The Cigna Group

Account Manager

• Oversee a team of Account Managers and Sr Account Managers
• Identify opportunities to standardize and capture metrics
• Ensure satisfaction, profitability, and renewal of client accounts
• Review quality control of account activity
• Work with Account Directors on developing strategies for up sells and expansion
• Present Accredo and EXP operational performance metrics to clients

Manager, Account Management and Member Experience

Manager

• Manages contracts and negotiations for fee for service and value-based collaborative programs with hospitals, physicians, and other providers
• Potential to directly manage other contracting associates, providing leadership and mentoring
• Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy
• Responsible for Cigna's cost of care, affordability, network composition, and competitive position for commercial networks
• Responsibility for network and business strategy for other customer segments such as Medicare and individual, should they apply to the market
• Initiates, nurtures and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service
• Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position
• Lead collaborative, value-based relationships with local providers
• Assists in resolving elevated and complex provider service complaints
• Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues
• Manages key provider relationships and is accountable for critical interface with providers and business staff
• Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape
• Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.

Senior Manager – Provider Contracting

Consultant

• Partner with Middle Market Account Executives to drive retention and growth
• Support strategic selling approach demonstrating Cigna Healthcare's value
• Fully understand client needs and execute actions addressing client issues
• Maintain in-depth knowledge of Cigna products/services across all product lines
• Leverage Expert Advisors to deliver on client expectations
• Ensure clear and timely communication aligning with Cigna's strategy and value proposition

Middle Market Client Experience Consultant

Financial Planning and Analysis

• Leads evaluation of complex, cross-business strategic initiatives, including growth strategy, monetization, portfolio optimization, and regulatory impacts
• Develops executive-ready recommendations, including options, trade-offs, and risks
• Supports development of long-term strategy for priority businesses and enterprise initiatives
• Leads business case development, scenario analysis, and market assessments
• Evaluates enterprise implications of market, regulatory, and competitive dynamics
• Leads and develops a team of senior individual contributors; manages prioritization and deliverables
• Partners with cross-functional stakeholders to align on strategic recommendations
• Influences senior leadership decisions in a highly matrixed environment

Director, Strategic Planning

Operations

• Build and manage capacity models that forecast staffing needs across multiple operational teams and work types
• Analyze trends in volume, productivity, attrition, inventory, and related metrics to produce accurate monthly staffing forecasts and identify excess or shortfall risk
• Recommend strategies that improve workforce utilization, including hiring plans, skill conversion, up-training, and model enhancements
• Lead monthly reviews with business partners to share results, explain forecast changes, and align on actions that support operational and financial goals
• Contribute to planning discussions by offering insights, raising risks, and influencing decisions with clear, data-based recommendations
• Support change by building strong partnerships, challenging assumptions when needed, and helping leaders make informed planning decisions

Operations Advisor – Delivery Support, Insights

Analyst

• Design, develop, and maintain operational reports and dashboards using Tableau and Power BI.
• Write and optimize SQL queries to extract, transform, and analyze data from various sources.
• Ensure data integrity through validation, cleansing, and documentation.
• Collaborate with stakeholders to gather requirements and deliver insights aligned with business goals.
• Lead analytics projects or components of larger initiatives, ensuring timely delivery and quality outcomes.
• Continuously improve reporting processes and identify opportunities for automation and efficiency.

Senior Business Analytics Analyst

Business Development Rep

• Support the Senior Director in the day-to-day operating rhythm of the Office of Independent Pharmacy Affairs (cadences, decision logs, action tracking, and stakeholder follow-ups)
• Lead priority initiatives and workstreams from problem definition through implementation including stakeholder alignment, governance readouts, decision/issue escalation, and tracking
• Own and continuously improve core intake, routing, escalation, and service processes supporting independent pharmacy (including correspondence and provider-facing inquiries) to drive speed, consistency, and transparency
• With the Senior Director, coordinate enterprise-wide internal teams that touch independent pharmacy to ensure alignment, accountability, and on-time execution across interdependent initiatives
• Define, maintain, and socialize process documentation (RACI, SOPs, playbooks, and communication templates) and support change management for new or updated workflows
• Partner with analytics and business owners to translate business questions into data requirements, develop KPIs, and enable recurring reporting (dashboards, scorecards, and insights) that support internal accountability and decision-making
• Synthesize internal and external feedback, performance trends, and market signals into clear, compelling recommendations for leadership using data-based storytelling and concise executive communications
• Manage complex projects and initiatives across multiple channels including workplans, milestone tracking, risk/issue management, and stakeholder communications
• Develop high-quality materials to support leadership and governance forums (presentations, written analyses, financial or operational summaries) and prepare content for internal and external audiences as needed
• Build and maintain a strong network of internal and external partners to advance strategic priorities and remove execution barriers
• Directly engage with independent pharmacy providers and external partners as needed to inform strategy, improve service experiences, and validate operational approaches

Senior Advisor – Strategy and Business Development

• Process mass adjustment requests from clients, account teams and/or functional areas.
• Analyze and audit adjustment requests due to claims processing issues, conduct detailed audit of system set up to ensure accuracy of the client’s claims adjustment requests and ‘before and after’ analysis of the claims re-price files.
• Prepare and produce an adjustment report to assigned business unit.
• Extract claims based on the requirements provided by the assigned business unit.
• Ensure requirements received in mass adjustment requests are accurate.
• Follow up with assigned business unit (i.e., Account Management) as needed.
• Participate and communicate in daily account management team conference calls/meetings to discuss adjustment requests and ensure issues are addressed in a timely manner.
• Ensure all documentation is maintained for audit purposes.
• Coordinate all financial upload files on a daily basis.
• Conduct special projects as assigned.

Financial Operations Analyst

• Manage day to day purchasing activities by reviewing historical demand, analyzing inventory levels and patient needs.
• Work with pharmacy operations to establish product/service requirements.
• Order pharmaceuticals for the pharmacy based of drug inventory requirements.
• Maintain and verify drug inventory controls are at a level to meet customer demands.
• Assist the call center management with customer issues and communications when drugs are out of stock.
• Work with internal customers to understand trends; identify opportunities to optimize inventory & service levels; ensure drug out of stocks are minimized; assist in root cause analysis and corrective action.
• Communicate with all levels of management and both internal and external customer base and possess solid follow through skills, attention to detail and ability to handle multiple tasks and meet daily deadlines.
• Special projects as assigned.

Senior Procure-to-Pay Analyst

Director

• Create analytical proof points to link digital capabilities and consumer value perception with business outcomes
• Establish reporting and analytics that enables development of continuously improving Digital Products across the enterprise
• Oversee evaluation and optimization of digital features, platforms, and engagement strategies, evolving operating model as needed
• Lead segmentation, behavioral, and journey analyses to understand areas of opportunity for consumer experience agenda
• Identify key drivers of customer satisfaction, engagement, and value perception
• Collaborate across digital, clinical analytics, data science, technology, product, and business teams to deliver integrated solutions
• Align stakeholders around common objectives, priorities, and success measures

Business Analytics Director

Medical Director

• You’ll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
• Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore’s case management software.
• Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence–based medical necessity and appropriateness of the requested service or treatment.
• Leverage your clinical expertise to recommend alternative services or treatments as necessary.
• Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

Medical Director – Urology

Medical Director – Radiation Oncology

• Leverage your background in Pain Medicine disciplines to deliver evidence-based medical reviews that support high-quality patient care.
• Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
• Start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
• Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore’s case management software.
• Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence–based medical necessity and appropriateness of the requested service or treatment.
• Leverage your clinical expertise to recommend alternative services or treatments as necessary.
• Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

Medical Director – Pain Medicine

Medical Director – Medical Oncology

• As a Medical Director at EviCore, you’ll leverage your background in Pediatric Nephrology to deliver evidence-based medical reviews that support high-quality patient care.
• Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
• You’ll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
• Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore’s case management software.
• Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
• Leverage your clinical expertise to recommend alternative services or treatments as necessary.
• Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.