The Cigna Group

Operations

• Own operational execution of pricing across CuraScript distribution channels, ensuring accuracy, consistency, and compliance with contracted terms.
• Partner with Commercial, Finance, and Contracting teams to operationalize pricing structures, updates, and amendments.
• Ensure pricing configurations align with membership eligibility, contract logic, and downstream billing and reimbursement workflows.
• Lead controls and validation processes to prevent pricing leakage, margin erosion, or downstream revenue disruption.
• Lead end-to-end vendor chargeback operations, including eligibility validation, submission accuracy, dispute resolution, and recovery timeliness.
• Ensure tight alignment between membership data, pricing eligibility, and chargeback qualification.
• Own operational readiness for audits, compliance reviews, and vendor inquiries related to chargebacks and pricing eligibility.
• Identify and mitigate root causes of chargeback denials, under-recoveries, and process breakdowns.
• Ensure data integrity across upstream and downstream processes, partner with Finance and Technology on reconciliation and controls, and drive continuous improvement to reduce revenue leakage and manual rework.
• Lead and develop Directors, Senior Managers, and high-impact individual contributors.

Senior Director – CSD Pricing, Membership & Vendor Operations

Manager

• Create and manage company-wide maintenance rules for heating, cooling, refrigeration, electrical, and pharmacy systems
• Make sure maintenance programs meet safety rules, regulations, and equipment requirements
• Review maintenance records and lead audits to ensure buildings follow approved standards
• Visit facilities (in person or virtually) to inspect equipment and identify risks or issues
• Develop and enforce building design standards for new projects and upgrades
• Review engineering plans and equipment designs for renovations and replacements
• Support long-term planning by identifying aging equipment and reliability risks
• Lead the team that manages building automation systems used to monitor temperatures and alarms
• Ensure temperature-sensitive medications are stored safely and monitored correctly
• Improve system performance, energy efficiency, and early problem detection
• Perform regular building reliability reviews and write clear, easy-to-understand reports
• Train, coach, and support team members and facility staff
• Promote teamwork, accountability, and continuous improvement
• Write clear technical documents, procedures, and reports
• Explain complex technical topics in a way that non-technical partners can understand

Global Real Estate Reliability Senior Manager

Program Manager

• Serve as the primary point of contact for assigned clinical programs and external partners.
• Manage end-to-end program performance, health, and outcomes using defined metrics and service-level indicators.
• Apply RN clinical expertise to support program design, education, issue resolution, and operational decision-making.
• Act as escalation lead for complex or sensitive issues, facilitating resolution through professional and effective communication.
• Research, analyze, and interpret data to identify trends, perform root-cause analysis, and drive process improvement initiatives.
• Prepare and deliver presentations, reports, and program updates.
• Collaborate across matrixed teams, serving as a change agent in a dynamic environment.
• Ensure compliance with organizational policies, quality standards, and confidentiality requirements.

Senior Program Management Analyst – RN

Support Engineer

• Ensure all content is accurate and compliant with product and regulatory requirements
• Review state and federal legislation, product enhancements, and miscellaneous text from the State Filing team and enter updates into the DST system
• Automate, code, and test language updates for the non‑Facets DST system, including impact analysis and ePro‑to‑DST variable mapping
• Perform user acceptance and system acceptance testing to support scheduled monthly system releases
• Contribute to operational and efficiency initiatives, including coding and testing
• Support Contract Analysts with technical and training advice related to the DST System

Senior Technical Support Analyst

Data Scientist

• Partner with operations leadership and teams in the visioning and design of analytic solutions
• Locate, extract, manipulate, and organize data from operational source systems
• Develop data visualizations through Tableau for relevant information
• Enhance/troubleshoot existing reports, tools, and data feeds
• Present results and/or recommendations to key business stakeholders
• Work collaboratively with colleagues to maximize value delivered through team activity
• Work with cross-functional teams to develop sustained analytical solutions

Analytics Lead Analyst

Product Manager

• Works with the Agile Release Trains (ARTs) and Experience Group Owners (Product Management) to initiate the delivery activities necessary to realize the business benefits of the Epic
• Ongoing responsibilities for stewardship and follow-up of initiated Epics, ensuring the defined success criteria is realized
• Works with stakeholders and subject matter experts (SMEs) to define the Epic and its potential benefits, establishes the Cost of Delay (CoD), and identifies business sponsors; responsible for acceptance of the Epics
• Works with the delivery teams to size the Epic and provide input to the economic prioritization based on a Weighted Shortest Job First (WSJF) model
• Provides guidance to the ART(s) on the Epic context of the target Features
• Participates in Program Increment (PI) Planning, System Demo, and Solution Demo when critical to the Epic
• Reports on progress of the Epic to the sponsoring Stakeholder Owner
• Works with Agile teams that perform research spikes, creates proof of concepts, mock-ups, etc.
• Serves as a SME for system development and/or enhancement projects for new or existing applications/processes
• Can think about the 'What' and how it impacts the 'How'
• Supports business readiness activities

Senior Agile Product Manager

Learning and Development

• Develop and execute the technical training strategy aligned with organizational goals.
• Lead a team of trainers, instructional designers, and training specialists to deliver high-impact programs.
• Oversee training needs assessments, curriculum design, and delivery for technical roles across departments.
• Establish and track KPIs to evaluate training effectiveness and ensure continuous improvement.
• Partner with stakeholders to support onboarding, upskilling, compliance, and product/technology launches.
• Maintain alignment with industry best practices, adult learning principles, and training technology trends.
• Own and manage training documentation, tools, and systems (e.g., LMS, knowledge bases).
• Manage budget, vendor relationships, and external training resources when needed.
• Ensure quality and consistency across all training content and delivery channels.

Training Manager

Analyst

• Manage complex supplier and customer pricing and membership agreements with a high level of accuracy and accountability.
• Review wholesale, supplier, and customer agreements to identify required actions and ensure pricing and eligibility are loaded correctly.
• Analyze supplier bid awards and contract structures to determine the correct system hierarchy and customer access.
• Ensure customer pricing and membership setup aligns with contract terms, vendor requirements, and internal standards.
• Maintain an assigned portfolio of suppliers and customers, monitor updates, and resolve discrepancies quickly and accurately.
• Partner across teams to support strategic, intercompany, and day-to-day pricing and membership needs.
• Help review agreement language and provide subject matter expertise to support business decisions and protect company interests.
• Support timely implementation of new and amended agreements related to pricing and membership.
• Analyze pricing and membership data to identify trends, gaps, and issues, then take action or recommend improvements.
• Investigate and resolve escalated pricing, membership, and claim issues within established timelines.
• Support reporting needs by reviewing team reports, ensuring follow-up actions are completed, and partnering with business intelligence teams to improve reporting.
• Help assign incoming work, support team workflow, and contribute to consistent execution across the team.
• Train and support new team members, share best practices, and help improve team knowledge and performance.
• Identify process and system improvement opportunities and contribute to projects that strengthen efficiency, accuracy, and service.

Senior Analyst – CuraScript

Bilingual

• Support for Provider Relations administrative tasks.
• Review and validate completed provider agreements, returning them to providers for corrections or additional information when required.
• Perform quality assurance checks on both self‑completed work and team submissions to ensure all output meets departmental quality standards.
• Ensure all required agreement information for pharmacy, medical supplies and equipment, mental health care, vision care, and dental providers is accurately entered into the Express Scripts Canada system in a timely manner.
• Process and update provider modifications and terminations across all benefit areas accurately and within established timelines.
• Respond to inquiries from providers, associations, and software vendors in a professional, supportive, and customer‑focused manner, in their preferred language.
• Collaborate with team members and support additional team deliverables as needed.
• Contribute to upcoming project work and perform other duties as assigned.

Bilingual Provider Relations Representative

• Coordinate the delivery of features and smaller-scale epics within a single Agile Release Train (ART), ensuring alignment with business objectives and readiness plans.
• Lead or support readiness activities such as business impact assessments, training plans, communications, UAT coordination, and business checkouts.
• Work with Agile teams and stakeholders to track progress, manage risks and issues, and ensure timely delivery of change.
• Act as a key point of contact for business stakeholders, ensuring clear communication of delivery status, risks, and dependencies.
• Support the planning and execution of User Acceptance Testing (UAT), including test script alignment, resource coordination, and reporting.
• Document operational design decisions, identify business process changes, and assess the impact on end users.
• Maintain delivery artefacts such as RAID logs, readiness checklists, and status reports.
• Identify opportunities to improve delivery processes and support the adoption of Agile and Lean practices.

Senior Business Project Analyst

• Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems.
• Lead key market contracting strategy projects with responsibility for managing direct reports as assigned.
• Build and maintain strong provider relationships to support network growth and value-based business opportunities.
• Coordinate closely with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure aligned execution.
• Develop strategic network positions, identify value-oriented and risk-based opportunities, and contribute to alternative network initiatives and analytics.
• Work to meet unit cost targets while maintaining an adequate, competitive provider network.
• Design and manage initiatives to improve medical cost and quality, offering consultative guidance informed by clinical informatics.
• Prepare, review, and project the financial impact of large or complex provider contracts and alternative terms.
• Create, implement, and ensure operational accuracy of HCP agreements through effective cross-functional collaboration.
• Lead resolution of escalated provider issues and manage key provider relationships with deep knowledge of the local market landscape, including contract loading and maintenance.

Manager, Network Management

Financial Planning and Analysis

• Provide administrative support in response to pharmacy remittance requests
• Provide first tier escalation on research and resolutions to exceptions
• Manage moderately complex remittance issues with VA providers and Medicaid subrogation providers
• Correspond daily with providers and vendors regarding remittance and claim status research
• Collaborate with IT, Manual Claims, Account Management, Pharma and Retail Relations
• Work cross functionally in the resolution and communication of remittance issues
• Identify and research chain affiliation errors
• Data entry and QA of adjustments and EFT banking setup
• Work with the Secure File Transfer Services (SFTS)/B2B teams
• Identify issues with electronic 835 files and request recreation of data
• Synchronize the setup of electronic ASCx12N 835 files
• Resolve issues for corporate chains and independent pharmacies
• Establish good working relationships with assigned electronic third-party vendors
• Mentor/assist new employees with all aspects and QA work for accuracy
• Compile monthly data of completed tasks for management review
• Special projects as requested by management

Financial Operations Representative

Underwriter

• Responsible for executing the Go‑to‑Market Pharmacy strategy
• Leading account‑level pricing, rate development, and customer negotiations
• Conducts case‑specific risk assessments and develops account‑level pricing strategies
• Analyzes market trends and competitive dynamics to deliver strategic recommendations
• Serves as a subject matter expert supporting Medical Underwriting teams and broader stakeholders.

Risk & Underwriting Lead Analyst

• Lead end-to-end project execution, ensuring alignment with approved scope, schedule, budget, and quality expectations
• Oversee final deployment and delivery of project outcomes to customers
• Support initial post‑deployment maintenance phases to ensure solution stability and functionality
• Identify potential project risks and issues proactively
• Develop and implement mitigation and prevention strategies
• Resolve issues as they arise to keep projects on track
• Monitor project progress against milestones and deliverables
• Track project budgets and financial performance
• Provide regular, clear status updates and reports to stakeholders and leadership
• Establish and maintain project governance frameworks
• Develop and manage cutover strategies to support smooth transitions and go‑live activities

Senior Director – CSD Pricing, Membership & Vendor Operations

Global Real Estate Reliability Senior Manager

Senior Program Management Analyst – RN

Senior Technical Support Analyst

Analytics Lead Analyst

Senior Agile Product Manager

Training Manager

Senior Analyst – CuraScript

Bilingual Provider Relations Representative

Senior Business Project Analyst

Manager, Network Management

Financial Operations Representative

Senior Analyst – CuraScript

Risk & Underwriting Lead Analyst

Senior Program Management Advisor – Payment Integrity