The Cigna Group

Vice President

• Lead and develop a high‑performing contracting team, creating a culture of growth, collaboration, and accountability.
• Drive contracting and network strategies across Commercial and other product lines to strengthen our market position.
• Negotiate complex fee‑for‑service and value‑based contracts with health systems, hospitals, and large provider groups to improve affordability and quality.
• Champion cross‑market and cross‑functional initiatives that support broader business goals.
• Build trusted, long‑term partnerships with providers to expand value‑based opportunities and deliver on local market strategy.
• Work closely with matrix partners—including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, and Service—to support smooth network operations.
• Identify opportunities for deeper value orientation and new risk‑based arrangements that improve total medical cost.
• Manage financial impact analysis, performance projections, and scenario modeling for high‑value and complex contracts.
• Oversee provider relationship management to ensure strong communication, collaboration, and results.
• Maintain a clear understanding of the competitive landscape and provider interrelationships across assigned geographic markets.
• Ensure accurate and timely contract loading, submissions, and network implementation activities.

AVP, Provider Contracting

Director

• Develop, execute, and continuously refine the Americas provider contracting and network strategy, aligning with global objectives and local market dynamics.
• Lead high-stakes contract negotiations with healthcare providers and TPAs, securing optimal terms that advance organizational goals for access, cost control, affordability, and value-based care.
• Design and implement innovative contracting models (e.g., risk-sharing, bundled payments, pay-for-performance) to drive value-based outcomes and sustainable cost management.
• Own and manage strategic relationships with key vendors and TPAs, identifying new partnership opportunities to expand network reach and enhance value for customers and clients.
• Direct and mentor a team of network leads and analysts, fostering a culture of excellence, accountability, and continuous improvement.
• Influence and collaborate with senior business partners and stakeholders in a highly matrixed, cross-functional environment.
• Establish robust governance frameworks for Americas contract compliance, risk mitigation, and regulatory adherence.
• Continuously evaluate the provider network for gaps, redundancies, and opportunities for expansion or consolidation, leveraging data-driven insights to inform strategic decisions.
• Drive implementation of strategic initiatives with providers, including automation and provider self-service solutions, to enhance efficiency and engagement.
• Champion digital transformation to support cost control, affordability, and value-based care.
• Prepare and present executive-level reports and business cases, communicating network performance, cost trends, and strategic recommendations to Cigna Healthcare’s senior leadership.
• Partner with provider services, payment integrity and clinical teams to resolve complex provider issues and drive improvements in provider/customer experience and clinical outcomes.

Provider Contracting Lead, Americas

Manager

• Develops and implements sales strategies for targeted key accounts in a plan, a territory, or a specified geographic area.
• Obtain new accounts through direct or brokerage channels for sales.
• Meet or exceed annual business plan as measured by new firms, revenue, membership and profitability objectives.
• Maintain prescribed weekly activity levels.
• Manage the sales process for Medical, Dental, Pharmacy, Behavioral products.
• Review and respond to RFP's, manage internal strategy and present quotations.
• Manage database of prospects and assigned producers.

Senior New Business Manager

Social Media Manager

• Helping to create research and content assets and supporting materials to execute social media campaigns.
• Monitor day-to-day content on social media platforms (i.e. Facebook, Twitter, Instagram, and more).
• Perform social media metrics analysis and reporting.
• Develop paid social advertising plans and social strategies with advertising execution.

Social Media and Marketing Co-op

Customer Support

• Lead a team of 14 Customer Service Senior Representatives to deliver best‑in‑class service to patients, caregivers, manufacturers, and internal and external partners
• Ensure operational excellence, support team development, and resolve complex service issues with a focus on quality, efficiency, and member satisfaction
• Recruit, hire, onboard, and train team members to maintain a skilled and engaged workforce
• Evaluate employee performance, provide coaching and feedback, conduct reviews, and recommend corrective actions when necessary
• Motivate the team and cultivate a positive, inclusive, growth‑oriented environment
• Take ownership of escalations and complex customer service issues, providing timely solutions and keeping senior stakeholders informed

Customer Service Supervisor

Account Executive

• Develop rapport and trust with clients and/or benefit consultants that foster strong partnerships in developing creative benefit solutions for your clients.
• Leads the coordination of Cigna Healthcare's internal local market and/or Cigna Healthcare's government and education vertical resources to support evolving client employee benefit needs.
• Ensures exceptional service delivery and manages full collection of internal resources aligned to service delivery, clinical engagement, and overall health improvement.
• Understand plan reporting needs of client and engage appropriate data analytics resources to document Cigna Healthcare's health improvement value to client and/or benefits consultants.
• Develop and evolve a multi-level relationship strategy that extends to the broad array of decision makers in the public sector.
• Develop and manage a community engagement strategy pursuant to those health and wellness related topics that are important to your defined client base.
• Engage in all relevant staff and or elected official meetings where employee benefits and health care are relevant agenda topics.
• Plan and manage any pre-renewal or pre procurement bid strategies that would best position Cigna Healthcare to retain the account relationship.
• Discussions would include engagement of senior management and underwriting to determine any strategies that would extend contract cycle without a formal procurement.
• Identify and upsell or cross sale opportunities that can be managed within the scope of the entities procurement guidelines.
• Ensures that clients receive all relevant compliance, legislative, and operational updates and communicates their impact (if any) to our contractual relationship.
• Ensures that Cigna is managing our contractual relationship in accordance with the mutually agreed upon scope of services as defined in the administrative services agreement.

Government & Education Account Executive – Miami-Dade

• Lead complex negotiations with hospitals, health systems, ancillaries, and large physician groups to support both fee‑for‑service and value‑based strategies.
• Build strong, trust‑based provider relationships that expand opportunities for partnership and help advance local market goals.
• Partner closely with matrix teams—Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, Marketing, and Service—to ensure smooth operations and contract execution.
• Contribute to the design of alternative network strategies and support the development of analytics needed to evaluate network performance and opportunities.
• Help achieve unit cost targets while preserving a competitive, high‑quality provider network.
• Lead and support initiatives that improve total medical cost and quality outcomes by using data insights to influence provider behavior.
• Use clinical and cost analytics to guide provider partners through constructive change that supports affordability and performance improvement.
• Prepare and analyze financial impact models for complex contract structures and innovative reimbursement terms.
• Develop provider agreements that align with internal requirements and provider expectations, ensuring accurate implementation through matrix partners.
• Resolve escalated provider concerns through thoughtful engagement, root‑cause analysis, and practical solutions.
• Maintain deep knowledge of market dynamics, provider relationships, and competitive positioning to inform strategy and decision‑making.
• Ensure timely and accurate contract loading, submissions, and network maintenance activities.
• Provide guidance to less experienced team members to support learning, collaboration, and continuous improvement.

Contract Manager – Hospital & Physician Negotiations

Analyst

• Review prior year source documents in multiple systems, i.e. ePro, CIT, Benefit Sculpting Tool (BST), and Vista
• Review non-routine / complex issues that could cause downstream impact to client’s delivery of benefit summaries and system discrepancies to the Implementation team
• Provide discrepancy reports calling out issues that could delay client implementation of healthcare services to their employees
• Understand benefit stands across the Cigna benefit platforms for dental, vision, and medical benefit summaries and SBCs
• Ensure source documents are maintained in the document storage process
• Run comparison analyst of source documents using Cigna’s Quick Tool process
• Map (Facets) client SBCs to MyCigna.com via Cigna’s internal process
• Attend biweekly team meetings and training huddles to assist with the implementation and preparation for client interface sessions
• Provide support with end-to-end audits to review disjoints in source documents
• Produce work fallout reports and coordinate with Benefit Summary Analyst and Quality Reviews on maintenance activity/updates as needed

Account Installation Associate Analyst

• Generate new business through direct and broker channels, expanding our footprint in assigned territories.
• Meet or exceed annual goals across new firms, revenue, membership, and profitability, focusing on long-term success.
• Apply strategic thinking to engage prospects, manage the full sales cycle, and present compelling solutions.
• Lead RFP responses, guide internal strategy discussions, and deliver clear, confident presentations.
• Maintain a strong pipeline by managing prospect databases and building durable broker relationships.
• Collaborate with cross-functional partners to shape presale strategies and deliver innovative proposals.

Underwriter

• Lead a team of advisors / analysts who provide financial modeling to both standard and custom formulary clients undergoing renewals or market checks, as well as new sales prospects.
• Oversee, develop, and review the strategy of the team’s financial modeling and assist with creation of optimization scenarios for client formularies and/or presentations including all supporting documentation.
• Present formulary opportunities and meet directly with standard and custom clients' SAM team members as well as other cross-functional partners to align baseline models and opportunities to the overall recommended rebate strategy for market checks and renewals.
• Evaluate client data and advise analysts on appropriate scenarios for rebate/plan sponsor savings opportunities that drive value to both clients and ESI.
• Analyze the financial impact of client requested formulary changes to both the client and Express Scripts.
• Collaborate with Clinical Account Executives to create strategy for clients based on formulary and utilization management scenarios, rebate offerings, and modeling options.
• Discuss any potential utilization management programs under evaluation to ensure compliance with pharmaceutical rebate contracts.
• Interact directly with Pharma Strategy and Contracting Team to understand Pharma Manufacturer Rebate Contracts and to strategize on formulary modeling opportunities.
• Strategize with cross-functional areas of Express Scripts, including but not limited to Account Management, Product, and Finance.
• Interview, hire and train new employees on modeling operations, procedures, documentation and client service.
• Lead interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions.
• Identify and communicate opportunities to streamline and improve existing systems and procedures to relevant team members and other cross-functional Supply Chain teams for documentation / SOPs, tool or system enhancements, etc. required for the dynamic marketplace.

Senior Manager, Wholesale Market Rebate Underwriting

Architect

• Lead the full life cycle of AI and machine learning models, from data preparation to deployment and support.
• Build AI solutions that use large language models (LLMs), tools, and memory components.
• Research and apply new AI methods, including natural language processing, OCR, recommendations, and predictive models.
• Set up and support MLOps processes, including model tracking, monitoring, and retraining.
• Act as a technical lead and provide guidance to delivery and operations teams.
• Support cloud technologies and drive automation solutions.
• Define technical standards and help design, build, and support shared AI platforms.
• Create and maintain product and software roadmaps.
• Provide technical leadership for Provider Technology solutions.
• Design end‑to‑end solutions that follow target architecture and reuse existing systems.
• Work with business partners to support new initiatives and meet compliance needs.
• Collaborate with multiple IT teams to align technical solutions with business goals.
• Provide hands-on technical support and share expertise with development teams.
• Define non‑functional requirements such as security, performance, and reliability.
• Work with enterprise architecture and cloud teams to plan and deliver enabling solutions.
• Participate in planning sessions, system demos, and reviews as needed.
• Maintain architecture documentation and decisions in Confluence.
• Create and maintain best practices, processes, and deliverables for the architecture team.

Senior Architecture Advisor

Financial Planning and Analysis

• Oversee billing for a high-volume client book of business.
• Handle inquiries and collaborate with internal and external partners to ensure client satisfaction.
• Key duties include cash application, invoicing, collections, and reporting of month-end results.
• Manage end-to-end billing relationship for approximately 350 accounts.
• Maintain multiple billing systems to ensure accurate and timely processing of invoicing.
• Prepare reports, utilize Excel for reporting and analysis, perform journal entries, and reconcile accounts.
• Exercise independent decision-making and multi-task throughout the workday.
• Participate in the review and analysis of assigned vendor capitated business.
• Process month-end close and meet all required close deadlines.

Financial Analysis Analyst, Billing

• Lead a team of approximately 20 professionals and a dedicated technology team
• Drive operational excellence across client performance guarantee operations
• Validate rebate invoice data and oversee client pharmacy rebate sharing
• Manage audit processes for client guarantees in partnership with the enterprise rebate audit team
• Approve client communications and RFP language
• Lead implementation of new underwriting and pricing guarantees
• Develop and maintain finance data, consolidating data from various sources.

Senior Director, Finance Operations

Communications

• Design and lead CHC’s enterprise-wide communications strategy that promotes clarity, alignment, and strategic outcomes across clinical programs and initiatives
• Strengthen CHC’s identity by developing engaging narratives about clinical milestones, innovations, outcomes, and enterprise priorities
• Serve as a trusted advisor to CHC Clinical executives—crafting presentations, speeches, and messaging for internal, client-facing, and industry events
• Develop and refine sales-aligned messaging for RFPs, RFIs, finalist meetings, and external discussions in partnership with cross-functional partners
• Oversee CHC’s internal communication channels—newsroom updates, executive announcements, newsletters, and the ‘Coffee with the CMO’ series—ensuring tone, clarity, and strategic consistency
• Own and maintain CHC’s communications operating model, including content libraries, templates, style guides, and approval workflows
• Collaborate closely with marketing, clinical, and enterprise communications teams to ensure accuracy, alignment, and brand consistency across all materials
• Lead and develop a high-performing communications team by setting priorities, coaching talent, and fostering a culture of excellence, collaboration, and innovation
• Establish quality standards that ensure communications reflect accuracy, clinical credibility, and strategic alignment
• Support special projects and urgent enterprise communications that require rapid, high-quality messaging

Senior Manager, Clinical Communications – Cigna Healthcare

Business Operations

• Support rapid diagnostics across processes, functions, and value streams.
• Analyze data related to cost, volume, cycle time, demand, rework, and capacity.
• Perform root cause analysis to identify drivers of inefficiency and complexity.
• Support opportunity sizing and prioritization.
• Document current-state processes using standard process mapping techniques.
• Identify handoffs, pain points, redundancies, and control gaps.
• Support development of future-state process designs under senior guidance.
• Maintain process documentation and artifacts.
• Create basic analyses, summaries, and visuals to support recommendations.
• Help translate analytical findings into clear, business-friendly insights.
• Support re-engineering initiatives through execution and implementation phases.
• Track actions, milestones, and risks related to process changes.
• Participate in working sessions, workshops, and on-site diagnostics as needed.

AVP, Provider Contracting

Provider Contracting Lead, Americas

Senior New Business Manager

Social Media and Marketing Co-op

Customer Service Supervisor

Government & Education Account Executive – Miami-Dade

Contract Manager – Hospital & Physician Negotiations

Account Installation Associate Analyst

Senior New Business Manager

Senior Manager, Wholesale Market Rebate Underwriting

Senior Architecture Advisor

Financial Analysis Analyst, Billing

Senior Director, Finance Operations

Senior Manager, Clinical Communications – Cigna Healthcare

Business Process Engineer