The Cigna Group

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 emerging analytical methods, healthcare data trends, AI technologies, and data-driven decision support

Data Measurement & Reporting, Digital Data & AI

Advocate

• Serve as the first point of contact for members and providers seeking behavioral health and substance use services
• Answer inbound calls 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

After Hours Behavioral Health Advocate

Full-stack Engineer

• Design, build, and evolve scalable full-stack software solutions for 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
• Continuously improve engineering standards, processes, and patterns
• Mentor fellow 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

Project Manager

• Lead complex, cross-functional projects and special initiatives across Evernorth Federal Services from initiation through completion
• Define project scope, objectives, and success criteria
• Build and maintain project plans, schedules, and documentation
• Identify dependencies and secure required approvals with internal and external SMEs
• Establish priorities, monitor progress, and drive on-time delivery within business, budget, and contractual constraints
• Provide counsel and advice to top management on significant project matters
• Lead cross-functional teams and status meetings to assess progress, resolve issues, and escalate risks
• Develop and present updates, reports, risks, and timelines to internal partners and leadership
• Liaise across the federal account team and cross-functional partners to execute projects, resolve issues, and report status
• Support contractually required initiatives, including the rebranding program, that protect TPharm5 performance and CPARS outcomes
• Contribute to TPharm6 recompete readiness by ensuring critical deliverables are executed on schedule and aligned to client expectations

Senior Advisor – Business Project Management

Product Manager

• Lead the design, delivery, and ongoing performance of member experiences across Pharmacy Benefit Services
• Translate PBS Member Experience strategy and multi-year roadmap into prioritized execution plans
• Own end-to-end delivery of digital experiences, member communications, open enrollment capabilities, and supporting technology builds
• Manage the member experience intake pipeline, including scoping, sequencing, and resourcing work
• Partner with Business Process Owners and Technology on requirements, prioritization, and release planning
• Identify and remove delivery obstacles and escalate risks and trade-off decisions
• Optimize member journeys using data, analytics, member feedback, and operational insights
• Deliver digital capabilities, personalization, AI-enabled experiences, and self-service solutions
• Support client-specific and custom experience builds while balancing scalability
• Align and influence cross-functional partners across Product, Technology, Operations, Clinical, Sales, Account Management, Implementation, Marketing, and other teams
• Lead working sessions, governance forums, and prioritization discussions
• Drive readiness, enablement, and adoption of new member-facing capabilities
• Define, track, and report experience and delivery metrics
• Establish repeatable processes, standards, and controls to improve delivery quality and speed
• Foster continuous improvement, experimentation, and accountability
• Lead, coach, and develop product managers, advisors, and experience strategists

Product Management Director – Member Experience

Data Scientist

• Lead complex analytics projects focused on pharmacy, clinical conditions, health outcomes, and total cost of care strategies
• Design and execute program evaluations, outcomes research studies, opportunity analyses, matched case-control studies, and other advanced analytical approaches
• Analyze large healthcare claims datasets to identify trends, opportunities, and actionable insights
• Partner with clinical, product, finance, and business stakeholders to define objectives, methodologies, and strategic recommendations
• Present analytical findings and recommendations to technical and non-technical audiences, including senior leadership
• Lead multiple projects simultaneously while managing scope, timelines, deliverables, and stakeholder expectations
• Mentor junior analysts and data scientists through technical guidance and work-product reviews
• Identify opportunities to automate reporting, improve analytical efficiency, and develop scalable analytics frameworks and solutions

Senior Data Science Advisor

Data Analyst

• Lead, coach, and develop a team of BI developers, data analysts, and analytics engineers
• Manage team performance and career growth
• Own delivery outcomes, quality, and adherence to analytics standards
• Foster a high-performance, collaborative team culture
• Translate business objectives into an analytics delivery roadmap
• Ensure consistent delivery of dashboards, reports, and analytical solutions
• Provide leadership on complex initiatives across business and technology
• Oversee development of analytics using Tableau and enterprise platforms
• Ensure insights are executive-ready with clear narratives and recommendations
• Guide scalable solution design, including data models and KPIs
• Provide technical oversight using SQL, Python, and PowerShell
• Partner with Data Engineering and ETL teams
• Ensure alignment with SAP, Salesforce, Cisco, and Workday
• Establish standards for data quality, documentation, and testing
• Act as a senior analytics partner to business leaders
• Communicate analytics clearly to non-technical audiences
• Influence across matrixed organizations

Senior Business Analytics Manager

ServiceNow

• Design, develop, and enhance ServiceNow catalog items and portal solutions
• Translate business and technical requirements into scalable, user-friendly portal experiences
• Partner with ITSM process owners, support teams, and business stakeholders on automation, simplification, and service improvement
• Build and maintain workflows, flows, client scripts, and portal functionality
• Contribute to solution design discussions and collaborate with the Portal Architect on portal strategy
• Troubleshoot issues, identify root causes, and implement solutions to improve system performance and user satisfaction
• Create and maintain technical documentation, procedures, and knowledge resources
• Participate in Agile development activities and continuous improvement

Senior ServiceNow Developer – Analyst

Supervisor

• Oversee repairs and maintenance for all building systems, equipment, and grounds
• Ensure the site meets Board of Pharmacy and other regulatory standards
• Lead, support, and develop a team of Facility Management Technicians
• Complete preventative and corrective maintenance work
• Lead facility emergency response and resolution to minimize operational disruptions
• Ensure work orders are completed on time and within defined SLAs
• Manage vendor and contractor partnerships, including scheduling and oversight
• Partner with Finance on budgeting, planning, and equipment upgrades
• Advance safety, environmental, and compliance standards across the site
• Support risk management and change control processes
• Prepare for audits and maintain accurate documentation
• Deliver customer service to internal teams and external partners

Lead Facilities Senior Supervisor

Manager

• Develop and implement sales strategies for targeted key accounts in a plan, territory, or specified geographic area
• Obtain new accounts through direct or brokerage channels
• Meet or exceed annual business-plan objectives for new firms, revenue, membership, and profitability
• Maintain prescribed weekly activity levels
• Manage the sales process for Medical, Dental, Pharmacy, and Behavioral products
• Review and respond to RFPs
• Manage internal strategy and present quotations
• Manage the database of prospects and assigned producers
• Work strategically with matrix partners to design presale strategies and proposals

Senior New Business Manager

Customer Support

• Independently assist internal and external clients by clarifying and researching information and resolving non-clinical problems
• Work with Nurse Managers/Supervisors, field staff, and patients to schedule home infusion visits within a region of branches
• Complete nurse assignments, reschedule visits based on patient availability, staff new patients with appropriate nurses, and monitor appointments for accuracy
• Coordinate nursing referrals with pharmacy, reimbursement, and nursing departments while providing customer service
• Communicate with staff, departments, and prescribers via fax, email, IM, and phone
• Monitor personal email and nursing mailboxes for follow-up needs and prioritize requests
• Manipulate multiple Excel documents to determine required tasks and urgency
• Respond to inquiries from patients, field staff, and other departments regarding nursing and patient referrals and schedules
• Investigate and research issues and provide resolutions
• Take initiative in problem solving, multitask effectively, and apply critical thinking
• Enter data correctly and timely in appropriate systems

Senior Customer Service Representative, Patient Scheduling

Principal

• Manage the contract and relationship with a key Prime Health Plan client
• Develop and own strategic growth and retention strategies
• Drive customer satisfaction and corporate strategic goals for the assigned book of business
• Serve as the client expert and organizational resource
• Coordinate and develop complex client-specific strategic plans and monitor and adjust them as needed
• Serve as account strategist internally and externally
• Develop understanding of products, benefits, and services to determine business solutions meeting client needs
• Maintain ongoing client communication to strengthen relationships and ensure retention
• Lead efforts to meet client needs and manage complex client relationships
• Align long-term business plans with client needs and contractual requirements
• Lead strategies delivering intricate service commitments, performance guarantees, and operational KPIs
• Negotiate complex contract discussions, renewals, and evolving service requirements
• Identify risks, optimize outcomes, and sustain account stability
• Coordinate internal Account Management and extended teams regarding strategic objectives and escalated service issues
• Partner with senior leadership, finance, operations, and other internal teams
• Interpret industry trends, policies, practices, innovations, and marketplace information
• Use business-driver expertise and contract-term knowledge to guide actions and financial outcomes
• Share best practices and industry standards with the broader EPPSAM audience
• Lead process improvement initiatives
• Support special projects and evolving business needs
• Identify opportunities to streamline processes, improve communication, and enhance cross-functional team performance

Principal – Prime Health Plan Division

Billing Specialist

• Manage an assigned portfolio of complex client accounts
• Perform collections processes and procedures
• Research and respond to billing or payment inquiries within established turnaround times and escalate issues as needed
• Reconcile accounts receivable with third-party administrators, brokers, and clients
• Facilitate conference calls or meetings with internal and external parties
• Research member eligibility and rate variances
• Analyze client data using reports and other resources
• Process group renewals, new business, terms, and revisions
• Reconcile accounts periodically
• Calculate and create special charge bills
• Monitor delinquency reports and communicate with TPA partners
• Perform peer audits to ensure quality and mitigate financial risk
• Meet or exceed daily, quality, and individual development goals
• Track and monitor customers’ financial performance using appropriate tools
• Resolve customer disputes and rate issues with matrix partners
• Identify and implement process improvements with matrix organizations
• Apply accounting concepts
• Prepare monthly and ad hoc reports
• Provide internal and external customer service
• Process, review, and understand inputs from multiple systems
• Provide special project support
• Perform electronic invoicing
• Apply financial payments to accounting systems
• Perform filing and general administrative duties
• Provide cash-team support, including cash and census application, mailings, filing, and electronic invoicing

Senior Enrollment/Billing Representative

Brand Manager

• Champion the enterprise brand strategy through rollout, adoption, and implementation of brand initiatives
• Partner with Marketing, Operations, Digital, Technology, and other stakeholders to translate brand objectives into actionable plans
• Lead and coordinate cross-functional brand projects
• Integrate brand standards into customer experiences, communications, and business initiatives
• Advise teams on brand application and execution
• Develop and deliver communications, education, and enablement strategies
• Manage priorities, dependencies, risks, and timelines across multiple projects
• Create and maintain project plans, dashboards, presentations, and reporting materials
• Build relationships with internal stakeholders, agency partners, and vendors
• Improve brand processes, governance, tools, and operational practices
• Support strategic planning, operational excellence, brand governance, training, and capability development initiatives

Brand Strategy Advisor

Representative

• Perform specialized patient access and eligibility functions
• Liaise with payers, pharmaceutical companies, physicians, patients, and external clients
• Facilitate cross-functional resolution of drug coverage issues
• Research and resolve issues impacting revenue optimization
• Perform complex medical and pharmacy benefit verification using internal patient management tracking tools
• Contact benefit providers to gather policy benefits and limitations
• Coordinate services to ensure reimbursement, including deductibles, copayments, effective dates, levels of care, and authorizations
• Ensure shipments clear according to insurance criteria while minimizing bad-debt risk
• Provide expert assistance to clients on patient status
• Provide referral status reporting to external clients
• Handle challenging customers and complex client complaints, escalating as appropriate
• Complete other projects and duties as assigned
• Handle incoming and outgoing calls comprising approximately 30% to 50% of the workday