Senior Accounting Manager – Fertility

The Cigna Group

Accounting Lead responsible for financial reporting and operations for Cigna’s Fertility platform. Managing a team and driving integration with business leadership in a complex environment.

Posted 6/20/2026full-time🇺🇸 United StatesSenior💰 $121,100 - $201,900 per yearWebsite

About the role

Key responsibilities & impact

Serve as the primary accounting lead for the Fertility platform (Freedom Fertility and VFP), with end‑to‑end accountability for general ledger accuracy, close execution, and financial reporting deliverables.
Lead and coordinate all monthly, quarterly, and annual close activities in alignment with Health Systems Services timelines and standards.
Own key accounting judgments and estimates, escalating complex or sensitive matters to Health Systems Services accounting leadership as appropriate.
Directly manage four Fertility accountants, providing coaching, performance management, and development.
Establish clear roles, responsibilities, and collaboration norms across direct and matrixed resources.
Support the ongoing integration of Fertility accounting processes, including Village Fertility Pharmacy (VFP).
Drive process standardization, documentation, and optimization across close, reconciliations, and reporting activities.
Ensure a strong internal control environment, including execution of key controls and support for SOX and SOC 1 requirements.
Act as the primary accounting liaison for Fertility business leaders, FP&A, Tax, Treasury, and other finance partners.

Requirements

What you’ll need

Bachelor’s degree in Accounting or Finance required
CPA or equivalent professional certification strongly preferred
8+ years of progressive accounting experience, including people leadership strongly preferred
Experience supporting healthcare, specialty pharmacy, or fertility services businesses preferred
Demonstrated success operating within a complex, matrixed organization.
Strong knowledge of U.S. GAAP and internal control frameworks (SOX / SOC).
Some travel may be required.

Benefits

Comp & perks

medical
vision
dental
well-being and behavioral health programs
401(k)
company paid life insurance
tuition reimbursement
a minimum of 18 days of paid time off per year
paid holidays
leaves of absence

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

general ledger accuracyfinancial reportingaccounting judgmentsprocess standardizationdocumentationreconciliationsU.S. GAAPinternal control frameworksSOXSOC 1

Soft Skills

leadershipcoachingperformance managementcollaborationcommunicationproblem-solvingorganizational skillsdevelopmentaccountabilityrelationship management

Certifications

Bachelor’s degree in AccountingBachelor’s degree in FinanceCPA