The Cigna Group

Analyst

• Provides advanced professional input to complex Nurse Case Management assignments/projects
• Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan
• Handles more complex, high acuity cases, and/or account sensitive cases involving largest reserves
• Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate healthcare outcomes for members
• Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services
• Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services
• May review initial liability disability claims to determine extent and impact of insured's medical condition
• Performs leadership role on team when implementing new tools or case management programs/initiatives
• Manages own caseload and coordinates all assigned cases
• Supports and provides direction to more junior professionals
• Works autonomously, only requiring “expert” level technical support from others
• Exercises judgment in 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 Nurse Case Management

Nurse Case Management Lead Analyst

Auditor

• Lead risk‑based audit planning and execution to assess technology, data, and analytics controls
• Activity networks with technology and business leaders to evaluate internal controls and identify improvement opportunities
• Plays a key role in planning the scope of team audits and the overarching audit program
• Analyze complex evidence to form clear, objective conclusions that strengthen control effectiveness
• Develop compelling presentations and reports that communicate key findings and recommended actions
• Monitor ongoing remediation progress and guide stakeholders through corrective action planning
• Mentor team members and promote knowledge‑sharing across audit practices
• Support special projects that advance audit innovation and enterprise priorities

Senior Technology Auditor – Digital, Data & Analytics

Director

• Lead intelligence and due diligence activities to support strategic decision-making
• Lead annual strategic planning cycles for clinical strategy
• Engage matrix partners to socialize and build support for clinical initiatives
• Drive rapid-turnaround development of executive deliverables
• Create and iterate on high-impact presentations, analyses, and briefing documents
• Ensure seamless operational activation of strategic plans

Director, Enterprise Clinical Strategy

Artificial Intelligence

• Serve as a strategic advisor across The Cigna Group senior clinical and business leadership, translating enterprise and organizational priorities into actionable strategies, including annual planning and initiative prioritization.
• Identify emerging trends in clinical care integrating AI, digital health, and other emerging technologies to inform business planning.
• Engage external industry leaders, prospective partners, and other thought partners for strategy development and benchmarking.
• Partner with business units, finance, and other operating partners to create and validate business cases, along with KPIs/success metrics.
• Create and iterate on high-impact presentations, analyses, and briefing documents for C‑suite and enterprise committees, distilling ambiguity into structured, decision-ready outputs.
• Act as a catalyst for change, positioning The Cigna Group clinical team as a strategic growth engine within the broader enterprise.
• Support the program design and refinement of differentiated technology and AI offerings, tailored to specific clinical and business needs.
• Collaborate with matrix partners across Cigna business units, along with operational partners in technology and data and analytics to ensure alignment and execution.
• Ensure operational readiness and scalability of new clinical programs and services.
• Track and report on initiative performance, ensuring alignment with financial and clinical impact goals.
• Develop executive-level communications, including strategy memos and stakeholder updates.

Principal, Enterprise Clinical Technology & AI Strategic Initiatives

Business Development Rep

• SME for full 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 to position Accredo as the top SP
• 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 Principal

Analytics Engineer

• Design and implement robust cloud-native data architectures and models
• Implement and maintain logic that transforms raw healthcare data (claims, EHR)
• Lead the engineering of high-throughput data exchanges using modern standards and APIs
• Work closely with data advisors to test and validate pipelines and enforce rigorous data quality standards

Senior Healthcare Analytics Engineer

Human Resources

• Strengthen partnerships with physicians, hospitals, and referral sources by providing timely communication, resources, and support
• Identify new opportunities to expand AHRE’s clinical partnerships and enhance referral retention
• Develop and execute strategic outreach plans tailored to partner needs
• Collaborate with internal teams to streamline communication and improve the partner and patient experience
• Monitor competitive landscape and recommend strategies to remain a partner of choice
• Serve as the primary contact for referral‑source feedback, ensuring issues are escalated and resolved
• Support Client Relations Specialists by equipping them with insights and tools to enhance outreach effectiveness
• Maintain organized schedules of partner visits, follow‑ups, and relationship‑building activities
• Contribute to cross‑department collaboration to strengthen care coordination

Marketing Liaison

Manager

• Overseeing the performance and development of assigned clinical teams
• Providing day-to-day leadership to ensure nursing services are delivered safely, efficiently,
• Partnering closely with multidisciplinary stakeholders to support clinical operations
• Driving quality initiatives and identifying process improvement opportunities
• Championing team culture and fostering an inclusive, collaborative environment
• Overseeing department teams and guiding daily operations
• Providing valuable input for departmental budgeting and forecasting
• Coordinating and delivering targeted education and training programs
• Engaging with diverse teams across MDLIVE
• Maintaining responsibility for all aspects of Nursing Department operations

Telehealth Nurse Manager

Financial Planning and Analysis

• Conduct new hire and ongoing training
• Assess current training programs and make recommendations to improve their effectiveness
• Develop programs and curriculum for analysts and team to address skill gaps
• Create feedback mechanisms to gauge effectiveness of training and report out to leadership
• Collaborate with leadership to identify training needs
• Provide tracking/reporting to management on training program progress, new hire development and course effectiveness
• Mentor, training, and team development
• Special projects and process improvements
• On-going review of policies and procedures
• Other duties as deemed essential by business to support

Financial Operations Trainer

IT Support

• Conduct Commercial HMO (non Medicare) claims audits to ensure compliance with DMHC regulations, federal and state requirements
• Review audit packages, including questionnaires and claims reports
• Coordinate with delegated provider groups on claim and dispute selections; verify accuracy of self-reported scores
• Perform onsite and virtual audits to assess operational security and identify compliance issues
• Analyze medical claims and disputes for regulatory adherence; prepare detailed audit reports
• Follow up on deficiencies, document corrective action plans, and conduct re-audits as needed
• Present audit results at Delegation Oversight Committee meetings
• Collaborate with functional areas (UM, Credentialing, Finance) on identified issues
• Monitor monthly self-reported statistics for assigned groups and ensure corrective actions are implemented
• Drive issue resolution by engaging cross-functional partners
• Serve as the primary liaison between Cigna’s Contracting & Provider Services Hub and delegated risk groups

Quality Review/Audit Specialist

Therapist

• Collaborate with other Health Center staff members including, doctors, NPs, PAs, nurses, health coaches, and community providers to promote health and wellness to onsite employees and their eligible dependents
• Devise detailed exercise techniques, stretches, and self-care programs for patients to complete between sessions
• Evaluate effects of therapy and keep detailed records of patient appointments and progress
• Reduce patients’ need for medications and surgeries by improving range of motion, strength, flexibility, coordination, and balance
• Comply with federal and state physical therapy regulations
• Work closely with client’s stakeholders including safety officers, ergonomists, human resources, and other vendors to promote employee safety in the workplace.
• Develop and administer injury prevention and health promotion presentations, workshops and other programming
• Teach proper body mechanics at the employee’s workstation
• Assess and correct poor ergonomics

Physical Therapist, PT

• Conduct interviews, research, and analysis to resolve fraud allegations
• Manage complex, high-dollar investigations with minimal supervision
• Prepare detailed reports and evidence packages for insurance fraud bureaus, contract holders, and law enforcement
• Coordinate investigations with local, state, and federal agencies
• Respond to subpoenas and regulatory requests; provide testimony when needed
• Support special projects involving fraud detection, auditing, and investigative best practices
• Partner with internal departments while maintaining strict confidentiality standards.

Healthcare Investigator – Fraud Lead Analyst

• Lead the strategy, design, and delivery of executive compensation programs—including annual incentives, long‑term incentives, and total compensation frameworks—ensuring strong alignment to business goals and talent needs.
• Oversee equity strategy, grant processes, performance metrics, and long‑term value creation through effective incentive plan design.
• Guide governance and compliance activities, partnering with Legal and Corporate Governance on SEC requirements, tax rules, disclosures, and pay‑for‑performance analysis.
• Prepare materials and insights for the Board’s People Resources Committee, including program updates, competitive market analyses, and recommendations.
• Monitor external trends, investor expectations, regulatory changes, and market dynamics to inform program evolution and ensure competitiveness.
• Lead executive compensation benchmarking, modeling, and analytics to drive data‑based decision‑making.
• Mentor and lead a high‑performing team, fostering collaboration, capability building, and a culture of excellence.
• Partner with HRBPs, Talent Management, Finance, Legal, and external consultants to deliver seamless executive compensation processes and solutions.
• Oversee operational execution of compensation cycles, ensuring accuracy, clarity, and timely delivery.

Senior Director, Executive Compensation

Account Executive

• Act as the primary pharmacy subject matter expert for assigned accounts
• Provide clinical and strategic consultation and analysis to improve patient experience, manage costs, and optimize network performance
• Retain assigned business book through proactive portfolio management and renewal strategies
• Serve as the primary liaison for pharmacy services, ensuring client retention and satisfaction
• Develop and execute client-specific strategic plans, incorporating clinical expertise and business solutions
• Drive expansions, renewals, and revenue growth through expanded client relationships
• Represent the organization at industry events and conferences as required
• Partner with internal stakeholders and external brokers/consultants to achieve client strategic objectives and resolve escalated issues
• Lead large cross-functional projects and influence decisions using data-driven insights
• Share best practices and industry standards with peers and clients
• Lead process improvement initiatives and mentor Associate Account Executives

Senior Clinical Account Executive – Pharmacy Payer Sales

Security Analyst

• Lead efforts to monitor and maintain security across servers, networks, and endpoints
• Administer and enhance network security defenses to prevent breaches
• Analyze vulnerabilities and implement solutions to strengthen system integrity
• Respond to and investigate cyber incidents, ensuring timely resolution and documentation
• Develop and maintain security policies, standards, and guidelines aligned with best practices
• Collaborate with IT teams to ensure security controls, and compliance and risk management strategies are effective
• Educate staff on cybersecurity awareness and best practices