The Cigna Group

Customer Support

• Manage approximately 75–100 inbound calls per day, assisting patients and members with professionalism and care
• Coordinate and schedule medication shipments to ensure timely delivery
• Provide updates on order status and answer questions clearly and accurately
• Support payment collection or co-pay assistance when applicable
• Transfer calls to appropriate departments when specialized support is needed
• Use sound judgment to resolve customer concerns and de-escalate challenging situations
• Maintain accuracy and efficiency while meeting performance and quality expectations
• Adapt to changing processes, systems, and patient needs in a fast-paced environment

Customer Service Representative

Manager

• Lead day-to-day chargeback, cash application, and adjustment operations across a team of 4–7 analysts, ensuring workload balance, service levels, and quality standards are met
• Oversee advanced analysis and resolution of complex payment discrepancies, pricing variances, contractual issues, and aged receivable items
• Ensure accurate application of cash and adjustments in accordance with audit controls, contractual terms, and internal policies
• Prepare and review End-of-Month reporting, ad hoc analyses, and management-level summaries
• Monitor team performance, productivity, and operational metrics to identify risks and drive timely corrective action
• Directly manage, coach, and develop a team of 4–7 analysts, including performance management, prioritization, and capability building
• Serve as the primary escalation point for complex chargeback and accounts receivable issues, ensuring timely resolution and clear ownership
• Provide guidance and subject matter expertise to support accurate and timely resolution of chargeback activity across the team
• Partner with the Senior Manager on workload planning, team development, and operational priorities
• Provide regular readouts and escalation insights to the Director, highlighting performance trends, key risks, and recommended actions
• Act as a key liaison between Chargeback Operations, Finance, Pricing, and external vendors to resolve disputes and systemic issues
• Assist in establishing and maintaining regular business reviews / touchpoints with top vendors
• Prepare data, insights, and discussion materials for vendor touchpoints to drive accountability, transparency, and continuous improvement
• Track vendor performance trends, recurring issues, and follow‑up actions resulting from business reviews
• Partner with internal stakeholders to align on vendor strategies, risks, and improvement opportunities
• Assist with spearheading projects focused on process efficiency, data cleanup, and operational improvements
• Identify gaps in current workflows, controls, or data quality and recommend sustainable solutions
• Partner with cross‑functional teams (Finance, Pricing, IT, Audit, Vendor Management) to implement process or system enhancements
• Document processes, controls, and best practices to support scalability and consistency across the team
• Support testing, validation, and adoption of system enhancements or process changes
• Ensure compliance with audit requirements, internal controls, and vendor‑specific deadlines
• Contribute to risk identification and mitigation efforts related to chargeback processing and vendor performance
• Provide leadership with data‑driven insights to inform prioritization and decision‑making

Eligibility Manager

Analyst

• Support enterprise quality strategy through the design, automation, and optimization of quality monitoring systems using Verint, speech analytics, and AI-driven tools
• Help maintain scalable Automated Quality Management programs
• Drive insights from speech and transcription data
• Enable teams with actionable analytics and emerging tech solutions
• Build, configure, and maintain Automated Quality Management forms, questions, and scoring frameworks in Verint
• Translate business requirements into measurable quality behaviors with key stakeholders
• Test, validate, and refine automated scoring logic for accuracy
• Maintain governance and consistency across forms, KPIs, and deployments
• Support rollout, training, and adoption of AQM across business areas
• Lead all speech functionality efforts for assigned vertical (Contact Center, Specialty Services, Clinical)
• Align speech categories with operational priorities and quality goals
• Monitor category performance, refine triggers/phrases, and improve detection accuracy
• Use speech hit rate data to identify investigation opportunities
• Partner with WFO to improve transcription and data outcomes (phonetics boosting)
• Leverage Verint marketplace to explore and implement new ideas
• Develop and present storyboards by analyzing data and trends across verticals
• Support onboarding and training of new analysts (forms, alerts, categories, KPIs, thresholds)
• Build strong relationships with internal and external partners
• Creatively use data and technology to uncover opportunities and solutions
• Support rollout of new features (call recording, summarization, AI bots, transfer bots)
• Evaluate new tools and enhancements within Verint and beyond
• Partner with leadership on pilots and innovation initiatives
• Identify opportunities to reduce manual work through automation
• Create and maintain standard operating procedures

Senior Quality Review and Audit Analyst

Account Manager

• Responsible for ensuring clients and patients receive superior service
• Manages the day-to-day client relationship
• Accountable for core service delivery for clients working cross-functionally with all operational teams
• Proactively reviews performance metrics to promote client satisfaction, profitability, and retention
• Utilizes technology, tools, processes and resources to exceed clients' needs
• Collaborates with Account Directors on client activity, expectations, and service needs
• Manages day-to-day client relationships through comprehensive knowledge of client’s benefit plan and product offerings
• Responsible for timely management and execution of all client benefit requests
• Accountable for new group and specific product implementations

Director

• Define and execute the multi-year operational strategy for Verity Solutions, aligned to enterprise goals and the broader Health System Services strategy
• Translate executive priorities into scalable operating plans, ensuring strong alignment across product, operations, regulatory, and client-facing teams
• Establish clear performance metrics, governance, and operating rhythms to drive accountability and results
• Lead the day-to-day operations of Verity Solutions, ensuring effective delivery across all offerings, including 340B services, technology-enabled solutions, and emerging product lines
• Oversee and optimize operational performance, including quality, efficiency, and service delivery outcomes across the organization
• Develop and implement new operational procedures, systems, and workflows to enhance efficiency, scalability, and consistency

Managing Director

Account Executive

• manages the overall contract and relationship with existing complex clients and their consultants
• owns the strategic renewal plan, development of long term account strategy
• leads the growth & retention of current clients
• responsible for client retention, customer satisfaction and achieving corporate strategic goals relative to their book of business
• serves as the client expert and a resource for others within the organization
• shares best practices to contribute to development of others
• provides forward-thinking leadership designed to move the business forward and lead projects/corporate initiatives

QA Engineer

• The Pharmacy Quality Assurance & Training Advisor is a hands-on role dedicated to documenting how our business runs and ensuring our team knows how to execute it perfectly
• This position owns the end-to-end process of auditing current workflows, writing clear and updated Standard Operating Procedures (SOPs), and translating those procedures into practical training modules
• Your main goal is to eliminate operational confusion, reduce onboarding time, and build a structured, reliable knowledge base that teams can easily access and rely on every day
• Partner with cross-functional Subject Matter Experts (SMEs) to audit legacy workflows, unearth operational bottlenecks, and identify critical process gaps
• Author crystal-clear, highly functional, and standardized SOPs, policy guidelines, and process maps that simplify complex technical executions
• Champion and maintain the centralized operational knowledge repository, establishing a strict version-control framework and approval hierarchy
• Ensure all documented procedures rigorously satisfy industry standards, legal mandates, and internal quality assurance baselines
• Translate finalized SOPs into digestible, structured learning paths, building training modules, slide decks, visual aids, and interactive e-learning materials
• Orchestrate and lead train-the-trainer workshops and ongoing refresher courses for department leads and supervisors
• Oversee and curate the digital Learning Management System (LMS), tracking completion rates, identifying recurring learning roadblocks, and maintaining neat training logs

Pharmacy Quality Assurance, Training Advisor

Business Development Rep

• Define and drive the integrated Go To Market & growth strategy across Verity Solutions and CarepathRx, and enterprise priorities.
• Translate executive objectives into actionable strategic plans with a 3–5 year horizon.
• Partner closely with the President and senior leadership team to shape long-term direction, prioritize investments, and enable scalable growth.
• Identify, evaluate, and execute strategic partnerships to further products and commercial opportunities.
• Develop strategies and business plans for new and adjacent markets, including specialty pharmacy, infusion services, and technology-enabled offerings.
• Build and manage strategic partnerships across healthcare providers, manufacturers, health systems, and technology partners.

Managing Director, Revenue & Business Development

Pharmacist

• Complete remote order entry, order verification, and drug verification.
• Provide patient counseling when needed.
• Navigate multiple pharmacy information systems (PIS).
• Provide drug information and therapeutic guidance to providers.
• Assess medication appropriateness, dosing (including renal/hepatic adjustments), interactions, and compatibilities.
• Support specialized populations such as pediatrics, geriatrics, pregnant/nursing patients, and those with renal/hepatic impairment.
• Maintain knowledge of IV therapies, cardiac/narcotic drips, IV antibiotics, and more.
• Document interventions and clinical actions accurately and promptly.
• Communicate effectively with physicians, nurses, and patients.
• Ensure compliance with HIPAA, pharmacy laws, and client policies.
• Work across VPNs, automation systems, and multiple PIS platforms.
• Use applications such as Google Suite/Microsoft Office and Snagit.
• Maintain required licenses, credentials, and system access.
• Participate in ongoing training (clinical, PIS, and policy updates).
• Meet productivity and quality standards.

Inpatient Telepharmacist – Part-Time, WA/OR Pharmacist License

Risk

• Compile, analyze, and distribute risk analysis reviews for group accounts and ported member populations
• Perform quality reviews of audits completed by billing analysts to ensure accuracy, completeness, and adherence to established standards
• Create, maintain, and enhance reporting to identify and monitor risk trends, barriers, process gaps, and audit outcomes that may contribute to or indicate potential financial exposure
• Partners with supervisors and cross-functional teams, including reporting, inventory, and project teams, to understand risk and execute plans to achieve goals
• Represent client-facing functions on calls to communicate potential risks or barriers related to account management or client structure
• Provide feedback, coaching, and guidance to billing analysts based on audit findings and risk observations
• Support the client teams in meeting or exceeding key performance metrics
• Identify process improvement opportunities and work with peers, supervisors, and matrix partners to execute on these opportunities
• Provide oversight and coordination of all sales compensation-related tasks to ensure accuracy and timeliness
• Assist with team support activities and operational tasks as needed to ensure coverage and continuity

Revenue Management Risk Analyst

• Develops and implements sales strategies for targeted key accounts in a plan, a territory, or a specified geographic area.
• Focuses on seeking out new clients.
• 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.

New Business Manager

General Counsel

• Serve as a legal advisor to eviCore healthcare’s client contracting team
• Provide legal guidance for regulatory and contract challenges
• Negotiate and draft legal and business terms of client contracts
• Coordinate with Legal and Enterprise Compliance partners
• Identify key trends or gaps in medical management and service operations

Counsel – Client Contracting

Data Scientist

• Shape C&CE strategy by developing business cases, evaluating options, and assessing costs and benefits to guide prioritization decisions
• Leverage data to solve business problems by identifying data needs, pulling data from relevant sources, and performing analysis
• Identify business opportunities using trend analysis and mining operational data for insights
• Develop testing plans, monitor performance indicators, and be ready to quickly investigate and remediate emerging issues
• Grow into a thought partner and executive storyteller by distilling work into crisp presentations that educate, inform, and inspire action

Strategy & Analytics Lead Analyst

Underwriter

• Support financial analyses and consultation of Express Scripts clients
• Conduct analytical, quantitative, and financial cost modeling for clients with varying lines of business
• Work with Sales and Account Management to review, strategize and analyze client renewal and new sales opportunities
• Negotiate and manage the set-up of a client’s contract to ensure compliance with financial terms and pricing guarantees
• Participate in department and company projects
• Develop and improve existing best practices for client support and financial modeling

Risk & Underwriting Lead Analyst

Financial Planning and Analysis

• Drive External Strategic Planning: Develop and refine long-term strategies, set priorities, and establish key performance indicators to measure progress for key external events responsible for significant, measurable value creation.
• Strategy Enablement: Own major external initiatives (eg. Patient Advisory Board) that serves as a critical input and enablement vehicle for cross-divisional strategy.
• Stakeholder Engagement: Own governance process and operating model to collaborate with senior leaders, functional teams, and external partners to drive buy-in and support for external strategy enablement.
• Team Leadership: Lead dynamic team in highly complex environment, fostering a culture of collaboration, accountability, and high performance.
• Change Management: Champion change management efforts, including communication planning, training, and stakeholder readiness.
• Performance Tracking: Monitor workstream progress, identify risks, and implement corrective actions to keep projects on track.
• Reporting: Prepare and present regular updates to executive leadership, highlighting achievements, challenges, and recommendations.