The Cigna Group

Analyst

• Provides advanced professional input to complex Nurse Case Management assignments/projects
• Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan
• Handles more complex, high acuity cases, and/or account sensitive cases involving largest reserves
• Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members
• Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services
• Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services
• May review initial liability disability claims to determine extent and impact of insured's medical condition, medical restrictions and limitations and expected duration
• Performs leadership role on team when implementing new tools or case management programs/initiatives
• Manages own caseload and coordinates all assigned cases
• Supports and provides direction to more junior professionals

Nurse Case Management Lead Analyst

Data Analyst

• Design and deliver enterprise-scale, cloud-native data pipelines and curated datasets that support complex business, legal, and regulatory requirements.
• Engineer secure, auditable, and defensible data extracts to support high-risk legal, litigation, and compliance use cases.
• Build and maintain scalable ELT and ETL workflows across enterprise and cloud analytics platforms to support batch and large-scale processing.
• Partner closely with Legal, Market Analytics, Enterprise Technology, and Data Engineering teams to translate complex data requests into reliable technical solutions.
• Establish and champion best practices in data engineering, including automation, testing, monitoring, documentation, and governance.
• Ensure appropriate data security, lineage, retention, and chain-of-custody controls for sensitive legal and regulatory datasets.
• Act as a senior escalation point for complex data engineering, platform, and risk-related challenges.
• Contribute to enterprise data modernization initiatives, including migration from legacy platforms to cloud-based analytics environments.
• Lead through influence by setting standards, improving processes, and enabling repeatable, production-ready data frameworks.
• Provide informal mentorship and technical guidance to analysts and partner teams as needed.

Senior Business Data Analyst – Pharmacy Benefit Management

Pharmacist

• Verify and dispense medications within corporate and regulatory guidelines
• Track order status
• Provide oversight and quality assurance to pharmacy technicians
• Interpret physicians’ or prescribers’ prescriptions
• Verify and confirm validity of controlled substances
• Back up other pharmacists as needed
• Perform additional duties as assigned by management
• Train less experienced pharmacists

Per Diem Staff Pharmacist

Project Manager

• Provide expert content/professional leadership on IT Project Management assignments/projects
• Responsible for managing, directing and planning several projects simultaneously
• Responsible for coordinating, scheduling and assigning project tasks, team building, and maintaining working relationships with client functional areas outside of IT
• Apply project management methodologies and reporting techniques to indicate project status
• Identify, evaluate and formulate detailed project plan, tracks milestones and schedules; negotiate and modify schedules as well as resources required to meet project objectives
• Evaluate and report progress in terms of quality and performance metrics common to IT projects
• Work with client departments to coordinate systems testing, installation, training and support
• Keep informed of technical and operational advances
• Participate in process improvement initiatives as well as lead/own components of business process
• Use deep professional knowledge and acumen to advise functional leaders
• Focus on providing thought leadership within IT Project Management including projects which require understanding of the larger organization

Lead Analyst, Eligibility – IT Project Management

Business Development Rep

• Use insight into customer needs, local competitive landscape and independent judgment to work with the Dental Organization to drive industry leading Dental Products, Networks and Pricing.
• Work in conjunction with aligned Cigna Healthcare National Account Executive Team; develop and implement short and long-term sales strategies for existing business upsell, retention and DPPO to DHMO conversions.
• Focus on consultants that serve as subject matter experts within their firms.
• Annually develop an existing business risk and opportunities business plan, working with the Existing Business Lead's (EBL), providing a clear path to the attainment and retention of profitable cases/membership growth; Maintain a deep understanding of the National Account existing business book of business and relationships with the EB National Account Executive's (NAE).
• Operate as the liaison between the National NAE's and the Dental Organization, reporting progress against plan, identifying gaps, and directing action to avoid future shortfalls.
• Make determinations as to proper use of limited resources, particularly in area of RFP responses, network recruitment, and management.
• Meet or exceed existing business growth and retention goals; Maintain visibility among consultants throughout the year; demonstrate a strong understanding of their perspective and their needs; actively promote the Dental Value Proposition; Target specific consulting firms for dental only strategy and educational opportunities.
• Work in conjunction with aligned Cigna Healthcare National Account Executive Team to maximize the volume of Dental opportunities generated by the consultant community; suggest alternative strategies as deemed necessary.
• Build collaborative partnerships by actively participating in local market management discussions (e.g., growth calls, local strategy development meetings, etc.); Understand competitive and market-level dynamics and implications; independently recognize those that must be brought back to Dental Senior Management Team.
• Maintain a tight connection between the Cigna Dental Organization and the aligned Cigna Healthcare National Sales Team; promulgate the Value Proposition, emerging competitive information, and any other new information which helps to drive sales and reinforces partnership; Provide dental updates and training to Cigna Healthcare EBLs, consultants and clients; Through superior coaching skills, aggressively and proactively promote new dental products and features (i.e. OHIP enhancements, tiered DPPO networks, DHMO, etc.).
• Provide ongoing coaching to the Cigna Healthcare NAE Team on Dental product positioning and techniques on how to sell against top market competitors.
• Create strong partnership with key internal functional areas (e.g. Underwriting, Pricing, Networks, Service Operations), for the specific purpose of driving growth and retention.
• Offer an executive presence on behalf of Dental organization, for key client finalist meetings.

Vice President, Dental National Accounts Strategy – Business Development

Operations

• Provides advanced professional input to complex Operations Management assignments/projects
• Supports and provides direction to more junior professionals
• Exercises judgment in the evaluation, selection, and adaptation of techniques and procedures
• Develops models and procedures, and monitor trends within Business Operations
• Manages issue tickets within the Client Service Delivery organization
• Collaborates with cross-functional teams to ensure issue resolution
• Proactively monitors and escalates team tickets
• Facilitates meetings with key stakeholders

Operations Lead Analyst, Issue Management

Support Engineer

• Provide technical expertise in response to client inquiries regarding drug benefit plans, dental and extended health care plans, as well as claims processing and payments
• Support Express Scripts Canada’s Clinical Services team in implementing clinical programs (new and existing), drug formularies, and new products related to business development
• Support Account Managers on strategic projects, communications, and the market promotion of Express Scripts Canada products
• Provide impact analyses to clients as required
• Act as a liaison between clients and other departments within Express Scripts Canada, working closely with those teams to identify and address client needs
• Schedule and participate in various meetings with clients and internal stakeholders
• Train clients and internal colleagues on various applications
• Provide support to Customer Support Specialists (Call Centre)