical documentation for diagnostic code abstraction, and possesses HHS’ Hierarchical Condition Category (HCC) expertise, evaluating data accuracy and record compliance, executing on audit requirements, and identifying and recommending process improvements within the RA program. Core Responsibilities: • Proficient in assigning accurate ICD-10 diagnosis codes in accordance with Official Coding Guidelines and Conventions, Cigna IFP Coding Guidelines, and HHS’ RADV Protocols •Audits accuracy of abstracted diagnostic codes from identified medical record cohorts, evaluating work of peers and coding vendor coders, to ensure compliance with quality standards, scoring as appropriate per monthly quality feedback reports or other scoring instrument, as defined per policy. • Performs claims matching and auditing, as required, identifying missing or inaccurate data within RA claims and ensuring compliance with HHS’ RA program protocols. • Leads, trains, or mentors junior team members, as required, sharing expertise in RA programs. • Contributes to execution of Risk Adjustment programs, and other IFP programs, as needed, to ensure accurate and compliant data submissions. • Collaborates and coordinates with stakeholders to facilitate coding and risk adjustment education. • Contributes expertise to creation and maintenance of Coding Guidelines and Best Practices, as needed. •Participates in RADV execution for designated markets, including but not limited to, medical records reviews; subordinate, peer, or vendor coding audits; evaluation and reporting of progress, barriers, or errors; or other tasks as defined in HHS’ RADV Protocols. Minimum Qualifications: • High School Diploma or equivalent; Bachelors or equivalent work experience preferred • 5+ years’ experience in medical record coding, with certification in good standing from either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA), in one or more of the following: ▪ Certified Professional Coder (CPC) ▪ Certified Coding Specialist for Providers (CCS-P) ▪ Certified Coding Specialist for Hospitals (CCS-H) ▪ Registered Health Information Technician (RHIT) ▪ Registered Health Information Administrator (RHIA) ▪ Certified Risk Adjustment Coder (CRC) • Willing to achieve CRC certification within 12 months of hire, if not previously certified • Experience with Risk Adjustment coding and HCCs, demonstrating proficiency in ICD-10-CM medical diagnosis coding • Familiarity with CMS regulations for Risk Adjustment programs helpful. • Medical claims, billing, or inpatient coding experience helpful • Competency with MS Excel, MS Word, Adobe Acrobat, or other comparable software • Must be detail oriented, self-motivated, and have excellent organization skills, with the ability to communicate professionally and effectively in all formats (verbal, written, electronic) • Ability to work independently, managing time to meet deadlines, timelines, productivity, and accuracy standards for program success If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 58,400 - 97,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. 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.
Lead a large analytics team to drive data strategy, infrastructure, and insights to improve customer experience and operational efficiency. | 8+ years business or operations experience, 5+ years people leadership, 4+ years consulting or business analysis, proficiency in SQL/Python, strong analytical and communication skills. | OVERVIEW The Director will define, shape, and drive the organization’s data transformation, while iteratively delivering strategic outcomes throughout. Collaborate with business leaders to offer thought partnership and drive informed decision-making by leveraging data assets, governance, and analytical insights across the organization. Maintain a key role in leadership discussions, influencing the strategic direction by addressing the most complex and high-priority data challenges. This position is embedded within the Client and Customer Experience (C&CE) team, which has responsibility for servicing both customers and clients across a variety of business lines (e.g. U.S. Employer, Pharmacy Benefit Management, and Individual and Family Plans). The team's primary focus is on consistently delivering outstanding and efficient customer experiences across all these segments. Position Summary Reporting to the head of the C&CE Business Analysis (BA) team, this individual will be responsible for leading a team of ~40 business analysts, data product owners and engineers that are responsible for data strategy, analytics and reporting Will work closely with Operations, Product and Technology teams to deeply understand the data problems at hand and guide the development of data infrastructure, insights and reporting solutions Oversees and implements C&CE data strategy, including multi-year planning, business case development and coordination with Enterprise partners Influence new technology solutions that ultimately improve the customer experience and generate efficiencies Develop and/or influence analytical models and solutions that generate insights that solve business problems Act as a key thought partner for the operations senior leaders they support and their direct reports Primary Components Leadership – Direct a high-performing analytics team dedicated to delivering superior analytics and strategic insights to customers in C&CE. The leader will establish rigorous standards for excellence, providing guidance and professional development to employees to support their growth and career progression. They will foster a collaborative culture that promotes engagement, facilitating the retention and recruitment of top talent. Data – Leverage a data first approach to identify critical business trends and insights to make specific actionable recommendations to the business. Utilize advanced analytical and technical skills to drive data-driven decisions and influence the design and evolution of future state data architecture. Demonstrate expertise that allows them to shape solutions tied to data infrastructure, governance, and visualization. Proficiency with coding languages (e.g. SQL, Python, etc.), data platforms (e.g. Databricks, Microsoft SQL Server, etc.) and visualization software (e.g. Tableau, Amazon QuickSight, etc.). This leader will collaborate closely with data teams across the company to gain a deep understanding of operational, business, and other relevant data, ensuring data integrity and governance. Analytics – Utilize a variety of analytical methods to uncover business opportunities and develop strategic recommendations. The individual will select appropriate analytical approaches for each scenario and integrate them into the analysis plan. They will collaborate closely with partner AI teams to discover ways to incorporate new or additional analytical techniques into operations. Strategy – Using a background of proven business acumen, make analytically grounded strategic recommendations to the business. The individual will think far beyond “tomorrow” to identify truly transformational opportunities to enhance the customer experience and operating efficiency. The individual will have the opportunity to be engaged in strategic discussions at the VP+ level. Communication – Strong communication skills are essential for clearly conveying complex data findings to stakeholders in an engaging and understandable way. Apply advanced deck-building abilities to develop persuasive business cases and recommendations that can impact decisions made by the company's top executives. The individual should excel at condensing thorough analytical work and insights into concise, easy-to-understand presentations tailored for audiences ranging from analytics leaders to key business partners. Teamwork – This role requires close collaboration with Operations, Finance, and Business teams across the organization. Individual will be a key partner for specific operations teams, acting as the primary point of contact for all data needs. Additionally, the individual will have the opportunity to work broadly across the business in both a strategic and analytical capacity partnering to generate future state strategy and insights. Product/Technology – Collaborate with the Product, Technology, and Operations teams to design a strategic roadmap for upcoming technology solutions. This role involves leading strategic planning sessions, conducting value creation analyses, and producing outcome-focused insights to validate results. Key Qualifications Bachelor’s degree in Math, Economics, Statistics, Engineering, Business or related field preferred; MBA or other relevant graduate degree in Math, Economics, Statistics, or Engineering preferred 8+ years of experience with business, operations or similar applicable experience 5+ years of people leadership experience is required The preferred candidate will have at least 4 years of work experience in consulting or business analysis The preferred candidate will have experience leveraging SQL and/or Python in a business environment Strong analytical and finance skills are required Strong communication (oral and written) and presentation skills, including an ability to present work products to senior executives 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 155,400 - 259,000 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 and long term incentive 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.
Lead and coordinate global finance program management initiatives, drive change management, and deliver value aligned with enterprise strategy. | 15+ years in finance operations/transformation with experience in GCC/GBS or finance shared services, strong change leadership, program management, and ability to engage senior leadership. | Are you ready to make a significant impact on our company’s global growth and operational transformation? We are seeking an accomplished Director, Global Program Management to oversee a diverse set of deliverables related to our enterprise global strategy. The role ensures we translate the enterprise Global Capability Center (GCC) strategy into execution for Finance—standing up teams, landing processes E2E, and delivering value capture on schedule with minimal business disruption. The role is pivotal in driving finance change management and coordinating change within functional leadership groups with change champions. Key Responsibilities • Oversee and coordinate the delivery of the Finance GCC roadmap through multiple, complex GCC-related programs and initiatives across Finance, ensuring alignment with organizational goals and timelines. • Manage multiple competing priorities with agility, balancing short-term deliverables with long-term strategic vision, and adapting to dynamic business demands. • Track value capture and escalate risks to the Finance oversight team. • Support a network of 'GCC change champions' within functional leadership groups to ensure consistent and effective change management across the organization. • Act as a strategic partner to Senior Leadership Team (SLT)-level executives, providing regular updates, insights, and recommendations to drive informed decision-making. • Foster robust, cross-functional collaboration with leaders and stakeholders • Champion the development and implementation of the global operating model, promoting best practices and operational excellence across all GCCs. • Identify opportunities for process improvement and innovation, proactively addressing challenges and supporting enterprise transformation initiatives. • Build and oversee intact GCC teams to ensure business continuity and long-term organization and hub success. Qualifications • 15+ years in Finance operations / transformation with additional experience standing up or scaling a GCC/GBS or finance shared services (preferably in HIH). • Demonstrated expertise in leading and managing large-scale, complex change management initiatives, including the ability to develop and execute change strategies, engage stakeholders at all levels, and drive successful adoption of new ways of working. • Delivery accountability for multi‑wave transitions using a structured end to end lifecycle. • Operating model design and implementation under enterprise guardrails/career architecture (US solid‑line leadership for senior roles; on‑site people leadership at HIH). • Strong communication and influencing skills, particularly with SLT, people leaders, and global teams as designed with change committee. • Program management and change leadership to efficiently convert the Finance GCC strategy into executable work packages with measurable value capture and financial planning alignment. • Demonstrated ability to build team and transfer knowledge at scale ensuring minimal business disruption 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.
Lead and manage the Insights & Experience function to deliver actionable market research and customer experience strategies that drive customer loyalty and profitable growth globally. | 15+ years strategic market research experience, 10+ years people management, MBA or relevant master's degree preferred, ability to work cross-functionally in global matrixed environment, healthcare or customer-oriented industry experience. | The Managing Director of Insights & Experience is responsible for creating a competitive advantage for The Cigna Group by delivering fact-based insights from all key constituencies (including customers, clients, producers, consultants, medical professionals, and employees) and driving a customer-centric culture. This role combines the responsibilities of market research and customer experience to facilitate strategic and tactical decision-making, enhance customer loyalty, and drive profitable growth. Reporting to the Chief Brand and Marketing Officer, this position will interface with business leaders globally to align strategies with corporate goals. DUTIES AND RESPONSIBILITIES: • Market Research and Insights: • Establish and maintain a Market Research plan grounded in the insights needs of the Segments and Functions, addressing ongoing information needs and handling non-planned custom research projects. • Lead the identification, development, and alignment of Market Research best practices and processes at The Cigna Group. • Identify and prioritize information gaps within The Cigna Group that can be filled with valid, reliable, and actionable Market Research information. • Maintain focus on actionable Market Research while eliminating non-essential research. • Delegate project responsibilities among team members and provide hands-on management of strategic Market Research projects. • Establish relationships and work directly with key Market Research consultants. • Customer Experience Strategy: • Develop and lead the strategy and framework for The Cigna Group's Customer journey globally. • Map the drivers of loyalty across the end-to-end customer journey and develop strategies to deepen customer relationships, establish greater trust, and build stronger loyalty. • Demonstrate the ROI from Customer Experience initiatives and advocate for their strategic and financial significance. • Develop and roll out consistent customer tracking, scorecard, and measurement programs for assessing customer advocacy and loyalty (NPS). • Partner with Global Market Research, CRM, and Analytics teams to analyze trends, develop actionable results, and leverage this material to improve experience performance and customer value. • Lead The Cigna Group’s capability in testing usability of products and services, driving recommendations for improvements in partnership with the Product organization. • Develop The Cigna Group’s customer-oriented Experience Design capability by identifying key customer pain points and partnering with Product and Marketing teams to resolve issues and drive positive NPS. • Strategy and Influence: • Influence strategic decisions related to business strategies, channel strategies, product offerings, and long-term strategic direction. • Support a ‘customer-focused culture’ within The Cigna Group by demonstrating the strategic and financial significance of a business anchored in deep customer, client, and business partner understanding. • Actively participate in corporate Strategy and Planning sessions representing the fact-based voice of customers, clients, and business partners. • People and Budget Management: • Drive the People Strategy within the Insights & Experience team, including recruiting, development, motivation, and retention efforts. • Continually evaluate team talent/skillsets available and needed for a world-class function. • Manage all budget and expense management activities through effective planning, monitoring, and forecasting. • Tightly manage outside consultant and research vendor spending and build internal capabilities as appropriate to ensure the greatest value for research investment. REQUIREMENTS: • MBA in Marketing, Business, or a related subject and/or MBA/Master’s degree in a relevant quantitative field (e.g., statistics) strongly preferred. • 15+ years of strategic Market Research experience with large customer-oriented companies; experience in Healthcare and/or Regulatory is not required but preferred. • Minimum of 10 years of people management experience. • Deep experience within the healthcare space or highly customer-oriented categories (e.g., Retail/CPG). • Ability to work in a matrixed team environment across multiple functions and geographies. • Evidence of using research to embed a multi-dimensional customer experience and service culture in a global organization. • Ability to leverage AI technology to streamline research practices and customer experience work. • Understanding of the current healthcare regulatory environment and the ability to keep pace with the ever-changing regulatory landscape. PERSONAL COMPETENCIES REQUIRED: • Ability to build and leverage internal relationships. • Practical business leverage mindset rather than a technical/academic research mindset. • Passion and energy for inciting results through others; influences and inspires others to achieve. • Strong commitment to client service and team members. • Adaptable, flexible, and able to lead/manage the organization through change. • Goal-oriented and personally accountable; resourceful and self-directed. • Open-minded and creative – seeks ‘out of box’ solutions. • Open communicator; excellent oral and written communication skills. • Strategic mindset with customer focus. • Business leadership and judgment skills. • People leadership and interpersonal skills. • Innovative and creative. • Business-oriented, mature, and self-motivated. • Able to work under pressure on multiple priorities. • Self-starter with a global mindset. 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 207,300 - 345,500 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 and long term incentive 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.
The Clinical Policy Lead Analyst will research and write clinical guidelines based on evidence-based practices. Responsibilities include maintaining policy libraries, presenting guidelines to stakeholders, and collaborating with internal and external experts. | A degree in Nursing or a related healthcare field is preferred, along with 3+ years of experience in medical writing and clinical research. Candidates should have a strong background in literature evaluation and peer-reviewed publications. | The Clinical Lead Policy Analyst, Clinical team is looking for someone who enjoys clinical research and writing the findings into guidelines for the company. You will spend your days researching, collaborating, and writing processes to ensure timelines are met for go-live dates. If you enjoy clinical or evidence-based research and have experience with clinical writing this role may be for you. Duties and Responsibilities: Create and maintain technical assessments and evidence-based policy for clinical programs through evaluation of published literature. Serve as primary author of evidence-based for program-specific clinical guidelines Monitor peer-reviewed, published evidence-updates for relevant clinical programs Maintain evidence tables and apply evidence-grading to literature Apply evidence updates to clinical guidelines Maintain library of relevant literature Maintain policy library through regular assessments and updates and revise and maintain clinical guidelines in the content management system Present revised clinical guidelines to the Medical Advisory Committee (MAC) Present to external stakeholders as needed Work with internal stakeholders related to clinical guideline development, maintenance, and implementation Act as a subject matter expert for programs and guidelines assigned Partner with internal and external subject matter experts to assimilate current practice standards into clinical policy, reconciling with published literature Ensure downstream operational representation, such as branching logic, is consistent with the intent of the clinical policy as approved by MAC Provide thought leadership and subject matter expertise for complex projects, working across business units Engage in cross-enterprise projects through ICOG aimed at creating optimal health care experiences Create and maintain technical assessments and evidence-based policy for clinical programs through evaluation of published literature. Serve as primary author of evidence-based for program-specific clinical guidelines Monitor peer-reviewed, published evidence-updates for relevant clinical programs Maintain evidence tables and apply evidence-grading to literature Apply evidence updates to clinical guidelines Maintain library of relevant literature Maintain policy library through regular assessments and updates and revise and maintain clinical guidelines in the content management system Present revised clinical guidelines to the Medical Advisory Committee (MAC) Present to external stakeholders as needed Work with internal stakeholders related to clinical guideline development, maintenance, and implementation Act as a subject matter expert for programs and guidelines assigned Partner with internal and external subject matter experts to assimilate current practice standards into clinical policy, reconciling with published literature Ensure downstream operational representation, such as branching logic, is consistent with the intent of the clinical policy as approved by MAC Provide thought leadership and subject matter expertise for complex projects, working across business units Engage in cross-enterprise projects through ICOG aimed at creating optimal health care experiences Minimum Qualifications: Degree in Nursing or Healthcare related field (e.g.: Public Health, Healthcare Administration), preferred 3+ years of experience in medical writing, clinical or policy research, literature evaluation and peer-reviewed publications. 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.
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, 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 50 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.
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. | A 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 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. Candidate must be located within 50 miles of Marlborough, MA. 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.
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. | A 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 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. Candidate must be located within 50 miles of Lenexa, KS or Omaha, NE. 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.
Manage end-to-end billing relationships for a complex book of business, resolve billing inquiries, and identify process improvements to enhance client satisfaction and reduce financial risk. | 3+ years related experience, customer service, reconciliation, data analysis, strong Excel skills, preferably with SAP and Facets systems, and some insurance knowledge. | POSITION SUMMARY The Financial Analysis Senior Analyst is responsible for managing all billing aspects for a complex or larger volume book of business including Under 500 Accounts. This role is accountable to collect all premium/fees and claims/claims funding billed on an invoice, resolve all billing inquiries, and partner with internal and external partners to create a positive client experience. Key responsibilities of this role include: owning the end-to-end billing relationship; identifying opportunities for process improvements to enhance client satisfaction, reduce financial risk and successful implementation of new and renewing clients from a financial perspective. Primary Responsibilities Manage the end-to-end billing relationship for a complex book of business of approximately 500 accounts. Make independent decisions regarding credits and debits, notifications and communication on client receivables. Provide support for external and internal customers regarding all items related to the billing for premium and claims/claims funding. Analyze daily Automated Clearing House (ACH) tap files prior to sending to Treasury and the bank. Conduct audits to ensure financial controls are maintained, when necessary. Design, enhance and maintain system applications for processing and reporting financial information as needed. Strong verbal and written communication skills to communicate billing items to clients, TPA’s, brokers, and internal partners. Utilize problem solving skills and financial knowledge to identify root cause of client issues (related to incorrect rates, eligibility errors, commission’s errors, etc.). Organizational skills and prioritization skills. Key Qualifications High School Diploma or GED required. Bachelor's degree in finance preferred. 3+ years of related experience required. Customer/Client service experience required. Reconciliation experience required. Data analysis experience required. Previous billing or collection experience strongly preferred. Exceptional systems experience, specifically using Excel for reporting purposes is required. General knowledge of insurance products, procedures and systems for specific functional area is desired. Prior experience working with matrix partners is preferred. SAP and Facets experience is strongly preferred. Strong Excel skills with experience with pivot tables and v-lookups required. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 62,300 - 103,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
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.
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.
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.
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.
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.
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.
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.
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.
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