The Cigna Group

Network Operations

• Oversee provider maintenance intake and inventory by assessing current and projected workload, projects, and enterprise initiatives; recommend and execute resource alignment to meet demand.
• Serve as a subject-matter expert for HCP data operations, market structures, and provider data-loading tools.
• Lead team performance against quality, productivity, and turnaround-time objectives; support resolution of complex data issues and proactively mitigate operational risk.
• Monitor operational health through consistent use of tracking and reporting tools; analyze trends in volume, aging, quality, and throughput to identify risks and continuous-improvement opportunities.
• Partner with Quality to identify error trends, drive defect reduction, and implement process improvements that improve accuracy and compliance outcomes.
• Collaborate with Automation, Solutions, and Technology teams to responsibly deploy efficiency and automation solutions, ensuring accuracy, scalability, and alignment with network, market, and group-loading requirements.
• Partner with solutions teams to monitor post-deployment performance, validate expected outcomes, and drive value realization across efficiency, automation, and transformation programs.
• Enable strong global service partner performance by partnering on operational readiness, clarity of expectations, and ongoing performance oversight aligned to quality, productivity, and turnaround-time outcomes.
• Lead root-cause triage for performance issues, inventory challenges, or quality defects in partnership with global service providers and matrix teams; drive corrective actions and preventative improvements.
• Partner with solutions, automation, and global service teams to identify, deploy, and sustain efficiency improvements; support adoption while monitoring impact to operational health, quality, and value realization.
• Provide oversight for initiatives requiring onshore PIDM resources by managing milestones, delivery timelines, and resource utilization; serve as project lead as needed.
• Establish and maintain strong partnerships with Provider Services, Contracting, Network Solutions & Development (NS&D), Quality, and other matrix stakeholders to support execution of the provider data strategy.
• Provide clear, concise status updates to leadership on operational performance, risks, and initiative progress.

Network Operations Manager

Operations

• Collaborating with the Resource Management Team, Site Directors and Managers to execute daily and weekly strategies based on forecasted volumes, offline needs, and attendance.
• Monitoring systems and metrics throughout the day and making changes to queue resource allocations to ensure service levels.
• Delivering professional activities in the Operations Management job family with a focus on Business Operations.
• Providing standard professional advice and creating initial reports/analysis for review.
• Playing a key role in implementing projects and programs in the function.
• Assisting in business processing, service levels and reporting.
• Preparing and reviewing key statements and documents related to business operations.
• Gathering results and preparing reporting for distribution to clients.
• Ensuring production levels and targets are achieved and effective processing controls are in place.
• Providing guidance, coaching, and direction to junior members of the team in Business Operations.

Operations Analyst

Artificial Intelligence

• Lead the evaluation and production readiness of AI products and capabilities across the enterprise.
• Ensure solutions are scalable, secure, governable, and aligned with enterprise architecture standards.
• Partner closely with Legal and Information Protection to meet regulatory and risk management requirements.
• Conduct GenAI intake reviews, applying enterprise AI guardrails and standards.
• Partner with solution teams and area technology leaders to clarify requirements and reduce redundancy.
• Steward enterprise AI architecture principles and requirements during path-to-production reviews.
• Advise cross-functional teams on solution architecture and data protection optimization.
• Serve as a strategic advisor on enterprise AI capabilities and opportunities.

Senior Architecture Advisor – AI Enablement

Account Manager

• Ensuring clients and patients receive superior service
• Managing day-to-day client relationships through comprehensive knowledge of client’s benefit plan and product offerings
• Daily interaction with clients, consultants and producers providing preventative consultation, analysis and issue resolution associated with core services
• Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, product upsells, new groups, terminations and escalated issues
• Accountable for new group and specific product implementations; including establishing and leading internal meetings to ensure collaboration and attention to detail throughout the process
• Leading client centric team meetings to review operational performance against client’s expectations and needs
• Presenting operational performance metrics to clients on a monthly and/or quarterly basis to show specific performance measures in comparison with the book of business to promote client satisfaction, client retention and upsell opportunities

Senior Account Manager

Sales

• Creates client and revenue growth for Evernorth Home-Based Care Solutions to the open market
• Works with business unit and executive leadership teams to guide them through strategy definition processes
• Sets up accountabilities for strategy delivery to drive overall growth approach for integrated Care Delivery
• Produces results that support tangible product development and market growth strategies
• Develops and maintains prospective customer relationships
• Leverages customer relationships, joint ventures, and personal experience in assessing business opportunities
• Delivers relevant and timely insights back to business leaders
• Builds thought-provoking presentations, content and other decision-making tools

Senior Sales Advisor

• Responsible for the execution of a local market sales strategy for the O500 Buyer Group consistent with Cigna's overall value proposition.
• Lead a team in the delivery of consultative solutions that address client and customer issues around health and wellness.
• Full accountability for sales organizational performance.
• Coaches individuals in professional development and oversees individual development action plans.
• Develops and maintains strong intelligence capability through customer/broker contact and formal competitive analysis.
• Manages the development and execution of the market strategy to achieve sales plan.
• Ensures account specific development plans promote profitable growth and an integrated Cigna product portfolio.
• Completes all reporting requirements on time and monitors critical metrics/dashboards to identify operational strengths, weaknesses and opportunities for improvement.

Existing Business Sales Manager

• Build and maintain strategic partnerships with Military Service Organizations (MSOs), Veteran Service Organizations (VSOs), and nonprofit partners to support shared goals and beneficiary outcomes
• Expand relationships with priority organizations aligned to enterprise priorities
• Provide clear and timely communications regarding issues impacting military and veteran populations
• Collaborate with Account Management and Operations teams to address partner inquiries, concerns, and escalations
• Partner with internal teams to identify opportunities to educate TRICARE beneficiaries on pharmacy and health benefits through trusted partner channels
• Develop and execute annual plans for conferences, sponsorships, and charitable initiatives
• Serve as the primary point of contact for MSO/VSO partners related to event planning and participation
• Coordinate logistics, objectives, and stakeholder communications for events
• Partner with Cigna Government Affairs to monitor legislative and regulatory developments impacting military and veteran populations
• Provide subject matter expertise and business insights on program inquiries and strategic initiatives

Senior Advisor – Military and Veteran Strategic Partnerships

Analyst

• Serve as the primary expert and escalation point for ensuring accurate class of trade, licensing validation, and pricing eligibility
• Partner across Sales, Contracting, Pricing, Operations, Finance, EDI/IT, and Compliance to enable smooth onboarding and operational execution
• Interpret complex manufacturer contracts, specialty distribution agreements, GPO structures, and eligibility rules to guide accurate pricing and compliance
• Identify, troubleshoot, and resolve pricing or configuration issues, using sound judgment to determine when escalation is necessary
• Translate complex operational and contractual scenarios into clear, actionable guidance for internal partners
• Lead or support projects focused on onboarding efficiency, pricing accuracy, process improvement, and cross-functional alignment
• Document learnings and improvements to prevent recurring issues and strengthen operational consistency

Health Systems Services Lead Analyst

Full-stack Engineer

• Design and review end-to-end AI/ML solutions: model lifecycle, feature patterns, serving patterns, and integration with business applications
• Partner with data science and product teams to turn prototypes into production systems with clear ownership, monitoring, and maintenance paths
• Stay current on responsible AI considerations relevant to healthcare and regulated data (e.g., explain ability, bias awareness, data governance handoffs)
• Define and implement MLOps practices: CI/CD for models, registries, deployment strategies, A/B or shadow deployments where appropriate, and rollback
• Ensure observability for models and pipelines: performance drift, data quality, latency, and business-aligned KPIs
• Work with security and platform teams on infrastructure, access patterns, and compliance in ML workflows
• Lead design of reliable, scalable data pipelines and platforms that feed training, batch scoring, and real-time inference
• Promote data quality, lineage, and contract thinking so ML and analytics consumers trust what they build on
• Balance build vs. buy (cloud services, feature stores, orchestration) with total cost, maintainability, and team skills
• Translate between business goals and technical options: scope, phasing, risk, and “good enough for now” vs. “must be right first”
• Facilitate planning with product owners, legal/compliance, architecture, and operations; document decisions and follow through
• Mentor engineers and data practitioners; represent the engineering viewpoint in cross-functional forums without losing sight of delivery

Senior Software Engineering Advisor

General Counsel

• Serves as the senior-most legal and compliance leader for the Allegiance business, acting as a trusted advisor to executive leadership and a key member of the executive team.
• Partners with Cigna legal counsel and enterprise leadership to proactively manage legal, regulatory, contractual, and enterprise risk matters enabling strategic objectives while protecting the organization’s reputation and fiduciary obligations.
• Demonstrates executive professionalism, sound judgment, and discretion in all interactions with employees, clients, regulators, vendors, and the public, and serves as a visible role model for the Company.
• Provide strategic, practical legal counsel to senior leadership across business lines, balancing risk with business priorities.
• Lead legal and regulatory support, including monitoring developments and serving as a key liaison with regulators and external partners.
• Oversee outside counsel engagement, performance, and spend to ensure effective and cost-efficient legal services.
• Provide legal and compliance guidance across core functions, including sales, client onboarding, RFPs, contracting, and operations.
• Review, draft, and negotiate complex agreements (e.g., vendor, provider, BAAs, licensing) and establish contracting standards.
• Support corporate governance and entity management activities, including filings and documentation.
• Oversee regulatory inquiries, complaints, and data requests, ensuring accurate and timely responses.
• Provide legal oversight for key operational areas (e.g., appeals, subrogation, overpayments, Medicare secondary payer matters).
• Partner with business leaders to resolve escalated client issues and ensure compliant, risk-aligned outcomes.
• Lead and enhance the compliance program, including HIPAA Privacy and Security, training, monitoring, investigations, and incident response.
• Support accreditation and audit readiness efforts (e.g., URAC) and policy governance.
• Lead and develop Legal and Compliance team members, including direct oversight of the Compliance Director.

Managing Counsel – Head of Legal & Compliance

QA Engineer

• Ensure that all pharmacy operations, processes, and products consistently meet established quality standards, regulatory requirements, and patient safety protocols
• Assist in the development, implementation, and maintenance of the Quality Management System (QMS) for pharmacy services
• Conduct routine and targeted internal audits of pharmacy processes, documentation, and product quality
• Identify areas of non-compliance or potential risk and report findings to management
• Collect, analyze, and trend quality data to identify patterns, evaluate performance, and inform continuous improvement efforts
• Prepare regular quality reports for management review
• Assist in developing and delivering training programs to pharmacy staff on quality standards, new procedures, and regulatory updates
• Ensure all quality-related documentation is accurate, complete, current, and properly maintained
• Proactively identify opportunities for process optimization and efficiency enhancements

Quality Assurance Specialist

• Manage assigned portfolio of complex client accounts
• Perform tasks related to collections processes and procedures
• Research/respond to billing or payment inquiries within established turnaround times
• Escalate issues as needed
• Work with third party administrators, brokers and/or clients directly to reconcile accounts receivable
• Facilitates conference calls or meetings with internal and external parties
• Extensive research related to member eligibility and rate variances
• Analyze client data utilizing various reports and resources
• Process group renewals, new business, terms and revisions
• Account reconciliation on a periodic basis
• Calculate and create special charge bills as needed
• Monitor delinquency reports and send communication to TPA partners
• Peer audit process to ensure quality and mitigate financial risk or exposure
• Responsible for achieving or exceeding daily goals, quality goals, and individual development
• Ensures appropriate use of tools to track and monitor the financial performance of customers
• Work with matrix partners to resolve customer disputes and rate issues
• Partners with matrix organizations to ensure that appropriate action is taken to identify and implement high potential process improvements
• Understand and use accounting concepts
• Prepare monthly and other requested ad hoc reporting
• Provide both internal and external customer service
• Process, review and understand multiple systems inputs
• Special project support as needed
• Electronic Invoicing
• Application of financial payments to accounting systems
• Filing and other general administrative duties
• Account reconciliation on a periodic basis

Senior Enrollment/Billing Analyst

Product Manager

• leads the analysis, reporting, maintenance, and growth of products within the Patient Affordability and Access team
• responsible for product positioning, product communications, coordinating with cross-functional partners
• collaborating with the supply chain sales enablement team
• working with sales and account management for product growth
• set product direction aligned to enterprise and patient affordability goals
• translate market, client and operational insights into a clear roadmap and measurable outcomes
• align diverse stakeholder priorities and negotiate solutions that support clients
• communicate decisions and rationale clearly
• adjust approach based on shifting priorities, timelines, or data
• track product performance including financial outcomes
• deliver market message and training to sales, account teams, consultants, and brokers as needed
• provide input and direction for marketing communications and collateral

Senior Product Management Advisor

• conduct medical records reviews with accurate diagnosis code abstraction
• utilize HHS’ Risk Adjustment Model
• apply longitudinal thinking to identify data elements
• perform documentation and data audits
• collaborate with team members and matrix partners
• coordinate with stakeholders for efficient RA programs
• communicate effectively
• develop and implement internal program processes

Quality Review and Audit Analyst

Manager

• Lead, coach, and develop direct reports (case managers, coaches, and other clinical team members) through regular performance discussions, feedback, and career development planning.
• Monitor and manage performance against established key performance indicators (KPIs), quality standards, and applicable accreditation requirements (e.g., URAC, NCQA).
• Drive operational excellence by using available tools and resources to improve service delivery, outcomes, and team effectiveness.
• Collaborate with matrix partners to develop work plans, remove barriers, and take corrective actions to meet objectives.
• Serve as an escalation point for service delivery concerns; support customer meetings, presentations, and audits as needed.
• Participate in projects, work groups, and committees; communicate progress, risks, and outcomes to leadership.