Senior Case Management Analyst

The Cigna Group

. Lead complex case planning from intake through resolution .

Posted 10/2/2026full-timeRemote • United StatesSenior💰 $57,600 - $96,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care planning, coordination, and patient advocacy, with a strong focus on aligning clinical needs and community resources. Proven ability to mentor team members and lead quality reviews while ensuring compliance with clinical guidelines.

Highest-signal resume keywords

Active RN LicenseCare PlanningCare CoordinationPatient AdvocacyCertified Case Manager (CCM)

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Clinical Practice ExperienceUtilization ReviewDocumentationOncologyBehavioral HealthIn-patient CareCritical CareMed/Surg

Soft Skills

Clear CommunicationRespectful InteractionMentoring

Tools & Technologies

PCWindowsWord

Certifications & Qualifications

Active RN LicenseCertified Case Manager (CCM)

Industry Keywords

Case ManagementHealth PlanQuality ImprovementBenefit Plan Documents

About the role

Key responsibilities & impact

Lead complex case planning from intake through resolution
Align clinical needs, benefits, and community resources to support safe, timely care
Partner with members, families, providers, and internal teams to set goals and track health outcomes
Coordinate services across inpatient, rehabilitation, outpatient, and preventive settings
Adjust care plans as members' needs change
Use utilization review and documentation to ensure services meet criteria and benefits are maximized
Coach members on conditions, treatment options, and next steps
Escalate quality-of-care and complex clinical questions to the Medical Director
Support quality reviews and lead risk meetings as needed
Mentor new team members

Requirements

What you’ll need

Active RN license (state-appropriate)
Associate degree in nursing (ASN) or higher
Compact license required if living in a Nursing Compact state
Minimum 3 years of recent clinical practice experience in Oncology, Behavioral Health, In-patient, Critical Care, or Med/Surg
Skills in care planning, care coordination, and patient advocacy across the continuum of care
Clear, respectful written and verbal communication
Comfort using a PC and common tools, including Windows and Word
Ability to learn new systems as they change
Preferred: previous case management experience in a health plan, employer, or clinical setting
Preferred: Certified Case Manager (CCM) credential or ability to obtain within 12 months of hire
Preferred: experience interpreting benefit plan documents and applying guidelines
Preferred: quality improvement or training/mentorship experience
Home internet through cable broadband or fiber optic service with at least 10 Mbps download and 5 Mbps upload

Benefits

Comp & perks

Annual bonus plan eligibility
Medical, vision, and dental benefits starting day one
Well-being and behavioral health programs
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Work-from-home arrangement