The Cigna Group

Infrastructure Engineer

• Provide operations, engineering, design, and troubleshooting support for teams on-premises and for Software-as-a-Service (SaaS)-based logging products.
• Work with customers to gather requirements, onboard data, and assist with searches, dashboards, reports, and knowledge objects.
• Devise solutions for technical and business problems as well as adapt new technologies to improve Splunk, Cribl, and cloud operations.
• Support the systems engineering lifecycle activities for large, hybrid Splunk and Cribl deployments, including requirements gathering, design, testing, implementation, operations, and documentation.
• Lead troubleshooting efforts and identify root causes of problems across the enterprise logging environment.
• Work on and lead projects that drive continuous improvement, enhancements of products, services, offerings, and governance.
• Coach and mentor customers and staff that require technical assistance and guidance.
• Partner with Agile Program and Product Management leads to develop, plan, and execute large initiatives.

Senior Infrastructure Engineering Advisor

Full-stack Engineer

• Leverage deep technical expertise to guide teams through the full software development lifecycle
• Mentor team members
• Collaborate with cross-functional stakeholders
• Drive strategic technology initiatives across multiple projects and platforms
• Lead software development teams in designing, coding, testing, and deploying application solutions
• Create detailed technical specifications and design documentation
• Conduct peer code reviews and quality assurance assessments
• Partner with vendors to develop estimates and delivery plans for projects across application families
• Ensure the quality and consistency of technology solutions delivered by internal and external teams
• Provide technical leadership and accountability across multiple concurrent projects
• Drive efforts to reduce technical debt and mature team technologies
• Identify and implement process improvements to enhance application support and delivery
• Serve as a subject matter expert (SME) for assigned technology components
• Collaborate with architects to evolve the technology landscape
• Lead resolution of high-priority production incidents and root cause analysis
• Support special projects and strategic initiatives as assigned

Software Engineering Advisor

Director

• Set the vision for client strategy
• Define and lead a cohesive support model that brings together regulatory insight, performance improvement, and growth planning into one clear, client-centered approach.
• Drive meaningful client outcomes
• Partner with account teams to strengthen executive relationships, improve retention, and identify opportunities to expand value and deepen partnerships.
• Turn insight into action
• Translate federal and state policy changes, contract requirements, and market trends into clear strategies that help clients stay ahead and make confident decisions.
• Shape differentiated solutions
• Collaborate across product, clinical, underwriting, and market strategy teams to design offerings that are competitive, compliant, and responsive to evolving client needs.
• Influence enterprise direction
• Elevate the voice of the client to inform priorities, investments, and market-facing strategies that support long-term growth and affordability.
• Strengthen market positioning
• Guide Medicaid and Marketplace positioning and selling strategies by bringing forward strong insights, clear value stories, and innovative thinking.
• Lead and develop a high-performing team
• Build a culture grounded in growth, accountability, and coaching, where people are supported to learn, stretch, and deliver their best work.
• Provide thought leadership and clarity
• Deliver executive-level messaging and perspectives that help stakeholders understand market dynamics and act with confidence.
• Navigate complexity with confidence
• Lead through ambiguity and change, aligning cross-functional teams and driving decisions that improve outcomes for both clients and the business.

Director, Medicaid & Marketplace Client Strategy

Client Services Representative

• Lead and execute complex, cross-functional operational initiatives from intake through completion
• Apply project management discipline, including defining scope, sequencing work, tracking dependencies, and mitigating risks
• Develop and maintain SOPs, workflows, intake processes, and escalation paths to drive consistent execution
• Translate ambiguous or informal practices into clear, scalable, and repeatable processes
• Partner with Operations, Claims, IT, Clinical, DocGen, COE, and other stakeholders to drive operational improvements
• Submit, track, and manage enhancements and operational requests through established governance tools (e.g., SmartSheet, ServiceNow)
• Act as an extension of CSDM leadership to advance priority workstreams and initiatives
• Prepare summaries, materials, and insights to support leadership decision-making
• Leverage Microsoft tools and AI-enabled capabilities (e.g., Microsoft Copilot) to enhance productivity and documentation

Team Lead, Client Service Delivery

Artificial Intelligence

• Lead the design and development of AI capabilities, including NLP, GenAI, predictive modeling, and agent-based automation.
• Build AI-driven workflows that simplify multi-step business processes and reduce manual effort.
• Translate business problems into clear technical approaches, including data needs, and workflow design.
• Validate assumptions, iterate quickly, and refine solutions based on stakeholder feedback.
• Work closely with global Finance teams, analysts, and engineering partners to ensure solutions align with program objectives.
• Communicate complex AI concepts in clear business terms for senior leaders and operational teams.
• Support change management and user adoption by helping stakeholders understand how AI solutions improve their workflows.
• Ensure all AI solutions align with enterprise standards for responsible AI.

Lead Applied AI Analyst

Account Manager

• Lead operational strategy and execution for assigned accounts to ensure performance and retention.
• Develop and execute account strategies supporting growth, persistency, and financial targets.
• Partner with Account Executives to drive renewals, retention, and expansion.
• Build trusted client relationships by aligning services to business goals.
• Collaborate cross-functionally to deliver coordinated service solutions.
• Translate operational performance into clear client insights.
• Lead performance guarantee reporting including analysis and presentations.
• Identify and execute upsell and margin growth opportunities.
• Maintain expertise in benefits, services, and outcomes to support client discussions.
• Represent Accredo in client meetings and QBRs with professionalism.

Senior Account Manager

Analyst

• Lead ancillary provider and health system contract negotiations
• Perform detailed financial modeling and analysis related to provider contracts
• Leverage complex internal systems and processes to support provider contract administration
• Build and maintain relationships with providers
• Support strategic positioning for provider contracting and identifying opportunities for greater value-orientation
• Collaborate with a variety of internal and external individuals to accomplish goals

Provider Contracting Lead Analyst

Data Scientist

• Lead the design and delivery of advanced medical cost forecasting solutions that improve claim reserving and enterprise financial forecasting
• Prototype and validate new analytical approaches using techniques such as time series modeling, simulation, and machine learning
• Create diagnostics and performance measures to evaluate forecast accuracy and explain key cost drivers
• Partner with finance, actuarial, and business teams to translate forecasting needs into actionable analytics solutions
• Communicate findings through clear insights, presentations, and technical documentation to support decision-making
• Develop early-warning analytics to identify emerging cost trends and risks
• Collaborate with data engineering and product teams to ensure scalable and interpretable solutions
• Contribute to model monitoring, governance, and continuous improvement processes
• Mentor junior team members and share best practices across the data science community

Senior Advisor, Data Science – Medical Cost Trend & Forecasting

Customer Support

• Receive and process requests for orders, quotes, returns, and pricing via mail and phone.
• Answer incoming calls and resolve customer issues ranging from simple to moderately complex.
• Conduct research to resolve inquiries and apply policies to determine appropriate responses.
• Route emails and supporting documentation to appropriate departments for final processing.
• Triage during lunches and time off when co-workers are out, mailbox duties.
• Perform routine data entry, sort incoming requests, and maintain organized filing systems.
• Respond independently to routine grievances and complaints, escalating as needed.
• Follow clearly defined procedures under close supervision, with tasks allocated daily.
• Understand and apply basic instructions and procedures consistently.

Customer Service Representative – SME

• Reporting to the Florida Market Network Leader
• Overall accountability for managing the hospital and physician provider contracting functions for assigned geographies within the Florida markets
• Executing the Regional/National Network Contracting & Affordability strategy
• Managing total medical cost for their assigned territory
• Managing the execution of a total unit cost plan, provider collaborative and value-based initiatives
• Leading the technical operations of the Contracting functions
• Contributing to and executing the markets strategic planning
• Leading and participating in market-based vendor negotiations
• Negotiating, evaluating and writing physician contracts
• Conducting market-based financial analysis
• Supporting growth and persistency through strategic collaboration with Market Medical Execs, Sales and Account Management
• Ensuring compliance with Cigna Healthcare National Contracting standards
• Managing the markets provider relationships

Provider Contracting Director

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 company as a witness in judicial proceedings when appropriate
• Prepare reports to expedite tracking and reporting of investigations

Bilingual Junior Healthcare Fraud Investigator

• Responding to phone inquiries from patients
• Helping patients understand their pharmacy benefits
• Assisting patients with prescription refills, scheduling shipments, and addressing billing questions
• Documenting all interactions with patients

Customer Service Associate Representative

Product Manager

• Lead the strategy, design, and delivery of AI-driven and rules-based automation products
• Drive a cohesive product strategy that integrates AI-enabled decisioning with deterministic automation
• Define and execute a unified product strategy that spans AI/ML solutions and non-AI automation
• Lead end-to-end lifecycle for AI and non-AI automation products: ideation, requirements, design, build, launch, and continuous improvement
• Partner with data scientists, engineers, and automation teams to implement innovative solutions
• Ensure scalability, resiliency, and maintainability across automation solutions
• Establish governance frameworks for AI model risk and automation failure handling

Senior Manager, Product Development – AI & Automation Product Management

• 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

Manager

• Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems.
• Build and maintain strong provider relationships to support network growth and value-based business opportunities.
• Coordinate closely with matrix partners to ensure aligned execution.
• Develop strategic network positions, identify value-oriented and risk-based opportunities.
• Work to meet unit cost targets while maintaining an adequate provider network.
• Design and manage initiatives to improve medical cost and quality.
• Prepare, review, and project the financial impact of large or complex provider contracts.
• Lead resolution of escalated provider issues and manage key provider relationships.