The Cigna Group

Risk

• Lead strategic analytics by identifying medical cost drivers and trends, risks, and affordability opportunities.
• Develop and execute analysis and AI to support Payment Integrity strategies at the enterprise level driving alignment across various business unites to ensure enterprise financial goals & priorities
• Tell the story behind the data, translating analytical findings into clear, executive‑ready insights that influence decisions across technical, operational, and senior leadership audiences.
• Own financial business cases for new affordability initiatives, including forecasts, variance analysis, and recommendations to improve performance.
• Support Payment Integrity by overseeing analytics for initiatives, policy changes, and ongoing performance monitoring.
• Improve reporting and visualization by assessing current capabilities and advancing self‑service analytics solutions, utilizing AI to optimize quality, accuracy and reporting (e.g., Databricks, Tableau, Claude, Cursor or similar tools).
• Modernize analytics through scalable methods, automation, and thoughtful use of AI‑enabled tools where they add value.
• Monitors and conducts research of related affordability, AI, business trends, using data and qualitative performance measures, to advise senior management relative to Payment Integrity strategy.
• Manage and develop a team of analysts, setting clear priorities, ensuring high‑quality output, and supporting continuous skill development.
• Balance multiple initiatives by prioritizing and delegating work effectively in a fast‑paced, dynamic environment.
• Ensure data quality and accuracy by implementing appropriate checks, controls, and processes.
• Act as a trusted thought partner to senior leaders by proactively identifying insights, risks, and emerging trends that inform near‑ and long‑term affordability strategy.

Senior Business Analytics Manager – Payment Integrity, Risk & Affordability

Account Executive

• Manages the overall contract and relationship with existing complex clients and their consultants.
• Owner of the strategic renewal plan, development of long term account strategy and leads the growth & retention of current clients.
• Responsible for leading the identification of business solutions that meet client needs.
• Incorporates solutions into the annual SPARC (Strategic Planning & Review Consultation).
• Responsible for client retention, customer satisfaction and achieving corporate strategic goals relative to their book of business.
• Serves as the client expert and a resource for others within the organization.
• Shares best practices to contribute to development of others and provide forward-thinking leadership designed to move the business forward.

Account Executive, Commercial Market Coalitions

Analyst

• Review high cost claimant reports from Client Management, clinical value analytics, and Underwriting teams.
• Analyze clinical and claims information, including diagnoses, claim history, current clinical status, and potential future claim impact.
• Prepare clear clinical summaries and reporting that support internal business partners and client-related discussions.
• Review clinical documentation and notes using applicable Cigna and CGHB clinical documentation and reporting systems.
• Participate in meetings and conference calls to discuss high cost claimant reports, trends, and requested follow-up information.

Clinical RN High Cost Claimant Analyst

• Lead end-to-end analytics to evaluate medical cost savings initiatives, including medical policy changes and other cost containment programs
• Own savings estimates by developing accurate, auditable financial impact assessments grounded in historical and current medical expense patterns
• Partner cross-functionally with Clinical Operations, Network, Coverage Policy, project managers, and medical directors to align assumptions, methodologies, and measurement strategies
• Identify trends and cost drivers through exploratory, longitudinal, and ad hoc analysis to surface emerging patterns and anomalous utilization
• Design and maintain analytical routines (tools, algorithms, monitoring) to track medical forecasts and savings performance over time
• Apply advanced analytics (statistical techniques and scalable methods) to generate insights that support medical cost trend reduction and assess the impact to providers, clients and customers
• Tell the story behind the data by translating complex findings into concise, executive-ready summaries and recommendations for stakeholders at multiple organizational levels

Business Analytics Advisor – Payment Integrity, Risk & Affordability

Sales

• Own and lead the enterprise strategy, design, and governance of global sales compensation programs that enable growth, reinforce performance, and drive a high-impact sales culture.
• Design and evolve global sales compensation programs that align to revenue goals, go-to-market strategy, and enterprise reward philosophy.
• Translate business strategy into simple, motivating compensation plans, including performance metrics, goal-setting approaches, and incentive structures.
• Use data, modeling, and market insights to assess program effectiveness and recommend improvements that enhance performance outcomes.
• Provide executive guidance on complex compensation scenarios, including large deals, exceptions, and strategic initiatives.
• Establish and sustain robust governance frameworks, policies, and controls that ensure accuracy, compliance, and consistency across compensation programs.
• Partner with Sales, Finance, HR, Legal, and Operations to ensure seamless execution and alignment across the organization.
• Lead and develop a high-performing team, fostering a culture of accountability, collaboration, and continuous improvement.
• Oversee the full life cycle of sales compensation – from design through communication and administration, ensuring plans are clearly communicated and payouts are accurate, timely, and scalable.

Senior Director – Sales Compensation

Operations

• Provides advanced professional input to complex Operations Management / Finance Operations assignments/projects.
• Supports and provides direction to more junior professionals.
• Works autonomously, only requiring “expert” level technical support from others.
• Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures.
• Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Business Operations / Finance Operations.
• May lead projects or project steps within a broader project or have accountability for ongoing activities or objectives.
• May assist in business processing, service levels and reporting.
• Is responsible for preparing and reviewing key statements and document related to business operations / Finance Operations or key accounts.
• May gather results and prepare reporting for distribution to clients.
• Ensure that production levels and targets are achieved and effective processing controls are in place.

Operations Lead Analyst

Auditor

• Build and maintain strong relationships with key business stakeholders to support audit engagement success
• Independently assess functions and activities to evaluate operational effectiveness and control adequacy
• Plan and scope audits that align with organizational priorities and risk profiles
• Analyze complex data and evidence to form objective, actionable insights
• Communicate findings clearly and persuasively to senior leadership
• Prepare high-impact audit reports tailored to stakeholder needs
• Monitor finding remediation efforts and provide strategic guidance on risk mitigation
• Serve as a subject matter expert and escalation point for complex issues
• Mentor junior team members, fostering a culture of excellence and continuous improvement
• Contribute to cross-functional initiatives and strategic projects

Senior Internal Auditor – IT

• Lead operational and integrated audits, delivering actionable insights that enhance risk management and control effectiveness.
• Guide audit teams through all phases of engagements, including planning, fieldwork, and reporting.
• Develop risk-based audit programs and evaluate organizational activities to ensure compliance and efficiency.
• Report findings to senior management and partner on corrective actions and process improvements.
• Collaborate with cross-functional teams to resolve complex issues and strengthen internal controls.
• Support audit managers with project administration and timeline development.
• Leverage data analytics to identify trends and improve audit outcomes.
• Build strong relationships with stakeholders to promote transparency and trust.

Senior Internal Auditor

• Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders.
• Deeply understand your clients’ businesses, their industries, and their unique challenges.
• Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna’s voice is heard and valued.
• Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna’s solutions to meet their evolving needs.
• Strengthen your understanding of financials and underwriting to guide clients in managing their costs.
• Drive growth, earnings and retention across your client portfolio, meeting targets for both new business and renewals.
• Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions.
• Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving.
• Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success.

Senior Strategic Account Executive, U500

Product Manager

• Define and champion a clear product vision that connects data and analytics to measurable business and customer outcomes
• Drive prioritization of customer and clinical insights that improve care plans, next best actions, and digital experiences
• Partner with business leaders, data scientists, and engineering teams to identify high-impact opportunities and bring them to life
• Ensure the product roadmap reflects user needs, business value, and long-term scalability
• Act as the voice of the customer by translating real-world needs into clear, actionable product direction
• Deliver incremental value by guiding Agile teams to build, test, and release solutions that users trust and adopt
• Own and refine product backlogs, ensuring features and stories clearly communicate expected outcomes and success criteria
• Collaborate with engineering leadership to align data, analytics, and technical capabilities with strategic goals
• Measure product performance and continuously improve based on insights, feedback, and outcomes
• Promote a strong product mindset across teams—focusing on value, usability, and continuous improvement
• Support adoption by driving clear communication, training, and engagement with stakeholders

Senior Agile Product Management Advisor

Pharmacist

• Ensure continuous coverage for PipelineRx clients and support pharmacists by managing order flow
• Triage and manage high-volume client calls
• Provide basic technical support and coordinate with IT for advanced issues
• Contact healthcare professionals to gather clinical or demographic information needed
• Support workflow during downtime and help secure emergency shift coverage
• Submit nightly shift reports

Pharmacy Technician Associate

Underwriter

• Achieving earnings, persistency, growth, service and expense objectives within designated market.
• Assisting/developing and achieving business plans, setting strategic direction and managing/developing an Underwriting staff.
• Meeting with key brokers, sales offices and target clients to assess market trends, develop strategic focus and adjust market goals as necessary.
• Assisting in broker/client development and handling high risk major impact negotiations directly.
• Managing the aligned book of business and varying responsibilities across existing and new business/prospecting depending on the market, month, business need, etc.
• Direct management responsibilities for professional Underwriters, primarily geared towards less experienced Underwriters.
• Responsibilities span all products offered including specialty products for a cluster of markets.

Risk & Underwriting Manager

Customer Success Manager

• Manage and grow relationships with a portfolio of pharmacy accounts
• Drive program performance by analyzing financial results, utilization trends, and operational data
• Support purchasing, invoicing, and financial reconciliation activities
• Provide proactive customer support, responding to inquiries, delivering training, and anticipating client needs
• Identify opportunities for product or service enhancements based on customer feedback and data trends
• Monitor data feeds, system settings, and program metrics
• Collaborate cross-functionally to investigate and resolve data anomalies and complex client issues
• Plan and deliver regular business reviews, training sessions, and program updates aligned to client expectations
• Utilize internal tools and platforms to manage account activity, reporting, and documentation
• Continuously build product and system expertise to support evolving client and business needs

Customer Success Manager, Pharmacy Team

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

Vice President

• Own account management performance, driving persistency, growth, and earnings across the market.
• Develop and execute strategic plans that improve client retention and expand product solutions.
• Lead and coach client management teams to deliver strong day-to-day execution and long-term results.
• Monitor key metrics and dashboards to identify trends, risks, and opportunities for improvement.
• Strengthen market reputation through consultative engagement and value-driven client solutions.
• Partner with underwriting and cross-functional teams to optimize financial outcomes and client strategies.
• Drive renewal, retention, and bid prevention strategies to sustain long-term client relationships.
• Build and maintain strong producer and industry relationships to support business growth.
• Lead talent strategy by coaching leaders, developing successors, and building a strong pipeline of talent.