The Cigna Group

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

Financial Planning and Analysis

• 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

Senior Manager – Supplemental Health Solutions Pricing

Analyst

• Conduct medical records reviews with accurate diagnosis code abstraction
• Utilize HHS’ Risk Adjustment Model to confirm accuracy of HCC
• Apply longitudinal thinking to identify valid data elements
• Perform various documentation and data audits
• Collaborate and coordinate with team members and matrix partners
• Coordinate with stakeholders to execute efficient RA programs
• Communicate effectively across all audiences
• Develop and implement internal program processes ensuring compliance with CMS/HHS

Quality Review & Audit Analyst

Business Development Rep

• Drive a significant sales portfolio by building a strong network
• Partner with our go to market strategy team in understanding our value proposition
• Cultivate new business for Forsyth Health Services
• Build and execute client specific strategies and support for adoption of Forsyth Health insights & solutions
• Help clients choose the insights & solution(s) that best suit their needs
• Collaborate cross-functionally with senior leaders representing data operations, client solutions services & contract execution
• Focus on new sales and partner with go to market strategy
• Develop a pharma client/market penetration strategy and lead sales execution
• Ensure sales team goal attainment and growth through lead generation, product penetration and other sales achievements
• Watch success factors including, but not limited to, the measurement and achievement of sales targets, new business, attainment of sales revenue goals, etc.
• Serve as Executive sponsor with client decision-makers from C-Suite and executive pharma leaders