The Cigna Group

Customer Support

• Serve as the first point of contact for patients and visitors at the onsite health center.
• Greet patients professionally and manage front desk operations.
• Perform reception and administrative Medical Assistant duties, including: Appointment check‑in and coordination, Patient flow support, Documentation and data entry.
• Maintain compliance with HIPAA regulations and Cigna/Evernorth guidelines.
• Ensure a positive, professional, and welcoming patient experience.
• Support clinical staff and Wellness Rewards Nurse with administrative needs.
• Provide exceptional customer service to internal and external customers.
• Perform telephonic appointment scheduling and outreach calls in support of Healthy Life Centers.
• Independently respond to customer inquiries of moderate to substantial complexity.
• Conduct research and interpret policies to deliver accurate, effective responses.
• Ensure data integrity across all systems.

Hybrid Medical Assistant – Senior Customer Service Rep

Account Executive

• Achieve assigned territory sales goals by driving prescription growth and service adoption across Immune Globulin, Hereditary Angioedema, Asthma & Allergy biologics drug therapies.
• Sales efforts also include managed care products and services to HMOs, PPOs, and Self-Insured Administration Employer Groups.
• Build and maintain strong relationships with advanced practice providers, office staff, infusion centers, and health systems to support seamless patient care.
• Educate providers on Accredo’s specialty pharmacy programs, including access solutions, patient support services, prior authorization assistance, and therapy‑specific workflows.
• Develop strategic account plans using prescribing trends, payer dynamics, and market insights to identify opportunities and manage territory growth.
• Partner with internal teams — including Physician Support Specialists, pharmacists, reimbursement specialists, and payer account leaders — to ensure timely onboarding, therapy initiation, and patient support.
• Collaborate with manufacturer representatives on shared goals, pull‑through opportunities, and aligned provider education.
• Maintain accurate CRM documentation, call reporting, and all required administrative activities in Salesforce.
• Represent Accredo at regional and national meetings, conferences, and industry events. Travel within the territory for this role includes the entire state of Florida (excluding Tallahassee and the Florida Panhandle.

Senior Account Executive – Immune Deficiencies

Director

• Provide strategic oversight of the Special Investigations Unit, setting direction for fraud, waste, and abuse (FWA) prevention, detection, and investigative operations across multiple business segments
• Align SIU strategy with enterprise objectives, regulatory expectations, and emerging industry risks
• Collaborate with key internal and external partners to strengthen end‑to‑end fraud controls
• Prepare and present Annual Anti-Fraud plan, including risks, new and emerging schemes, critical metrics and results
• Apply deeper proactive analytics across multiple business lines by leveraging advanced modeling, datamart assets, automated detection tools, and scalable analytic infrastructure
• Oversee end‑to‑end investigative processes, ensuring consistency, strong documentation, adherence to regulatory requirements, and application of best practices across all investigative teams

Managing Director – Special Investigations Unit

Manager

• Lead the strategy, architecture, and long-term resilience of our enterprise wired and wireless network
• Translate business goals into clear network roadmaps
• Build, develop, and inspire a team of senior network engineers through coaching, feedback, and growth opportunities
• Partner with senior IT and business leaders to plan, prioritize, and deliver complex initiatives
• Ensure high levels of network availability through proactive lifecycle management
• Guide the design and execution of WAN, LAN, and wireless solutions
• Oversee vendor selection and relationships
• Provide clear, concise updates to leadership on progress
• Encourage innovation by empowering the team to bring forward new ideas

Senior Manager, Network Services

Risk

• Conduct advanced financial and market analysis
• Derive actionable insights for OON Protection Program
• Monitor cost trends and risks
• Develop and refine financial models
• Identify and lead analysis projects
• Work with network contracting to inform strategy
• Develop a data quality program for OON analysis
• Conduct regular audits to identify data issues
• Refine and enhance affordability tracking
• Oversee periodic reserve data studies and support compliance audits

Business Analytics Advisor – Out of Network Analytics, Reporting

Account Manager

• Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business aligned to medium to low complex providers
• Leads, collaborates, and supports local market direction as it relates to improving the provider experience
• Creates and maintains individual provider strategic action plans
• Proactively identify new opportunities and risks for providers at market or national level and drives resolution
• Exercises good judgment and discretion to support the provider experience
• Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements
• External facing with providers in assigned BOB
• Collect, analyze, interpret, translate and distribute provider informatics, reports, dashboards
• Track and monitor performance guarantees for assigned BOB
• Promotes Provider Index score improvement through proactive and effective service and support of network
• Review provider reports/dashboard with individual providers
• Proactively educate providers on Cigna's business objectives, standard operating procedures, policies and programs to influence behavior and how to work with Cigna
• Serve as a provider advocate both internally and externally
• Understands and applies service culture principles and methodology
• Serves as a consultative role or subject matter expert to key matrix partners
• Develops and participates in presentations to existing and prospective providers and/or clients
• Serves as advocate in external community, representing CIGNA to medical societies and external provider associations
• Manage joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities

Provider Relations Manager

• Oversee daily Support staff workflow and performance
• Create and manage monthly schedules; coordinate sick/vacation coverage
• Serve as liaison between TSS staff and TSS Manager
• Support training for new hires and existing staff
• Communicate team needs, updates, and company initiatives
• Assist with on‑call rotation and obtain multi‑state licenses as needed
• Provide flexible availability, including emergency support

Telepharmacy Support Specialist, Supervisor

• Provides strategic and operational leadership for the Complex Claim Unit (CCU) nursing teams
• Coaches and develops Health Services Managers
• Responds to internal and external inquiries
• Ensures compliance with regulatory and accreditation standards
• Partners across business units to support enterprise initiatives
• Plans, organizes, and manages resources and processes to achieve program objectives
• Oversees utilization, clinical, and billing claim reviews
• Implements and monitors clinical edits and payment integrity programs
• Develops, prioritizes, and executes medical cost containment initiatives
• Identifies, recommends, and implements best practices to optimize operational efficiency
• Establishes departmental goals aligned with functional and enterprise strategies
• Defines, monitors, and reports key production, quality, and financial performance metrics
• Collaborates with Network Analytics, Coverage Policy, and Medical Directors to identify and implement savings
• Provides subject-matter expertise and representation for Legal and Client Services related to clinical prepay programs
• Evaluates and develops Health Services Managers
• Leads automation, process improvement, and change initiatives
• Manages workforce planning, capacity modeling, and financial forecasting
• Ensures compliance with internal policies and product standards
• Conducts performance evaluations and manages compensation-related processes
• Leverages data analytics and business process engineering to drive continuous improvement
• Participates in Payment Integrity initiatives and other assigned projects

Complex Claim Clinical Manager

• Responsible for the development, service delivery, and execution of Cigna’s integrated pharmacy benefit management (PBM) strategy focused on growth, retention, and profitability for Select and U3000 pharmacy clients
• Serves as the primary pharmacy business relationship leader across internal partners and oversees a team of client‑facing pharmacy account executives and clinical account managers
• Drives market‑specific strategies, leads cross‑functional collaboration, and ensures delivery of high‑value pharmacy solutions that meet financial, clinical, and service objectives
• Drive sales, retention, and profitability activities aligned to Regional (RGL) and Market (MGL) P&L goals
• Develop and execute segment‑specific (Select/U3000) best practices, upsell strategies, and market business plans across U.S. Commercial markets
• Achieve financial and performance metrics including client P&L improvement, margin growth, client satisfaction (NPS), and retention
• Provide strategic leadership and subject matter expertise on pharmacy affordability and clinical management programs to internal medical, sales, and matrix partners
• Partner with medical sales teams to assess market‑specific competitive dynamics and inform product development and sales strategies
• Develop and oversee regional service and operational models to meet or exceed client persistency and pharmacy carve‑in goals
• Direct and support ongoing education and training for sales teams related to Cigna’s integrated pharmacy and medical solutions, as well as competitive PBM offerings
• Lead, coach, and manage a team of pharmacy subject matter experts through goal setting, performance management, and organizational change
• Collaborate with underwriting and medical sales to address competitive pricing challenges and retention strategies
• Identify, cultivate, and convert carve‑in pharmacy opportunities for middle market clients currently using external PBM vendors
• Analyze performance reporting to ensure execution plans are delivering expected results and adjust strategies as needed
• Partner with marketing to develop effective sales messaging, proposals, presentations, and client communications
• Build and maintain strong relationships with brokers, consultants, and key client stakeholders, serving as a trusted advisor
• Provide oversight of service plan execution and escalate operational issues as needed
• Participate in “Best and Final” sales presentations
• Work cross‑functionally with IT, Legal, Compliance, Operations, CIPM partners, and Express Scripts (ESI) support and account teams
• Communicate client insights, risks, and feedback to senior leadership

Pharmacy Account Management Director – West Region

Program Manager

• Deliver timely, high-quality clinical and claims insights
• Analyze, investigate, and summarize HCC data
• Conduct comprehensive clinical summary reviews
• Interpret medical records and claims data
• Synthesize findings into clear, executive-ready summaries
• Lead or contribute to small- to mid-sized projects
• Partner effectively across a matrixed organization
• Apply a working knowledge of core clinical programs

Program Management Lead Analyst – Encore Program

• Develop and implement GPO strategies aligned with enterprise goals.
• Drive contract performance and market competitiveness through data-driven insights.
• Serve as the primary liaison with GPOs, health authorities, and key decision-makers.
• Build and maintain strong partnerships to enhance member value.
• Oversee process optimization (e.g., Order-to-Cash), ensuring standardization and compliance.
• Develop technology roadmaps to support procurement and operational efficiency.
• Monitor market dynamics and purchasing data to identify trends and opportunities.
• Manage KPIs and deliver measurable economic value to members and clients.
• Partner with sales, marketing, IT, legal, and finance to ensure cohesive GPO engagement.
• Coach and mentor staff to foster a high-performance, collaborative culture.
• Lead negotiations on pricing, terms, and conditions with suppliers.

General Manager, GPO Services – CuraScript Specialty Distribution

Customer Success Manager

• Delivers information about and enrolls members in the Behavioral Coaching and Clinical Programs
• Conducts post-discharge after care follow up for customers for outpatient levels of care
• Outreach customers to advise of appointment availability, in-network provider listings, insurance benefits and community resources
• Provide information and general encouragement
• Provides exceptional customer service and collaborates effectively with daytime OP BH Licensed Clinicians to ensure proper access and utilization of benefits
• Effective management of Outlook bins, TruCare queues, Program Referral Tool and Providerlink
• Contributes constructively in team meetings and with matrix partners in a manner to enhance relationships and to improve communication and procedures relevant to team functioning
• Performs additional stretch tasks/projects as needed, requested or assigned
• Complies with all Evernorth Behavioral Health policies and Standard Operating Procedures
• Takes initiative for continued professional development

Care Coordinator, Customer Engagement Team

• Manage the day-to-day customer relationships for Accredo’s customers
• Ensure superior service and satisfaction for assigned businesses
• Resolve customer complaints by investigating problems and developing solutions
• Review performance metrics to promote client satisfaction and manage contractual requirements
• Collaborate with operational teams to ensure service delivery
• Present operational performance metrics to customers monthly or quarterly

Account Management Lead Associate

• Accountable for core service delivery for customers
• Responsible for increasing visibility and awareness of service offerings
• Track, report, and evaluate data trends
• Manage and lead customer centric team meetings
• Serve as point of contact for customers

Paralegal

• Draft and amend welfare benefit plan documents in accordance with internal/client guidance
• Attend new group meetings for assigned groups
• Understand and apply applicable regulations and laws in drafting plan documents
• Review client benefit materials to align with organizational standards
• Provide operational support to team members as needed
• Perform additional duties as assigned