The Cigna Group

Client Services Representative

• Professionally communicate with internal and external customers
• Educate customers and Employee Services on Cigna programs
• Pull and analyze call/claim data to identify trends
• Coordinate Cigna resources for customers with complex needs
• Build strong connections with the OneGuide team

Client Service Partner

Financial Planning and Analysis

• Assisting with overall Sarbanes Oxley (SOX) and SOC 1 compliance for the Evernorth segment
• Focusing on business process internal controls
• Collaborating with control owners in assessing the design of internal controls
• Supporting remediation activity necessary for internal control deficiencies under SOX and SOC 1
• Reporting to the Director of Financial Compliance
• Interacting with business partners throughout the organization as well as external and internal audit teams
• Leading control assessment activities related to business project initiatives
• Liaising with internal and external auditors and process and control owners
• Providing guidance and direction to team members
• Building and maintaining relationships with key business partners
• Collaborating with business owners in process improvement initiatives

Senior Financial Compliance Advisor

Business Development Rep

• SME for book of clients, clients’ pipeline, and value opportunities
• Collaborates across the enterprise to ensure appropriate client support, performance, and focus on core initiatives that drive value and enhance performance
• Builds and maintains strategic relationships with book of clients
• Leads strategic quarterly business reviews and incorporates key initiatives and feedback to grow partnership with clients
• Owns contracting, renegotiation, program improvements, and year over year value creation
• Develops and executes account strategies focused on driving value and maintaining a positive relationship with clients
• Able to prioritize and direct focus to strategic initiatives and opportunities
• Primary point of contact for clients internally and externally
• Mentors Sr. Advisor employees
• Oversees resolution of client issues
• Effectively collaborates internally and externally to achieve innovative results
• Showcases effectiveness of client spend; highlighting connection of spend to value

Business Development Director

Risk

• Serve as a senior individual contributor in building and sustaining a robust control governance program within the Provider Experience & Operations (PX&O) function
• Own specific business process areas across provider data management and claim operations
• Ensure effective risk and control practices are embedded within process areas
• Provide expert guidance on operational risk and controls to optimize the control environment
• Document and update business process flows, control matrices, and risk assessments
• Support internal and external audit activities, including evidence collection and audit readiness for SOX/SOC requirements
• Identify and escalate emerging technology risks, advising leadership on mitigation strategies
• Collaborate with teams on control integration during system implementations or enhancements
• Champion risk and control awareness across the organization by developing and delivering training and guidance.

Technology Risk & Controls Senior Advisor

Machine Learning Engineer

• Write loosely coupled, readable, reusable and modular code
• Ensure ongoing data quality by monitoring data to identify problems before they impact the business
• Design and architect alternative solutions independently when to automate and when not to
• Drive to simplify and reduce dependencies
• Champion innovative ideas
• Deliver enterprise or customer-facing applications in a variety of scenarios
• Implement and deploy differing application solutions
• Innovate outside of traditional architecture/software patterns when needed
• Collaborate in a high-performing team environment, and an ability to influence and be influenced by others
• Help distill complex ideas into an architectural and implementation plan, and then proving it out
• Critically evaluate the trade-offs and implementation impacts of emerging vs. more established technologies

Machine Learning Software Engineering Advisor

Senior Machine Learning Software Engineer

Product Manager

• Business owner for select primary therapy products and leader of cross-functional work groups
• Responsible for product development/service offering for assigned therapies
• Develops business cases for new programs, sets product specifications & requirements, collaborates with IT & Operations to estimate funding requirements, works through appropriate channels to request and receive IT & Operations funding and coordinates with IT and other departments for product build
• Performs data analysis to monitor and drive the business
• Evaluates the service model and optimizes patient experience
• Monitors financial performance (P&L, gross margin, EBIT, market share and growth forecasts)
• Manages programs for which Accredo is contracted with pharmaceutical manufacturers
• Participates in pharmaceutical manufacturer quarterly business reviews for particular accounts
• Strategic planning and monitoring of competitive landscape and industry trends
• Manages metrics for products as well as programs
• Subject matter expert for operational processes at TRC for pharmaceutical manufacturer(s) as well as internal stakeholders
• Leads and participates in cross-functional team to deliver projects and initiatives
• Drives value proposition and coordinates with Marketing on product line value proposition, materials, & conferences, etc.
• Develops marketing campaigns and tools for key stakeholders
• Develops, maintains and manages to a budget
• Manages work plans for project execution and implementation for responsible accounts and programs
• Responsible for all stakeholders as it relates to assigned primary therapy programs at the specialty pharmacy (patient, physician, pharma, payor)
• Trains and partners with Physician Engagement team and Account Management teams on new programs and information
• Works with Clinical team, Pharma Account Management & contracting teams to develop new programs, revenues, and build relationships with key pharmaceutical manufacturers

Senior Product Management Advisor

Account Manager

• Develop and execute strategic plans that support operational excellence, profitability, and account retention
• Collaborate with Accredo partners to enhance customer and client experience through benefit, service, and relationship strategies
• Maintain strong market and competitive knowledge; effectively communicate Accredo tools and services in specialty settings
• Work closely with the Account Executive to drive retention, growth, and satisfaction strategies across products and operations
• Support renewal activities, including RFP participation, service issue management, performance guarantees, and implementations
• Build trusted‑advisor relationships with clients by proactively engaging in needs assessments and aligning solutions
• Maintain deep understanding of Accredo products, services, benefit design, access, and outcomes reporting
• Stay informed on Accredo operational performance and clearly communicate impacts to clients
• Lead performance guarantee reporting, including analytics and client‑ready presentations
• Develop and execute upsell and margin strategies to drive growth in target accounts
• Apply foundational understanding of underwriting principles, contracting, and LOA processes
• Leverage internal resources to deliver creative, cost‑balanced solutions that meet client needs
• Represent Accredo in market events, QBRs, onsite meetings, and executive-level discussions

Senior Account Management Advisor, Specialty Payer Sales - Integrated

Director

• Champion the development and execution of large-scale, cross-functional business projects
• Partner with senior leaders to shape project priorities and investment decisions
• Translate strategic objectives into actionable project plans
• Lead and inspire cross-functional teams to achieve coordinated execution
• Monitor project performance, proactively manage risks, and implement solutions
• Foster a culture of continuous improvement
• Serve as the central point of contact for executives and stakeholders
• Coach, mentor, and develop a team of 3–6 direct reports
• Identify and champion opportunities to enhance project methodologies

Business Project Director, Enterprise Site Optimization

Compliance

• Lead the IFP Operations Compliance team, including daily leadership, 1:1 meetings, formal check-ins, goals/objectives, Career Development Plans, training and onboarding
• Ensure the quality of the IFP operational processes are fully compliant with State and Federal requirements
• Participate with the New Law Implementation process, Business Implementation for new regulations, iComply regulations review and assessment, State & Federal mandate reviews and impacts, and IFP Regulatory Portfolio funding request intake, risk assessments and prioritization
• Partner to support other Cigna IFP team members in development of guidelines and best practices
• Lead change by influencing and educating Business and IT partners
• Crosstrain employees in best practices through knowledge share sessions
• Train employees on processes, documentation requirements and tools to improve consistency, reduce complexity and ensure capacity needs and deliverables are supported
• Ensure proper documentation and communication venues are created to support the standardization of process and procedures within team, including training, education and knowledge share
• Manage on-boarding, partner knowledge share, educational material development and maintenance and team SME development
• Collaborate with business partners to ensure compliant solutions and deliverables
• Manage resource and capacity planning
• Manage own assignments in addition to staff assignments
• Partner in metrics reporting
• Work closely with the Business partners to ensure continuous improvement: Participate in business strategy and planning activity
• Assist in defining project plans, dependencies, risk mitigation, and project status reports for complex or cross-functional processes
• Participate in knowledge share development and execution
• Provide insight into solutioning and best practices for process/procedure standardization
• Support development and implementation of training and education tools
• Provide and/or coordinate instructor-led training – self or partner coordination
• Provide timely and technically appropriate written communication to stakeholders when necessary
• Provide alternative solutions as necessary to assist in problem resolution

Senior Manager, Individual & Family Plans Operations Compliance

Manager

• Lead team of Intake Managers
• Lead annual strategic planning cycles
• Aggregate and prioritize initiatives vying for investment
• Ensure alignment with enterprise goals and value drivers
• Serve as a connector across Stakeholder Experiences to ensure initiatives are prioritized and escalated appropriately
• Own and facilitate road mapping sessions and Pitch Day
• Synthesize multi-year roadmaps into IFP & SGP Master Inventory
• Assist in determination of value optimization and strategic alignment
• Coordinate Stakeholder Experience Prioritization (1-n)
• Lead end-to-end management and coordination of all requests submitted into IFP & SGP Intake processes
• Own and facilitate portfolio governance, ensuring initiatives meet readiness criteria and are aligned with enterprise strategy
• Guide business and partner with stakeholders to define problems and shape solutions
• Identify, communicate and manage risks in an organized and detailed manner
• Make initial Go/No-Go decisions
• Present GO recommendation to the Portfolio Leadership for disposition
• Provide outcomes/status to the business submitters
• Drive trade-off and sequencing decisions across verticals

Senior Manager, Individual & Family Plans Portfolio Planning & Intake

Program Manager

• Serve as the primary liaison for medical management leadership, triaging requests and providing timely updates
• Partner in the design and refresh of the medical management oversight model for delegated programs
• Facilitate governance structures for utilization management and clinical strategy committees
• Develop, refine, and deliver reporting packages for utilization management performance and key metrics
• Oversee delegated programs, including performance tracking, reviews, and accountability measures; lead remediation efforts as needed
• Monitor appeals processes to ensure compliance with regulatory requirements and mitigate risk
• Collaborate with cross-functional teams to align medical management strategies with organizational objectives
• Prepare and present senior-level communications, including periodic status reports and monthly updates

Program Management Advisor, Medical Utilization Management

• Collaborate with SAM and Underwriting teams to understand current client financial position, RFP requirements and retail network approach as well as strategic options for market checks, renewals and new business
• Ideate and propose strategic retail network optimization opportunities and understand long-term benefits and challenges associated with those optimization opportunities
• Mentor Advisors and Lead Analysts to help support department training needs
• Support team leadership by reviewing key / complex client retail network modeling and "translating" modeling primary components and assumptions into concise and understandable format and messaging for leadership reviews and Pricing Committee
• Evaluate client data, create scenarios, and provide expert modeling and guidance for existing and new clients in alignment with department strategic objectives that drive value to both clients and Express Scripts
• In collaboration with Underwriting and SAM discuss any potential custom or narrow network options under evaluation to ensure that all modeling and requirements of these network are accurately represented and in alignment with provider contracts
• Partner with Underwriting to analyze the financial impact of client requested network changes to both the client and Express Scripts
• Strategize with cross-functional areas of Express Scripts, including but not limited to Account Management, Pricing, Product, Finance, and New Sales
• Lead interdepartmental team calls as required to discuss retail network financials
• Lead and / or assist in documenting best practices / SOPs for retail network modeling team
• Ensures optimization of work processes for retail modeling strategies and achievement of department goals
• Work on special projects and presentations as needed for the retail network modeling teams

Senior Financial Analysis Advisor – Retail Networks

Customer Support

• Schedule and reschedule phone or video consultations
• Support the scheduling of appointments, including outreach to providers for availability
• Coordinate language-specific phone or video consultations for non‑English‑speaking patients
• Send escalated alert notifications to medical providers via text when provider coverage is low for state‑specific consultations
• Monitor the PCC exception queue and on‑call waiting room to ensure patients are seen within 60 minutes, meeting MDLIVE SLAs
• Respond to customer service emails—including general inquiries, contact requests, appointment requests, refund inquiries, and billing questions—within 30 minutes or less
• Provide occasional support to the Inbound Call Center as needed
• Answer the dedicated provider support line and assist providers with inquiries
• Report system issues related to CSAdmin, the patient portal, or the provider portal to production support and submit Jira tickets as necessary

Provider Command Center Representative – Customer Service Representative

Analyst

• Supports the medical cost position of assigned markets through analysis of healthcare provider contracts
• Analysis of high performing network solutions
• Analysis of medical expense reports
• Data drill downs of trend drivers
• Execution of key initiatives designed to address medical expense and product pricing trends
• Partners with network management and pricing units to deliver medical expense results in line with trend/cost expectations