The Cigna Group

Medical Director

• Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore’s case management software
• Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of requested services or treatments
• Leverage clinical expertise to recommend alternative services or treatments as necessary
• Collaborate with over 500 EviCore physician colleagues to help ensure patients receive proper care through evidence-based decision making
• Complete structured remote training with support from trainers, mentors, and leadership
• Stay current on healthcare regulations and industry developments while reviewing a wide range of cases

Medical Director – Medical Oncology

Analyst

• Lead cross-functional commercial growth and optimization programs from planning through phased execution
• Manage governance, decision tracking, risk management, and follow-through
• Translate reporting needs into insights by managing intake, prioritizing requests, validating outputs, and improving data quality
• Standardize intake, tracking, reporting, and data-validation processes across regions and functions
• Conduct opportunity sizing, segmentation, pipeline, market share, and related analyses
• Maintain reliable client and prospect datasets
• Partner with Data and Analytics teams to strengthen dashboards, reporting accuracy, and system integration
• Prepare executive-ready updates, recommendations, and presentations for leadership meetings, business planning, steering committees, and sales forums
• Own the structure and cadence of the NPS program, including communications, insight consolidation, strategic alignment, tracking, monitoring, and pulse survey planning
• Identify responsible digital and artificial intelligence use cases and support adoption through implementation plans
• Coordinate vendor-supported wellbeing and employee assistance programs across virtual, hybrid, and onsite settings
• Support proposals and requests for proposal by confirming operational feasibility and advising Sales and Client Management

Senior Analyst, Commercial Effectiveness

Advisor

• Support lifecycle management for assigned GHB products, solutions, and benefit capabilities
• Maintain Product Benefit Standard Guides, product playbooks, and GHB reference materials
• Maintain the Americas Product Knowledge Exchange page
• Manage the GHB product mailbox and respond to or route product-related inquiries
• Review marketing and sales enablement collateral for product accuracy and alignment
• Support GHB Commercial Canada product enhancements, stakeholder coordination, readiness, and implementation
• Partner with the CignaLinks team on product updates, issue resolution, and stakeholder communications
• Lead MetLife and Zurich vendor governance forums
• Support contracts teams with product questions, template reviews, and benefit language updates
• Develop intake materials for product enhancements, including business cases, impact assessments, readiness needs, and enablement tasks
• Coordinate cross-functional delivery of approved product enhancements, operational updates, and strategic initiatives
• Track deliverables, timelines, dependencies, risks, decisions, and stakeholder actions through completion
• Serve as primary product liaison for assigned vendor relationships
• Monitor vendor activity against contractual commitments, operational expectations, service experience, and governance needs
• Coordinate issue resolution, escalations, root-cause follow-up, and continuous improvement
• Support compliance reviews and maintain governance documentation, decision logs, approval materials, and supporting artifacts
• Identify risks and define mitigation plans with accountable partners
• Support customer, broker, and market-facing product requests
• Represent product priorities in forums, meetings, governance routines, and readiness discussions
• Serve as a subject matter resource for assigned GHB products, benefits, partner solutions, and internal product guidance
• Identify process improvements and contribute to roadmap, prioritization, and strategic planning activities

Product Strategy Advisor

Nurse

• Lead, coach, and develop direct reports, including case managers, health coaches, and other clinical team members
• Manage day-to-day team activities and provide guidance, feedback, conflict resolution, and support for escalated issues
• Monitor and evaluate performance against KPIs, quality standards, financial targets, and URAC and NCQA accreditation requirements
• Conduct performance discussions and support compensation decisions through performance evaluations
• Promote career development through coaching, mentoring, continuing education, and succession planning
• Improve service delivery, outcomes, and team effectiveness using available tools and resources
• Collaborate with matrix partners to develop work plans, remove barriers, and implement corrective actions
• Align team priorities with strategic, corporate, customer, product, and business initiatives
• Lead or participate in projects, work groups, national teams, and committees; communicate progress, risks, and barriers to leadership
• Serve as liaison and escalation point between frontline staff, customers, and internal matrix partners
• Resolve service delivery concerns and ensure adherence to customer-specific requirements
• Support customer meetings, presentations, visits, and audits
• Build relationships with internal teams and external stakeholders
• Maintain clinical knowledge and provide coaching informed by clinical expertise
• Partner with quality teams to identify improvement opportunities and implement actions
• Support corporate and national quality and certification initiatives, including URAC and NCQA
• Communicate changes in customer requirements, protocols, and processes to staff
• Recruit and hire qualified case managers, health coaches, and other team members
• Demonstrate inclusive leadership and cultural sensitivity across diverse teams and customer populations

Nurse Case Management Supervisor

Associate

• Complete claims systems testing tasks with guidance from a mentor and/or Claims Systems Quality Review Supervisor
• Use Jira and project methodologies to maintain tickets for claims systems testing requests
• Test proprietary claim edits, industry-standard claim edits, and benefit rules for claim products and programs
• Review, coordinate, and outline claims systems testing for claims configuration specialists
• Document testing in a Microsoft Excel tracker
• Test configuration changes to validate claims processing against requirements
• Use SQL queries to review configuration, testing, and claims data
• Investigate claim processing and perform claims configuration root-cause analysis

Claims Systems Configuration Associate

Accounting Manager

• Assist with overall Sarbanes-Oxley (SOX) and SOC 1 compliance for the Evernorth segment, focusing on business-process internal controls
• Collaborate with control owners to assess internal-control design for key processes addressing risks within SOX and SOC 1 reporting scope
• Support control documentation and remediation activities for internal-control deficiencies
• Collaborate with Information Technology compliance on technology controls, dependencies and impacts to business-process controls
• Liaise with internal and external auditors and process/control owners to ensure testing readiness and timely documentation delivery
• Escalate key SOX and SOC 1 control deficiencies
• Determine compensating-control mapping, root causes and remediation actions for control gaps or operating deficiencies
• Support project initiatives by evaluating impacts on Evernorth’s financial-controls environment
• Build and maintain relationships with business partners through regular touchpoints
• Report to a Senior Advisor within Financial Compliance

Accounting Advisor

Project Manager

• Provide expert content and professional leadership on IT Project Management assignments/projects
• Manage, direct, and plan several projects simultaneously
• Coordinate, schedule, and assign project tasks; build teams and maintain relationships with client functional areas outside IT
• Apply project management methodologies and reporting techniques to indicate project status
• Identify, evaluate, and formulate detailed project plans; track milestones and schedules; negotiate and modify schedules and resources
• Evaluate and report progress using quality and performance metrics common to IT projects
• Coordinate systems testing, installation, training, and support with client departments
• Keep informed of technical and operational advances
• Participate in process improvement initiatives and lead or own business-process components
• Advise functional leaders using deep professional knowledge and acumen
• Provide thought leadership within IT Project Management and support projects requiring understanding of the larger organization

Senior Eligibility Analyst, IT Project Management

Client Services Representative

• Serve as primary point of contact for a designated book of business and provide service excellence for clients and broker partners
• Handle day-to-day service needs, proactively identify issues, resolve problems and perform root cause analysis
• Coordinate with managers and account managers to meet client needs and avert potential problems
• Attend geographically assigned local market client/broker meetings
• Complete Client Account Support tasks independently and resolve non-routine issues escalated from junior team members
• Build client and broker relationships and identify customer needs
• Make on-site presentations to existing and prospective clients regarding products and client retention
• Apply knowledge of processes, compliance, regulatory requirements, products, benefits, platforms and funding types
• Support the Client Service Operations Lead team by resolving issues or delegating to matrix business partners
• Collaborate with Sales to understand products, benefits and services for sold cases
• Identify risks, diagnose problems, perform root cause analysis, develop proactive solutions and participate in project execution
• Provide subject matter expertise to cross-functional teams and business partners
• Communicate effectively and maintain accuracy under tight time constraints

Client Service Consultant

Operations

• Serve as first-line contact for Essentials and Optimizer clients regarding PowerGridRx questions and issues
• Triage client, pharmacist, and TSS connectivity or PowerGridRx problems
• Create and follow through on Zendesk tickets when required
• Direct clients to the correct point of contact
• Provide TSS staffing services
• Assist with TSS training and intervention documentation
• Train TSS and pharmacist staff on intervention notes and parked orders notes
• Manage the PipelineRx queue by posting orders to the appropriate pharmacist
• Monitor queues to reduce turnaround time
• Contact clients on behalf of on-duty pharmacists to optimize pharmacy workflow
• Monitor and triage high-volume client phone calls and answer calls during peak hours
• Use the Phone Tree to maintain client visibility and coordinate IT support
• Ensure pharmacist coverage during contractual PipelineRx shift hours
• Coordinate pharmacist coverage during emergencies, including no-shows, call-offs, illness, and outages
• Facilitate communication between pharmacists and clients when client-system access is interrupted
• Submit nightly shift activity reports to the TSS Manager
• Serve as a resource to the pharmacist on duty during shifts

Pharmacy Operations Lead Representative

Advocate

• Answer inbound calls from members and providers regarding behavioral health and substance use services
• Assess caller needs and determine when clinical intervention or escalation is required
• Assist with provider referrals, access to care, eligibility, benefits, and authorization requirements
• Create and update authorizations to support accurate claims processing
• Coordinate with clinical and operational partners to ensure timely member support
• Complete follow-up outreach and issue resolution as needed
• Provide resources and information to members and providers
• Document interactions accurately while utilizing multiple systems simultaneously
• Deliver professional, empathetic service and strive for first-call resolution

Behavioral Health Advocate

General Counsel

• Lead and manage the company's conflict of interest program
• Conduct reviews, develop mitigation plans, and advise employees and leaders on potential conflicts
• Provide legal counsel and practical guidance on ethics, compliance, anti-bribery, and corporate conduct issues
• Advise on ethics and compliance policies, procedures, and employee inquiries
• Manage the Ethics Help Line and Ethics Office mailbox
• Review and resolve reported concerns in a timely manner
• Conduct or oversee internal ethics and compliance investigations
• Recommend appropriate corrective actions
• Develop, deliver, and maintain ethics and compliance training, awareness campaigns, and communications
• Partner with cross-functional stakeholders to identify compliance risks and support mitigation strategies
• Assist with developing, implementing, and enhancing ethics and compliance policies, procedures, and controls
• Monitor emerging regulatory and compliance developments and recommend actions
• Manage outside counsel and external resources on sensitive or specialized matters
• Partner with Human Resources, Internal Audit, Legal, Compliance, Risk Management, and business leaders across the enterprise

Ethics & Compliance Counsel

Program Manager

• Serve as a client-facing point of contact for external partners, including reimbursement hubs and pharmaceutical manufacturers
• Act as liaison between external customers and internal operations teams
• Manage relationships among aligned pharmaceutical clients, their hubs, and programs
• Answer questions about Accredo processes and service issues and mitigate escalations
• Position Accredo externally in a professional and discreet manner
• Build partner relationships, instill trust, and anticipate needs or concerns
• Own the overall health and performance of programs, products, and services and provide stakeholder updates
• Research, gather, analyze, and communicate data
• Identify and track trends, perform root-cause analysis, and drive process improvement initiatives
• Monitor specialty-drug performance metrics and help resolve delays quickly
• Create presentations and host meetings with operations leaders, account teams, hubs, and manufacturers
• Review metrics and program performance, support clinical/nonclinical in-services, and conduct QBRs
• Work independently, adapt to a dynamic environment, and act as a change agent

Primary Program Manager

Artificial Intelligence

• Lead advanced statistical, exploratory, and root cause analyses using large, complex healthcare datasets
• Design analytical frameworks, models, and measurement approaches for changing business needs
• Create and improve analytical content for the Evernorth Control Center suite, including enterprise reporting, patient population analytics, and healthcare market insights
• Partner with data scientists, engineers, clinicians, and business leaders to develop analytical solutions
• Translate findings into recommendations that support informed decisions and improved outcomes
• Guide the full solution lifecycle from requirements and development through testing, implementation, and continuous improvement
• Advance team knowledge of analytical methods, healthcare data trends, AI technologies, and data-driven decision support

Data Measurement and Reporting – Digital Data and AI

Full-stack Engineer

• Design, build, and evolve scalable full-stack software solutions supporting reporting, workflow automation, analytics, and predictive capabilities
• Lead technical design and contribute to architecture decisions for distributed, data-intensive systems
• Partner with product and business stakeholders to translate complex requirements into technical solutions
• Estimate work, sequence initiatives, identify risks, and drive execution to completion
• Apply modern development practices and AI-assisted tools to improve code quality, developer efficiency, and system performance
• Collaborate with engineering, QA, and operations partners to deliver reliable, production-ready software
• Ensure secure and resilient deployments through monitoring, observability, and performance optimization
• Improve engineering standards, processes, and patterns to raise platform quality and maturity
• Mentor engineers through design reviews, code reviews, and knowledge sharing
• Stay current with emerging technologies and industry trends
• Protect sensitive and proprietary data while supporting compliance requirements, including HIPAA

Senior Software Development Engineer – Verity Solutions

IT Support

• Define and execute the multi-year modernization strategy for PBM applications, platforms, and technology capabilities
• Lead transition from legacy monolithic systems to modular, cloud-native, API-first, and event-driven architectures
• Establish technology strategies improving scalability, resiliency, maintainability, security, and speed-to-market
• Drive adoption of Generative AI, Agentic AI, intelligent automation, and responsible AI practices across business workflows and enterprise solutions
• Establish architecture review processes, principles, standards, governance frameworks, decision records, metrics, and service-level expectations
• Lead architecture strategy across claims processing, benefit administration, pricing, rebates, formulary management, clinical programs, pharmacy networks, and digital experience platforms
• Partner with executive leaders across business, product, operations, engineering, and technology to align transformation priorities
• Define reusable patterns, reference implementations, and technology accelerators
• Support solution implementations and measure architecture adoption, business value, and operational outcomes
• Lead, mentor, and develop a high-performing enterprise architecture team
• Foster architecture communities of practice and maintain pattern libraries, standards repositories, and decision frameworks