The Cigna Group

Analyst

• Submit, manage, and track TIN add and removal requests for prepayment edits to support appropriate claim intervention
• Submit, monitor, and remove overpayment suppression requests based on defined case types and status changes
• Create and submit flag requests for segments and Provider IDs (PIDs) associated with flagged TINs
• Perform claims research and analysis to support protocol management, workflow validation, and issue resolution
• Partner with the Protocol Manager (Fraud Manager) and Payment Accuracy teams to identify, troubleshoot, and resolve prepay edit and workflow issues
• Research and coordinate provider update requests in accordance with established SIU processes
• Support EFT setup and change requests, including outreach for approval/denial and submission of required documentation
• Collaborate with internal partners to ensure timely execution of system updates and operational requests
• Maintain ownership, accuracy, and documentation of assigned requests through completion
• Support audit readiness by ensuring control execution, documentation, and request traceability within SIU workflows

Business Project Lead Analyst

Network Operations

• Support the management and implementation of provider, hospital, and ancillary networks by researching and resolving provider data issues.
• Troubleshoot issues escalated by Market Network Advisors using Cigna systems such as HCPM, Cognos, and the Developer Database.
• Respond to questions from the Contracting team and matrix partners related to provider locations, policies, and data accuracy.
• Perform rate and fee schedule audits upon request.
• Create, manage, and maintain Market Guidebooks, including rate updates, provider inclusion/exclusion, and audit documentation.
• Serve as the market subject matter expert for Alternative Access Networks, including inclusion/exclusion criteria and anchor providers.
• Develop and maintain the AAN field guide for Contracting teams.
• Facilitate monthly affordability calls and agendas.
• Monitor opportunity detection tools and support total medical cost savings through provider research, claims analysis, action planning, and outcome monitoring.
• Partner with matrix teams to ensure accurate provider data for filings, including hospital listings and state-specific requirements.

Provider Network Operations Advisor

General Counsel

• Independently lead investigations from intake through resolution, including initial formulation of investigation strategy, interviews, document review, and stakeholder debriefs
• Serve as a resource and mentor to non-attorney investigators on broader team, offering guidance on legal standards, documentation, and case handling
• Ensure that compliance and ethics inquiries, and reports of alleged employee misconduct are promptly assessed, responded to, timely and thoroughly investigated, and resolved
• Partner with The Cigna Group’s team of e-discovery and forensic investigators to identify, preserve, and obtain relevant documents and data
• Draft clear, timely reports and communicate findings to legal and business leaders
• Collaborate with HR on employment-related outcomes and disciplinary actions
• Conduct root cause analyses and determine whether any remedial or corrective actions may be appropriate
• Promote a culture of accountability, transparency, and compliance

Counsel – Enterprise Investigations

Sales

• Own and execute a defined sales strategy to achieve new business revenue and growth targets for Workplace Care solutions
• Identify, qualify, and pursue complex employer, broker, and consultant‑led sales opportunities
• Develop account and territory plans that align to Workplace Care market priorities and growth objectives
• Drive end‑to‑end sales execution, from prospecting through finalist presentations and deal close
• Act as a subject‑matter expert on Workplace Care offerings
• Consult with prospective clients to understand workforce needs
• Build and maintain senior‑level relationships with decision makers and influencers

Workplace Care Sales Advisor

Financial Planning and Analysis

• Provide strategic counsel and consultative advisory support to senior clinical leadership
• Lead and participate in highly complex clinical financial modeling, forecasting, and scenario analysis
• Translate clinical strategy and enterprise priorities into actionable financial insights
• Develop and manage enterprise-level clinical financial forecasts, scenario analyses, and long-range planning models
• Analyze drivers of financial and clinical performance and translate findings into actionable recommendations
• Develop executive-ready analyses, scorecards, and presentations
• Continuously improve modeling methodologies and analytical frameworks
• Support evaluation of clinical investments, care models, and vendor partnerships

Clinical Business Finance Officer – Senior Advisor

Manager

• Drive strategy into action while delivering flawless, high‑impact client implementations.
• Lead and empower a team of managers, who lead Implementation Managers, to drive performance and achieve high client satisfaction outcomes
• Foster a culture of agility and resilience, equipping teams to thrive in dynamic environments and embrace continuous transformation
• Actively develop managers in leadership, team management, change management, risk management, and conflict management.
• Create an environment where teams have clear ownership, are continuously developed, and understand how their work drives meaningful client outcomes
• Own the end-to-end planning and execution of strategic initiatives, ensuring priorities are clearly defined, resourced, tracked, and delivered with measurable outcomes
• Define delivery standards and outcomes, in partnership with peers, to achieve high client satisfaction and hold team accountable to deliver within standards
• Own operational performance by using data to proactively identify risks, correct issues early, and ensure implementations are delivered on time and right the first time
• Manage issues and risks, including implementing strategies to proactively address potential implementation issues within the Under 500 Implementation team.
• Communicate and present the right information to the right people to enable timely, fact-based decision making
• Evolve metrics to drive performance improvement and optimize team productivity
• Balance capacity and workflow across the client implementation journey and partner with managers and Workforce Management team to evolve capacity models
• Apply advanced change management methodologies to anticipate resistance, engage stakeholders, and ensure seamless adoption of new processes
• Monitor and evaluate the effectiveness of change initiatives, leveraging feedback and performance data to refine strategies and ensure sustainable results

Senior Manager, Client Account Support

Operations

• Provide end‑to‑end leadership and oversight of GSP claim operations to ensure delivery against performance, quality, cost, and customer experience objectives
• Monitor and manage partner operational metrics, including days mail on hand, performance guarantees, quality outcomes, productivity, and staffing alignment
• Identify opportunities to expand outsourced scope, including onboarding and implementation of new GSP sites in alignment with enterprise strategy
• Deliver ongoing, proactive performance management to remove operational barriers, address risks, and drive continuous improvement
• Develop, execute, and monitor GSP action plans to address gaps in performance, quality, or compliance
• Provide consultative guidance to GSP leadership teams, ensuring alignment to Cigna processes, standards, and expectations
• Influence internal matrix partners to secure timely and appropriate support for GSP success
• Partner in the creation and delivery of executive‑level communications, executive summaries, and performance updates related to GSP operations
• Serve as a connector across Legal, Compliance, IT, Finance, Workforce Management, Global Enterprise, Sourcing, and third‑party vendors to drive alignment and execution
• Collaborate with Workforce Management to support long‑term planning, capacity modeling, and forecast changes impacting GSP operations
• Ensure accurate review, reconciliation, and timely payment of supplier invoices, maintaining strong financial controls and audit readiness

Senior Manager, Global Service Partner Operations – Claims

• Lead and manage cross-functional project implementation within Provider Operations
• Drive continuous process improvement and foster a culture of innovation
• Serve as the primary escalation point for production support needs
• Develop, manage, and mentor teams of subject matter experts
• Proactively communicate with a diverse range of stakeholders
• Define and lead the multi-year automation roadmap
• Oversee Auto Adjudication (AA) performance and enhancement efforts
• Partner and define requirements, develop automations, and own post-implementation controls
• Ensure compliant implementation and operational oversight for systems
• Lead system release cycles and testing processes
• Identify potential operational risks and implement mitigation strategies
• Identify opportunities for cost savings while maintaining service delivery standards.

Operations Support Director, Claims

Accounting Manager

• Advance the progress and ensure the timely closure of state income and franchise tax audits; support federal audits.
• Improve audit readiness by building reconciliations and schedules for use in tax audits.
• Respond to IDRs with complete, well-organized workpapers and facts relating to the business.
• Draft FIN 48 documentation and supporting calculations.
• Improve quarter-end documentation with accurate exposure calculations and clear summaries.
• Partner with the Tax Manager and Director to prioritize work and capture wins.
• Contribute to special projects that modernize tax processes and tools.
• Gain knowledge and collaborate with teammates to learn.

Senior Tax Accounting Analyst

Attorney

• Support the responsible, compliant, and scalable use of AI across the enterprise
• Design, implement, and maintain a Human‑in‑the‑Loop Oversight Program
• Serve as a primary liaison with key partners
• Act as a project manager for AI compliance initiatives
• Track emerging laws, regulations, and regulatory guidance related to AI
• Develop, manage, and maintain a centralized database of AI‑related legal and regulatory requirements
• Engage legal counsel to support interpretation of AI‑related laws and regulations
• Monitor regulatory trends and assess their potential impact on enterprise AI strategy

Legal Compliance Advisor, Artificial Intelligence – AI Governance

Full-stack Engineer

• Design and evolve golden paths for common developer workflows to improve productivity and consistency
• Partner with platform and product teams to expose capabilities through the developer portal
• Build, operate, and maintain the Backstage core platform, including backend services and proxy integrations
• Manage configuration, secrets, authentication, and deployment pipelines
• Implement authentication and authorization using OAuth, OpenID Connect, and SAML
• Own and maintain the Backstage Catalog, including entity models, metadata, ownership discovery, and validation
• Develop and manage Backstage Scaffolder templates, reference implementations, and reusable actions
• Integrate enterprise systems such as source control, CI/CD, artifact repositories, runtime platforms, ITSM/CMDB, and observability tools
• Create APIs, SDKs, or services (REST, GraphQL, MCP) to expose portal capabilities programmatically
• Embed security and compliance guardrails such as secrets management, policy checks, and vulnerability scanning
• Automate audit evidence collection across the software supply chain and portal workflows
• Define and monitor service‑level objectives (SLOs) for portal reliability, catalog freshness, and documentation builds
• Implement observability, dashboards, alerting, and participate in incident response and root‑cause analysis
• Establish governance models for component ownership, lifecycle management, and contribution standards

Senior Software Engineer

• Partner with business process owners to assess and support the design of internal controls aligned to significant financial reporting risks
• Collaborate with IT Compliance to evaluate technology controls, system dependencies, and impacts to business process controls
• Support the annual SOX scoping and risk assessment process for the Evernorth segment
• Lead control impact assessments for new initiatives, process changes, and system implementations, defining required actions to maintain control integrity
• Serve as a primary liaison to internal and external auditors, ensuring audit readiness, timely responses to documentation requests, and appropriate escalation of control issues
• Partner with control owners to identify root cause, evaluate compensating controls, and drive remediation of control gaps or operating deficiencies
• Provide subject matter expertise and guidance to team members and business partners on SOX, SOC 1, and operational controls
• Support departmental initiatives, including business owner controls training, ongoing process improvements, and timely updates to control and process documentation
• Build strong, trusted relationships with key stakeholders to promote alignment, accountability, and continuous improvement across the controls environment

Senior Financial Compliance Advisor – SOX, SOC 1

Risk

• Manage day‑to‑day operations of the CMS EDGE server, including file ingestion, error resolution, and submission monitoring
• Coordinate execution of baseline, incremental, and command‑driven processes for Cigna’s AWS‑hosted EDGE environment
• Monitor release updates, reference data changes, and deployment timelines to keep the system in sync with CMS schedules
• Oversee troubleshooting and remediation of file processing, configuration, and validation errors within the EDGE environment
• Interpret CMS technical guidance, ICD updates, O&MM manual changes, and regulatory communications to ensure aligned EDGE operations
• Conduct quality checks, reconcile enrollment and claims data, and support risk score accuracy and regulatory compliance
• Collaborate with IT security and infrastructure teams to monitor and maintain EDGE instances in accordance with CMS requirements and Cigna policies
• Maintain documentation of procedures, system configurations, data flows, and operational controls
• Collaborate with teams to maintain and optimize data pipelines using AWS, Databricks, Python, SAS, and Oracle to support EDGE submissions and related analytics

ACA Risk Adjustment EDGE Administrator

Bilingual

• Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations
• Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies
• Support on-site inspections and patient/provider interviews as necessary
• Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance
• May represent the company as a witness in judicial proceedings when appropriate
• Prepare reports to expedite tracking and reporting of investigations

Bilingual Junior Healthcare Fraud Investigator

Actuary

• Pricing responsibility for all Supplemental Health factors and methodology for Accidental Injury, Critical Illness, and Hospital Care
• Ensure rate compliance from rate filing strategy and execution through systems implementation
• Provide experience updates to Finance matrix partners to support accurate reserving and projections
• Collaborate with business partners across the Supplemental Health team to shape development of new solutions and market strategies
• Engage with Claims and Operations to explore and implement process efficiencies
• Perform actuarial actual-to-expected studies to assess manual rating accuracy of core Supplemental Health products
• Provide pricing insight and support for key portfolio initiatives
• Oversee implementation of pricing factors/methodology and supporting engine testing
• Communicate actuarial results, risks, and opportunities to both the Pricing & Underwriting and Supplemental Health Leadership teams
• Lead two actuarial students in achieving outlined goals while creating a supportive environment