The Cigna Group

Lead UX research initiatives, develop user personas and journey maps, collaborate with cross-functional teams, and advocate for accessibility in digital experiences. | Bachelor's degree, 6+ years of UX research and strategy experience, strong UX methodologies knowledge, excellent communication skills, and ability to work in a hybrid office setting. | Digital Marketing Advisor – User Experience Strategy Position Summary The Digital Marketing Advisor – User Experience Strategy will support the Evernorth Health Services business segment. Reporting to the Digital Marketing Senior Manager, this is a new role aimed at conducting audience research across B2B, patient, and provider segments and developing strategies to inform design, navigation, and content improvements. The ideal candidate will bring a blend of UX research expertise, strategic thinking, and strong communication skills to help shape audience-first digital experiences. The Person In This Role Should Be Able To • Conduct audience segmentation research and develop user personas across B2B, patient, and provider audiences • Script and conduct user testing to inform site enhancements • Map and analyze user journeys to inform website strategy and content development • Collaborate with UX design, data analytics, content strategy, engineering, accessibility, and marketing teams to deliver cohesive digital experiences • Track and synthesize user feedback to continuously improve user journeys • Contribute to quarterly reports on site performance, insights, and recommendations • Present research findings and strategic recommendations to stakeholders at all levels • Work comfortably in collaboration tools such as Wrike, Mural, Figma, and Dscout • Demonstrate a working understanding of website content management systems Duties and Responsibilities • Lead UX research initiatives to uncover user needs, behaviors, and pain points • Create and maintain user personas and journey maps to guide digital strategy • Develop and document UX strategies that align with business goals and audience needs • Partner with cross-functional teams to ensure UX insights are integrated into design and development processes • Monitor and analyze user feedback to identify opportunities for improvement • Support other marketing stakeholders by aligning UX strategy with product, thought leadership, campaign, and lifecycle marketing objectives • Advocate for accessibility and inclusive design principles across digital experiences Ideal candidates will offer • Bachelor’s degree; advanced degree in UX, HCI, or related field a plus • 6+ years of experience in user experience research and strategy, preferably in a digital marketing or health care context • Strong understanding of UX methodologies, user-centered design, and digital best practices • Experience working with cross-functional teams in a matrixed organization • Excellent communication and presentation skills • Familiarity with collaboration and design tools such as Wrike, Mural, and Figma • Understanding of website content management systems and their role in UX strategy • Health care experience a plus • Ability to work from a Cigna Group office 3 days a week, as directed by the business 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.

Maintain and update broker roadmaps, analyze broker requests, collaborate with internal teams to optimize pharmacy pricing strategies, and support underwriting process improvements. | 5+ years relevant experience, understanding of pharmacy benefits industry and PBM pricing, strong analytical and communication skills, bachelor's degree, and willingness to travel up to 20%. | The job profile for this position is Financial Analysis Senior Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Position Summary: The Pharmacy Benefit Financial Analyst serves as a key strategic partner within the Cigna Healthcare Pharmacy Underwriting Organization, supporting the development and execution of Broker Roadmaps. The roadmaps are essential tools that enable efficient and effective pharmacy underwriting aligned with enterprise financial goals and broker preferences. In this role, you will work collaboratively with Cigna Pharmacy Sales and Account Management (CPSAM), Pharmacy Underwriting (RxUW), and the Cigna Healthcare Consultant Relations Department (CRD) to drive the optimization of pharmacy pricing aligned with broker strategies, with a specific focus on Broker Roadmaps. The Senior Advisor is responsible for maintaining the accuracy and relevance of broker roadmaps, analyzing broker-specific requests, generating competitive responses to RFPs and RFIs, communicating key changes to broker roadmaps and strategies to the RxUW team, and working with CRD to determine how certain brokers are financially evaluating our pharmacy pricing proposals. The primary goal of your responsibilities is to ensure that RxUW and CPSAM are armed with the most up-to-date broker financial preferences and competitive intelligence so RxUW can formulate the most compelling financial offering to brokers to win and retain integrated medical and pharmacy benefits business and effectively defend against pharmacy carve-out threats. A secondary, but no less important goal of your responsibilities, is to lead and/or support projects that enable the RxUW team to effectively and efficiently underwrite cases. These projects include, but are not limited to, enhancements to the underwriting tools, advise on/incorporate enhanced/new product(s) into existing underwriting tools, and collaborate with the Pricing, Proposals, and Growth Strategies Teams to effectuate changes that positively influence the pharmacy underwriting process and our pharmacy pricing competitiveness. Key Responsibilities: Understand PBM marketplace pricing optics with specific emphasis on broker-specific preferences for each optic. Become an expert on broker-specific financial evaluations. Ability to dissect competitors’ financial proposals to perform SWOT analyses on our own pharmacy pricing strategies. Conduct thorough research to inform and enhance broker roadmaps, ensuring that content remains current, accurate, and strategically aligned. Maintain broker roadmaps’ currency by updating information, tracking industry trends, and incorporating feedback from internal stakeholders and external competitive intelligence resources. Communicate updates and changes regarding broker roadmaps to RxUW and CPSAM, ensuring transparency and alignment across teams. Collaborate actively with the Cigna Healthcare CRD to share insights, coordinate strategy, and strengthen broker engagement. Analyze broker-specific requests and partner with management to develop and implement effective response strategies that maximize opportunities and address client needs. Review broker RFPs and RFIs, working closely with internal stakeholders to craft and deliver competitive, compelling responses that address broker requirements. Engage and participate in projects and product development initiatives that are impactful to the RxUW process to ensure RxUW process remains efficient and aligned with strategic objectives. Willingness to learn and understand how our pharmacy pricing is memorialized in ASO client contracts. Support broader organizational goals by contributing broker-focused expertise to cross-functional initiatives and projects. Qualifications: 5+ years of relevant experience preferred. General understanding of pharmacy benefits industry and PBM pricing and supply chain is required 2+ years of experience in pharmacy benefits underwriting preferred. General knowledge of the pharmacy benefits broker landscape is preferred. Excellent written and verbal communication skills, including the ability to present complex information to diverse audiences and maintain executive presence. Strong analytical and modeling skills, with a proven ability to assess value trade-offs and support strategic decision-making. dynamics and financial implications with desire to become an expert. Ability to take initiative, deliver results, and work effectively under pressure and tight deadlines. Bachelor’s degree in Healthcare, Business, Finance, Economics, Communications, or a related field; Willingness to travel up to 20%. 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 106,800 - 178,000 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Conduct clinical summary reviews and support clinical sales teams by analyzing medical records and claims data to improve client engagements and clinical program alignment. | Requires minimum 5 years clinical or clinical support experience, strong clinical analytical skills, familiarity with clinical systems and coding, and excellent communication and organizational skills. | The job profile for this position is Program Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Lead and manage a team of BI developers to create and maintain advanced BI products and dashboards for external clients, develop BI strategy, and coordinate cross-functional BI initiatives. | 10+ years in BI product development for life sciences/pharmaceuticals, expertise in big data tools and BI platforms, leadership experience, strong communication skills, and relevant technical degrees. | The job profile for this position is Business Analytics Director, which is a Band 5 Management Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Summary The Director of RWE BI Products holds a significant position within the organization, supporting a complex and expanding area in healthcare. The main responsibility is to lead a team of BI developers responsible for creating dashboards and reporting products for external clients. Duties include client portal development, BI strategy formulation, implementation and maintenance, maintaining up-to-date and accurate BI products, and providing BI support to internal stakeholders. The role also involves serving as SME for core BI platforms across both internal and external teams, understanding customer marketplace needs, and integrating these into BI strategy and architecture. Responsibilities Manage, develop, and oversee a team of BI developers to deliver advanced products and services for Forsyth Health Provide consultation and communication with internal and external stakeholders to clarify complex issues and inquiries, proposing appropriate actions or solutions Identify tasks required for project success proactively Support the development of enterprise BI strategy Coordinate with technology partners regarding BI strategy across the company Research and implement new tools, applications, and data frameworks to enhance team capability Develop standardized reporting processes to monitor trends and provide industry analysis Promote a performance-driven environment that facilitates collaboration and encourages innovative approaches Oversee multiple projects, managing timelines, priorities, and escalation processes Collaborate across functions to introduce innovation and efficiency into models and reports Create scalable BI products for external users through portal-based access management Required Experience and Skills 10 + years of related professional experience Experience creating data products for life science/pharmaceutical industry Skilled in Databricks, Snowflake, AWS, ETL, Spark, Python, and big data frameworks In-depth understanding of Tableau, Domo, PowerBI, Thoughtspot, or similar tools Experience deploying dashboards and reporting features for external users Experience with “white-labeling” BI tools Strong presentation and communication abilities Demonstrated leadership experience, proactive management, team orientation, and dedication to client service Ability to multitask, prioritize assignments, resolve complex problems, and manage projects efficiently Capability to think creatively and adapt when needed, quick decision-making skills Proficient analytical skills, including quantitative analysis, reporting solutions expertise, and awareness of advanced analytic tools and principles BS/MS in Computer Science, Information Technology, or related discipline is highly desirable 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 plan 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. 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 internal provider settlement process including communication, documentation, reporting, and collaboration with attorneys and contractors. | Bachelor's degree or equivalent, 3+ years in finance, business analysis or healthcare, strong organizational and communication skills, proficiency in Microsoft Office, and ability to manage multiple tasks independently. | 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.

Support Epic EHR implementations by translating business needs into system functionality, providing end-user support, managing workflows, and collaborating with technical and operational teams. | 7+ years healthcare or technology implementation experience with 5+ years hands-on Epic system expertise, strong analytical and communication skills, and ability to work independently in a fast-paced environment. | We are looking for a skilled and driven Business Analyst to join the Business Enablement team at Evernorth Workplace Care. This individual contributor role plays a critical part in supporting Epic EHR implementations and driving cross-functional business initiatives across Health Centers, Custom Coaching, Occupational Health, and Behavioral Health services. As a key liaison between business operations and IT, the Business Analyst will help optimize and maintain the Epic Electronic Health Record (EHR) system. This position requires a strong understanding of Epic’s technical capabilities and the workflows of healthcare professionals. The analyst will collaborate with operational teams to translate business needs into system functionality, analyze processes, and identify opportunities for efficiency and improvement to ensure the EHR system supports seamless daily operations. Ideal candidates will have extensive Epic or healthcare experience and demonstrate success in both waterfall and agile project environments. While Epic certification is preferred (Cadence, Prelude, Welcome, Resolute, HIM), it is not required; however, hands-on, in-depth knowledge of Epic workflows and functionality is essential. Candidates must be able to analyze business requirements, optimize processes, and support system enhancements with proven on-the-job expertise Key Responsibilities Translate business needs into functional specifications and work closely with technical teams for implementation. Provide end-user support for clinical staff and coaches, including troubleshooting Epic-related issues and guiding appropriate process solutions. Manage and maintain Epic work queues, including error resolution and HIM-related tasks, such as performing patient record merges to eliminate duplicates. Analyze and validate patient data within Epic, correcting inconsistencies and ensuring accuracy. Directly support center and coach staff to create and maintain their daily schedule in Epic. Perform system testing, validation, and troubleshooting for Epic applications. Collaborate with operations and training teams to recommend application configurations and governance standards and analyze workflows to identify improvements within Epic modules. Collaborate with business stakeholders to gather requirements for Epic-related projects and develop business requirements that meet operational standards and support end-user adoption. Participate in multiple concurrent Epic projects from initiation through completion, ensuring alignment with organizational goals and client commitments. Serve as a liaison between technical and business teams, translating requirements and ensuring readiness for go-live activities. Contribute to system design discussions, project planning, and operational strategy sessions. Communicate regularly with project managers and cross-functional teams, escalating issues that require leadership attention. Qualifications Minimum of 7 years of experience in healthcare or technology implementations, including at least 5 years of hands-on experience with Epic systems (clinical or business modules). Strong understanding of Epic workflows and integration points. Exceptional organizational, analytical, and problem-solving skills, along with excellent written and verbal communication abilities to effectively influence across all levels. Ability to work effectively in a fast-paced, matrixed environment with virtual teams, while managing multiple priorities and working independently. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, SharePoint) and familiarity with reporting tools. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. 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 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.

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 must have a high school diploma and at least 5 years of experience in medical record coding, with relevant certifications. Proficiency in ICD-10 coding and familiarity with Risk Adjustment programs are also required. | The job profile for this position is Quality Review and Audit Senior Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Manage complex provider contracting and negotiations, build provider partnerships, analyze financial impacts, and support network management activities for a local territory. | Bachelor's degree (MBA/MHA preferred), 3+ years managed care contracting experience, knowledge of reimbursement methodologies, strong relationship-building and communication skills, and ability to work in a fast-paced matrix organization. | The job profile for this position is Provider Contracting Senior Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. WORK LOCATION: Walnut Creek, CA Will support the Walnut Creek, CA market; person will need to live in the local area: Walnut Creek, Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred The Manager, Provider Contracting Network Management serves as an integral member of the Provider Contracting Team and reports to the VP, Network Management. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES • Manages complex contracting and negotiations for fee for service, capitation, and other value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. • Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. • Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. • Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. • Creates and manages initiatives that improve total medical cost and quality. • Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. • Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. • Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. • Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. • Manages key provider relationships and is accountable for critical interface with providers and business staff. • Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. • Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. • May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS • Should possess a bachelor’s degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor’s degree. MBA or MHA preferred. • 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required. • Experience in developing and managing key provider relationships • Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. • Intimate understanding and experience with hospital, managed care, and provider business models. • Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. • The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. • Customer centric and interpersonal skills are required. • Demonstrates an ability to maneuver effectively in a changing environment. • Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. • Knowledge and use of Microsoft Office tools. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 106,400 - 177,300 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Lead a large analytics team to drive data strategy, develop analytics solutions, influence technology adoption, and partner with senior leaders to improve customer experience and operational efficiency. | 8+ years business/operations experience, 5+ years people leadership, 4+ years consulting/business analysis, proficiency in SQL/Python, strong analytical, finance, and communication skills, and ability to engage senior executives. | The job profile for this position is Business Analytics Director, which is a Band 5 Management Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. 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 plan 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

The Workstream Analyst will partner with business leaders to translate strategic priorities into actionable deliverables and document goals and success criteria for initiatives. They will also support the delivery teams by ensuring clarity on scope and tracking progress on KPIs. | Candidates should have experience in strategy or business analysis and the ability to translate business strategy into measurable outcomes. Strong analytical and communication skills are essential, along with familiarity with project management tools. | The job profile for this position is Business Project Analyst, which is a Band 2 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. OVERVIEW We are seeking a strategic, analytical contributor to join the Platform & Delivery Efficiency Team as a Workstream Analyst. This role is pivotal in translating business priorities into clear, actionable deliverables, supporting prioritization, and enabling value realization across delivery strategy and CDP initiatives. WHAT YOU’LL BE DOING Partner with business leaders and stakeholders to translate strategic priorities into actionable deliverables. Document the ask, goals, requirements, measurable outcomes, and success criteria for each initiative. Provide analysis to support prioritization, value realization, and trade-off decisions. Identify and align with cross-functional teams required to deliver on strategic deliverables. Ensure delivery teams have clarity on scope, success criteria, and expected outcomes. Support intake of new requests and facilitate review and prioritization in Steerco forums. Participate as a member of the delivery team, adding clarity and a path forward when requirements change or blockers arise. Funnel shovel-ready work to delivery teams for estimation and scheduling/resource alignment. Track progress and support reporting on KPIs and value delivery. RELEVANT SKILLSET Experience in strategy, portfolio analysis, or business analysis within a cross-functional environment. Demonstrated ability to translate business strategy into actionable plans and measurable outcomes. Strong analytical skills; able to assess value, prioritize initiatives, and support trade-off decisions. Excellent communication and stakeholder management skills. Experience developing and maintaining roadmaps and dashboards. Ability to work collaboratively across teams and influence without direct authority. Familiarity with delivery frameworks, project management tools, and value realization methodologies. 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 27 - 40 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Lead strategic planning and execution, operational excellence, leadership enablement, and cross-functional collaboration to drive growth and transformation for National Accounts. | Requires 10+ years in strategic operations or consulting within healthcare or insurance, strong leadership and analytical skills, experience supporting senior executives, and familiarity with enterprise systems. | * Location: Willing to consider any Cigna location or remote set up. Role Summary: The Sales Strategy & Operations Lead will serve as a strategic advisor and execution partner to the SVP of National Accounts, driving operational rigor, strategic alignment, and cross-functional coordination across the segment. This role is a force multiplier, enhancing leadership effectiveness, accelerating decision-making, and ensuring the successful delivery of strategic initiatives that support growth, retention, and transformation across Cigna’s largest commercial clients. RESPONSIBILITIES: Strategic Execution & Planning: Lead the development and execution of multi-year strategic roadmaps aligned with National Accounts priorities. Translate executive vision into actionable plans, ensuring alignment across Sales, Client Management, Underwriting, Product, and other Enterprise partners. Monitor progress against KPIs and strategic goals, adjusting plans as needed to ensure outcomes. Operational Excellence: Design and implement governance models and management processes that improve segment performance and accountability. Identify and resolve operational bottlenecks, resource gaps, and process inefficiencies. Drive continuous improvement initiatives across reporting, analytics, and incentive compensation structures. Design and implement infrastructure to drive relationship mapping/execution, c-suite engagement and executive sponsor activities. Leadership Enablement: Serve as a trusted advisor and connector across the National Accounts leadership team, including Growth Leaders, Existing Business Leaders, and Strategy Leads. Facilitate leadership forums, town halls, and strategic planning sessions. Act as a proxy for the SVP in meetings and decision-making processes when appropriate. Cross-Functional Collaboration: Mobilize and lead cross-functional teams to deliver on high-impact initiatives. Ensure alignment with broader US Commercial and Enterprise strategies, working closely with other sales and process leaders across segments. Talent & Culture Stewardship: Support succession planning, leadership development, and talent reviews for critical roles within National Accounts. Champion a culture of accountability, innovation, and collaboration. REQUIRED SKILLS: Bachelor’s degree required; MBA or advanced degree preferred. 10+ years of experience in strategic operations, consulting, or executive support roles, preferably within healthcare or insurance. Deep understanding of National Accounts dynamics, including client segmentation, sales cycles, and retention strategies. Experience supporting senior executives in matrixed environments. Proven ability to lead cross-functional initiatives and drive operational transformation. Strong analytical, communication, and stakeholder management skills. High emotional intelligence and ability to influence without authority. Familiarity with enterprise systems (Workday, Concur, SharePoint) and performance management frameworks. 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 185,300 - 308,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. 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.

The Care Coordinator will coordinate Fast Cert authorizations for behavioral healthcare clients and communicate with providers regarding authorization requests. They are expected to provide exceptional customer service and collaborate with various stakeholders to ensure proper access to benefits. | A bachelor's degree and at least 1 year of relevant work experience are required for this position. Candidates should possess strong customer service skills and be proficient in using multiple PC systems and applications. | The job profile for this position is Case Management Analyst, which is a Band 2 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. The primary purpose of the Care Coordinator for the Behavioral Authorization Team (BAT) is to coordinate Fast Cert authorizations for a variety of behavioral healthcare clients. BAT Coordinators communicate with Individual and Facility Providers regarding authorization requests for higher levels of care (Inpatient, Residential, and Partial Hospitalization) for mental health and substance abuse disorder services on behalf of our customers. Employees in this role are expected to provide exceptional customer service, collaborating closely with inpatient Care Coordinators, Care Managers, facilities and individual providers to ensure proper access and utilization of benefits. Must be available to work Mon-Fri 10:30am-7:00pm CST/EST. RESPONSIBILITIES: Answer and process provider calls for Cigna Behavioral Health and Care Allies Validate HIPAA, verify eligibility & benefits, provide referrals, and complete authorization and handoff processes. Utilize workflows to efficiently and accurately make nonclinical decisions and complete authorization and/or handoff process based on Fast Cert Authorization criteria Participate in implementing tasks related to increasing holistic approach to management of customer cases including meaningful engagement, aftercare follow-up planning and integration of services with matrix partners. Process electronic authorization requests Triage follow up requests for authorization and coordinate between the caller and Care Manager/Care Management Teams. Research complicated cases, i.e. eligibility, escalated cases, etc. Participate in assigned workgroups and opportunities for stretch assignments Attend and participate in team meetings. QUALIFICATIONS: Bachelors degree required At least 1 year of relevant work experience Experienced and skilled in working with multiple PC systems and applications, efficient in responding to requests while simultaneously maneuvering various computer screens among multiple systems while able to meet metrics and adhere to IEX scheduling requirements. Strong customer service skills. Strong interpersonal skills with capacity to project warmth and empathy Effective listening & organizational skills Detail oriented Proven customer service skills If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 24 - 36 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Lead SAP PTP product roadmap and agile development cycles, translate business requirements, oversee SAP module integration, and drive process improvements. | Bachelor's degree plus 7+ years SAP PTP configuration experience and 2+ years with SAP S/4HANA Cloud. | The job profile for this position is Agile Product Owner Senior Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. CuraScript SD, a subsidiary of Express Scripts (a Cigna Company), is a leading wholesale pharmaceutical distributor delivering customized business solutions and access to specialty medications for healthcare providers. As part of our digital transformation, we are implementing SAP S/4HANA Cloud and seeking an experienced Agile Technical Product Owner Advisor to lead our Procure-to-Pay (PTP) capabilities. Position Summary: This strategic role combines deep SAP PTP expertise with agile product ownership. You will serve as the technical advisor and product owner for SAP PTP, driving the product vision, managing the backlog, and ensuring delivery of high- impact solutions that support procurement operations across the enterprise. Key Responsibilities: • Define and own the SAP PTP product roadmap aligned with business goals. • Lead agile product development cycles, including backlog grooming, sprint planning, and stakeholder demos. • Translate complex business requirements into clear functional and technical specifications. • Oversee WRICEF documentation, configuration, and integration across SAP modules (MM, FI, SD, LO). • Collaborate with cross-functional teams to ensure seamless delivery and system optimization. • Resolve system issues and proactively identify opportunities for process improvement. • Champion agile best practices and foster a culture of continuous delivery and innovation. Required Qualifications: • Bachelor’s degree in Computer Science, Information Systems, or related field (or equivalent experience). • 7+ years of SAP configuration experience in Sourcing and Procurement (PTP). • 2+ years of experience with SAP S/4HANA Cloud If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 113,000 - 188,400 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Lead and coordinate multiple complex finance GCC programs to deliver strategic initiatives, manage change, and ensure value capture aligned with organizational goals. | 15+ years in finance operations/transformation with GCC/GBS experience, strong change management and program leadership skills, ability to engage senior leadership and build teams for sustained success. | 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 AI product development teams to operationalize NLP and ML solutions for healthcare prior authorization challenges, collaborating across teams to deliver impactful products. | Requires 2+ years in product leadership, technical background in computer science or related field, agile experience, strong communication skills, and preferably healthcare experience. | Help us lead our future. Get ready for a job that encourages you to think strategically yet stay connected with your teams. Do you have AI or Machine Learning experience? If so, prepare to innovate, create, and inspire. The Product Manager – AI & ML Products (Product Manager) will be managing the use of advanced natural language processing (NLP) and machine learning (ML) techniques to develop innovative solutions that enhance healthcare. Our primary focus is on creating state-of-the-art tools to address challenges related to prior authorization. Responsibilities • Operationalize and scale NLP-driven solutions that intelligently decipher clinical documents, provide crucial medical insights, and enhance clinical decision-making, ultimately elevating patient care. • Lead and energize AI team members through scrum meetings such as daily stand-ups and backlog grooming, fostering a collaborative and high-performing work environment. • Collaborate with the product team to uncover business needs, design targeted experiments, and validate potential solutions or features, ensuring we deliver exceptional value to our customers and stakeholders. • Tap into a wealth of clinical and non-clinical resources through our various affiliations, unlocking powerful insights to drive product development. • Make a lasting impact on the health and well-being of countless individuals by solving problems that truly matter and transforming the healthcare landscape. • Perform other duties and responsibilities as assigned. Qualifications • Bachelor's degree in Computer Science, Mathematics, Statistics, or a related technical field, with a Master's degree / MBA being a valuable asset. • 2+ years of experience in a product leadership role such as product management, project management, or project lead, highlighting your ability to guide and inspire teams. • Prior experience working in the field of technology. • Exhibit exceptional communication skills, adept at articulating complex concepts in written and verbal forms and engaging with diverse audiences. • Possess a keen interest in honing your leadership skills, striving for continuous growth and development. • Familiarity with agile development methodologies, showcasing your adaptability and commitment to embracing agile philosophies in a lean product development environment. • Experience with healthcare is a plus. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 92,800 - 154,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. 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.

Develop and implement sales strategies to acquire new clients and manage sales processes for insurance products. | At least 3 years of sales experience, preferably in insurance or managed care sales, ability to obtain necessary licenses, and strong organizational and communication skills. | Role Summary Develops and implements sales strategies for targeted key accounts in a plan, a territory, or a specified geographic area. Very knowledgeable of complete line of products/services and clients' issues and needs. Primarily focuses on seeking out new clients. Typically has at least three years of related sales experience. Responsibilities • Obtain new accounts through direct or brokerage channels for sales. • Meet or exceed annual business plan as measured by new firms, revenue, membership and profitability objectives. • Maintain prescribed weekly activity levels. • Manage the sales process for Medical, Dental, Pharmacy, Behavioral products. • Review and respond to RFP's, manage internal strategy and present quotations. • Manage database of prospects and assigned producers. Qualifications • 3+ years sales experience strongly preferred • Prior Insurance experience in Underwriting, Operations or Proven sales track record • Experience in managed care sales • Highly motivated with excellent organizational skills • Self-starter with ability to work independently or as a team to achieve goals and objectives • Excellent presentation skills, verbal and written communication skills • Ability to work strategically with matrix partners to design presale strategies and proposals • Ability to obtain necessary licenses • Acceptable driving record If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. This role is also anticipated to be eligible to participate in an incentive compensation plan. 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.

Lead and coordinate federal public policy advocacy strategies, monitor legislative issues, engage stakeholders, and support political and advocacy events. | Bachelor's degree, federal government experience, strong analytical and communication skills, ability to work in team and independently, and presence in DC area with hybrid work schedule. | The job profile for this position is Government Affairs Principal, which is a Band 5 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Job Description The Government Affairs Principal will be a key contributor to the Government Affairs team and work with colleagues across Cigna's Public Policy and Government Affairs team and across entire organization to support the development, execution, and tracking of federal public policy and advocacy strategies on declared federal advocacy priorities. These priorities are organizationally cross-cutting and require a high degree of organization and collaboration with internal and external stakeholders. Responsibilities: • Responsible for implementing Cigna's legislative, policy, and political strategies on key health care public policy issues before Congress and the executive branch. • Closely monitor, track, and report on the status of legislative and regulatory issues, projects, and work streams as assigned. • Supports advocacy efforts by conducting proactive outreach and communication of policy positions to members of Congress and legislative staff. • Assists in planning and executing legislative and public affairs events (e.g., hill briefings). • Assists in developing advocacy materials on Cigna's legislative and public policy priorities. • Represents Cigna in a professional and constructive manner in meetings with industry partners, trade associations, coalitions, stakeholders and other advocacy partners. • Represents Cigna’s Political Action Committee at political events for members of Congress, which may include traveling to Cigna facilities. • Organize and engage with grassroots and stakeholder initiatives aligned to Cigna's legislative and public policy priorities. Qualifications: • Possesses a good understanding of federal lobbying and health care public policy issues. • Federal employment e.g. Congressional and/or executive branch past experience required ​ • Bachelor degree • Strong analytical writing and verbal communications skills. • A successful candidate will be a self-starter, detail-oriented, responsive, mature, and diplomatic with a proven ability to work in a team-based environment. • Demonstrated ability to analyze, understand, and explain complex policy issues. • Proven, effective oral and written communication skills and interpersonal skills necessary to interact with a variety of Cigna employees, clients, and legislators. • Strong team player with the ability to work both collaboratively and independently. • Keen judgment and ability to manage competing priorities. • Professional presence and proven ability to instill confidence and earn credibility with internal and external audiences. • *This position requires someone in the DC area. This is a Flex/ Work at home role but you will be required to go into the office a minimum of three days a week. 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 149,700 - 249,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Manage product backlog and Agile ceremonies to deliver business analytics solutions aligned with stakeholder needs. | 5+ years in technology or healthcare business, 2+ years Agile delivery, product management expertise, knowledge of analytics and Agile tools, bachelor's degree in related field, and strong communication skills. | Summary The Product Owner ( Business Analytics Advisor ) for Reporting & Analytics serves as the bridge between business stakeholders and technology teams, ensuring alignment with the product vision and roadmap. This role is responsible for managing the product backlog, defining technical requirements, and driving Agile ceremonies to deliver high-value solutions. The ideal candidate will have strong product management expertise, experience in Agile delivery, and a solid understanding of data analytics technologies. Key Responsibilities: Reporting Project Intake & Business Alignment • Lead reporting project intake and ensure alignment with business objectives. • Understand and communicate the product vision and roadmap set by the Business Product Owner (BPO) to technology teams. • Collect and decompose business requirements into actionable technical requirements. • Collaborate with business and technology stakeholders on new initiatives. • Identify and track product health metrics for ongoing monitoring. Release & Iteration Planning • Own and manage the team’s product backlog. • Prioritize backlog items using value scoring based on roadmap and user impact. • Reserve capacity for defects, automation, security, and technical debt resolution. • Create epics and user stories in JIRA; manage team projects in JIRA. • Lead backlog refinement sessions to ensure stories meet the Definition of Ready. • Facilitate Sprint Planning meetings and ensure timely execution of high-priority items. Agile Ceremonies & Stakeholder Communication • Host and participate in team meetings (Daily Standups, Refinement, Sprint Planning, Retrospectives). • Provide clarifications and updates to stakeholders on user story progress. • Support PI Planning and facilitate project funding setup in Pathfinder and Clarity. • Maintain historical documentation for reporting requirements. Qualifications: • Experience: • 5+ years in Technology or Healthcare Business • 2+ years in Agile delivery • Strong product management background with proven success in SDLC and Agile initiatives • Technical Skills: • Broad knowledge of data marts, analytics technologies, ETL tools • Familiarity with Agile tools (JIRA), collaboration tools (Confluence, SharePoint), Visio, reporting tools, and ticketing systems (ServiceNow) • Hands-on SQL experience preferred • Soft Skills: • Excellent communication, presentation, and organizational skills • Strong analytical and problem-solving abilities • Ability to work cross-functionally and lead team activities • Preferred: • Healthcare or Medicare experience • Education: • Bachelor’s Degree in Computer Science, Technology, or related field 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 support product and operational initiatives, manage communications and project deliverables, and collaborate cross-functionally to ensure client satisfaction and regulatory compliance. | Bachelor's degree, at least one year healthcare or PBM experience preferred, strong communication and problem-solving skills, ability to manage multiple priorities and work in a matrixed environment. | The job profile for this position is Product Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Product Management Lead Analyst – Centene Operations Management The job profile for this position is Product Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role. The Regulated Markets Centene Operations Management team is responsible for ensuring the execution of key operations accountabilities associated with all regulated lines of business including Medicare, Medicaid, and Marketplace (Exchange / Health Care Reform). The team supports Pharmacy Benefit Management (PBM) delegated responsibilities associated with regulatory requests (including audit support), issue management, adjustment processing, and regulatory communications. The Lead Analyst will support initiatives to ensure member/client satisfaction, alignment with client contractual support and client retention. When necessary the analyst will also provide functional SME support to client facing discussions. Key Responsibilities: • Works autonomously, only requiring “expert” level technical support from others. • Provides advanced professional input to complex communications assignments/projects. • May review annual guidance and CMS model communications and collaborate internally to ensure updates are made. • Support Account Teams with communications needs via GPIR, Field Alert development, and presentations. • Supports the client Project Management Office (PMO) and Account Teams with function specific communications needs via account team/client inquiry, including deliverable reports and presentations. • Partners with internal Audit teams to notify Express Scripts of client audit needs. • Coordinates with subject matter experts to deliver response on all regulatory contract assessments, policy verifications, requests for information (RFI), and general inquiries for client’s book of business. • Ability to review multiple issue ticket logs and narrow in on those issues requiring added attention. • Promotes the tracking and documentation of all team activities in associated systems. • Compiles and evaluates data on the functional performance. Utilizes in-depth professional knowledge and acumen to develop models and procedures and monitor trends. • Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. • May assist, coordinate or lead portions of mid-size projects. Supports and provides direction to more junior professionals. • Exhibits proven ability to work cross-functionally in development and execution of operational plans aligned to enterprise goals and in support of the needs of our clients. • Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Ideal Candidates will offer: • Bachelor’s Degree with a preferred focus of Health Care Administration or Business • At least one year experience in a health plan or PBM setting. Medicare, Medicaid and Marketplace experience a plus. • Able to balance high priority, long-term projects with short-term, immediate deadlines • Creative thinker and exceptional problem solving skills • Ability to follow processes and document information consistently and timely to meet obligations • Able to translate technical data concepts to business partners for understanding and alignment • Proven ability to function in a heavily matrixed environment. • Extensive knowledge of Microsoft Office products (particularly Excel, Word, Power Point, etc.) • Experience leading projects and working with cross functional teams Other Essential Skills: • Excellent process mapping and analysis skills • Open communicator; excellent oral and written communication skills • Ability to work effectively in dynamic, rapidly changing, team-based environment across multiple functions and in support of diverse regulatory obligations. • Critical thinker and creative problem solver, who exercises good judgment in resolving difficult situations, prioritizes and can balance needs with enterprise objectives • Ability to work in a fast-paced deadline-driven environment, and juggle multiple, sometimes competing, priorities and requirements • Ability to motivate, influence and connect others • Ability to influence direction and action; build and leverage internal relationships • Goal oriented and personally accountable; resourceful and self-directed • Adaptable and flexible; open minded, innovative and creative – seeks ‘out of box’ solutions 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Manage specialty drug patient caseloads through clinical review, care coordination, case management planning, telephonic coaching, and collaboration with healthcare providers to improve patient outcomes and cost effectiveness. | Unrestricted RN license, minimum 3 years nursing patient care experience, clinical case management skills, knowledge of specialty pharmacy and insurance claims, and ability to work remotely with high-speed internet. | The Nurse Case Management Lead Analyst will: Manage a caseload of customers that require specialty drugs, evaluating the need for alternative services and as appropriate; assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual's healthcare needs. Promotes care coordination, provider collaboration, quality case outcomes, and provides quality, cost effective alternatives to care as appropriate. Performs clinical review of medical specialty pharmacy services, coordinates transition of care, product rate negotiations, and accurately calculates medical cost savings. Performs case management evaluation to identify any clinical needs, social determinants of health needs, discuss programs and services available with appropriate referrals, and coordinates care and closes gaps through collaboration with customers, treating physicians, and servicing providers. Job Responsibilities: Obtains informed verbal consent from customers for case management services Establishes a collaborative relationship with the customer (plan participant), family, physician(s), facilities, specialty pharmacies, and other providers to determine medical history and current status to assess the appropriate level of care and options for alternative place of service/procurement for specialty medication(s) Assistance in the identification of member health education needs through health assessment activities Utilization of health prevention guidelines and general health and wellness strategies to achieve goals in the overall health of members. Perform research on relevant topics in health promotion and disease prevention, as required for specific members Consult with and assist team members in cases where a member’s behavioral health or emotional issues are impacting their ability to set and/or achieve goals Educate and refer members on available internal and external health resources Provides 1:1 telephonic coaching to members around their chronic/acute illness, specialty medication, plan benefits, and options for alternative place of service. Case Manager will also coach behavior change to improve health status, reduce health risks and improve quality of life. Assesses readiness to change and implements actions to assist members in moving through stages of change to reach their goals Work with members to identify and set personalized health improvement plans and goals and support members in achieving those goals. Promote consumerism through education and health advocacy. Assesses member’s health status and treatment plan and identifies any gaps or barriers to healthcare. Establishes a documented patient centric case management plan involving all appropriate parties (client, physician, providers, employers, etc), identifies anticipated case results/outcomes, criteria for case closure, and promotes communication within all parties involved. Implements, coordinates, monitor and evaluate the case management plan on an ongoing, appropriate basis. Adheres to professional practice within scope of licensure and certification quality assurance standards and all case management policy and procedures Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate. Negotiates fee for services, level of care, intensity and duration with provider(s), as appropriate. Documents findings in a clear concise manner and continues to evaluate medical necessity of frequency, intensity and length of care with physician(s) and agency/vendor(s). Acts as liaison between account, client/family, physician(s), internal and external matrix partners, and facilities/agencies. Maintains accurate record (system) of case management interventions including cost/benefit analysis, savings, and data collection. Adheres to quality assurance standards and all case management and utilization management policy and procedures. Interacts with the Medical Directors as necessary. Demonstrates evidence of continuing education, minimally 1 per year to maintain clinical expertise. The Case Manager interacts with Care Associates, benefit specialists, Cigna Coverage Review Department (CCRD), Accredo Specialty Pharmacy, and claims staff for claim payment direction to ensure correct interpretation of current and future cost of care. Assists Sales Account Executive in communicating status and/or resolving issues for service center-based customers, as assigned. Participates on committees, task forces and other company projects, as assigned. Supports training initiatives or audits of case files, as assigned. Demonstrates sensitivity to culturally diverse situations, clients and customers. Ensures the member’s privacy, confidentiality, and safety are maintained, adheres to ethical and accreditation standards, serves as a member advocate, and adheres to legal and regulatory standards. Ensures that care management and utilization management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Performs care management for specialty programs in a telephonic customer- facing environment which involves utilizing a coaching approach that provides support and resources to the customers Any other assigned tasks as deemed necessary to meet business needs. Minimum Qualifications and License: Unrestricted RN license in state of residency required. Compact RN Nursing license preferred. Minimum of bachelor degree in a health or human services related field preferred. Minimum of three years of nursing patient care experience. Must possess access to high-speed broadband wired internet with a modem. Cigna cannot support hot spots or satellite-based internet. Preferred Qualifications: Clinical experience in acute care (oncology preferred), utilization management, case management or specialty infusion nurse preferred. Working knowledge of specialty pharmacy and/or specialty drugs covered under medical benefit Intermediate knowledge of the insurance industry, and knowledge of claims processing and specialty pharmacy. Ability to make decisions on what needs to be done based on clearly established guidelines Ability to quickly engage and connect with patients in a telephonic/virtual environment to gain trust, assess needs, and educate A high energy level and excellent written and oral communication skills are essential. Excellent time management, organizational, research, analytical, negotiation, communication (verbal and written) and interpersonal skills. Proficient with computers and ability to talk and type while on the phone Must be able to work in a fast-paced and virtual environment Strong personal computer skills, MS word, Excel, Outlook experience, and Internet research desired Strong skills in the following areas: teamwork, conflict management, assessment complex issues, ability to recommend changes and resolve problems through effective decision making Experience in medical management, case management, and/or utilization management in a managed care setting is highly desirable Knowledge of managed care products and strategies Certification as a case manager from the URAC-approved list of certifications; or certification within 3 years of hire 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 76,600 - 127,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. 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.