The Cigna Group

Full-stack Engineer

• Define and execute the technology vision, strategy, and multi-year roadmap for Claims and Intelligence Solutions platforms
• Lead strategic technology decisions across operational excellence, platform modernization, and enterprise transformation initiatives
• Drive delivery of complex, cross-functional programs across product, engineering, operations, and business teams
• Partner with business, operations, and technology leaders to prioritize investments and deliver measurable outcomes
• Establish execution frameworks, governance, and accountability mechanisms for predictable delivery and operational resilience
• Champion API-first design, cloud-native platforms, event-driven architectures, infrastructure automation, DevSecOps, and AI-enabled software development
• Lead portfolio planning, investment strategy, and annual budgeting
• Develop business cases, investment strategies, and value realization plans
• Monitor financial performance, benefits realization, cost efficiency, and return on investment
• Drive portfolio transparency through planning, forecasting, resource management, and executive reporting
• Serve as senior technology partner to Claims Operations and business leadership
• Foster partnerships across business and technology organizations to accelerate innovation and improve operational efficiency

Senior Director, Software Engineering

Business Analyst

• Lead complex compliance initiatives and regulatory change management activities
• Provide strategic oversight of compliance delivery activities
• Interpret, implement, monitor, and operationalize regulatory requirements across CGHB products and services
• Lead large-scale, cross-functional regulatory implementation initiatives
• Manage compliance reporting obligations and audit-ready reporting practices
• Translate complex regulatory requirements into actionable business solutions
• Identify compliance risks, opportunities, and business impacts
• Leverage data-driven insights to support decision-making and regulatory oversight
• Serve as a trusted advisor to leadership and business partners
• Influence stakeholders across CGHB, Cigna Healthcare, Evernorth, and enterprise compliance organizations
• Partner with Regulatory, Compliance, Legal, Business Operations, Technology, Data & Analytics, and enterprise stakeholders
• Create clear requirements, including written Epics, and facilitate walkthroughs

Regulatory Solutions Analyst

Analyst

• Lead case management initiatives that enhance patient outcomes and streamline care delivery
• Develop and implement strategies to reduce hospital readmissions and improve quality metrics
• Collaborate with cross-functional teams to coordinate care plans
• Analyze data trends to identify process improvement and cost-efficiency opportunities
• Mentor and support nursing staff to foster professional growth and excellence in care

Nurse Case Management Lead Analyst

Advisor

• Lead and execute quality assurance processes for retail network client custom pricing files
• Maintain, validate, and reconcile pricing file data for completeness and integrity
• Write, modify, and optimize advanced SQL queries for data analysis, reporting, and ad hoc client requests
• Develop and enhance SQL logic for large and complex enterprise datasets
• Identify, investigate, and resolve data issues affecting pricing accuracy or client deliverables
• Implement controls and preventative measures to improve data quality and reduce risk
• Design, maintain, and improve automated processes for efficiency, consistency, and turnaround times
• Collaborate with Account Management, Contracting, Supply Chain, and Pricing teams to research and resolve inquiries
• Communicate data insights clearly to internal and external stakeholders
• Perform weekly maintenance on pricing file data
• Develop standardized SQL logic for ad hoc data inquiries
• Support the retail network/PBM relationship through contracting inquiries

Senior Data Measurement & Reporting Advisor

Artificial Intelligence

• Design and deploy AI-powered tools, Copilot solutions, dashboards, and automated workflows
• Serve as the subject matter expert for AI, sales intelligence, and advanced analytics
• Identify opportunities to leverage AI, automation, and predictive analytics to improve business performance
• Manage AI solutions from concept through implementation and adoption
• Analyze business, customer, market, and financial data to uncover actionable insights, trends, and opportunities
• Identify growth opportunities, retention risks, profitability trends, and market dynamics
• Develop business cases, ROI analyses, and strategic recommendations for leadership
• Deliver executive-level insights supporting planning, investment, and business decisions
• Develop and maintain executive dashboards, scorecards, and automated reporting solutions
• Integrate data from Salesforce, Tableau, enterprise data platforms, and AI applications
• Establish reporting standards and performance measures
• Present complex analyses in a concise, actionable format for leadership teams
• Partner with leadership to solve business challenges and develop scalable solutions
• Serve as the primary liaison between Specialty Payer Sales & Account Management and enterprise technology, analytics, and data teams
• Support adoption of AI-enabled capabilities through training, communication, and change management
• Promote data-driven decision making and continuous improvement across the organization

Senior Advisor, AI & Sales Intelligence

Account Manager

• Manage the end-to-end provider experience and overall service delivery for an assigned medium- to low-complexity book of business
• Collaborate with local market and matrix partners to improve provider experience
• Create and maintain provider strategic action plans
• Identify provider opportunities and risks and drive resolutions
• Capture, document, and share market intelligence to drive strategic improvements
• Collect, analyze, interpret, translate, and distribute provider informatics, reports, and dashboards
• Track and monitor performance guarantees
• Improve Provider Index scores through proactive network service and support
• Review provider reports and dashboards with individual providers
• Educate providers on Cigna's objectives, procedures, policies, and programs
• Serve as a provider advocate internally and externally
• Advise key matrix partners as a consultant or subject matter expert
• Develop and participate in presentations to providers and clients
• Represent Cigna to medical societies and external provider associations
• Manage joint operating committees, including agendas, meeting facilitation, and follow-up

Provider Relations Manager

• Develop scalable reporting solutions and dashboards providing visibility into cost, utilization, and network performance
• Design and optimize data pipelines using SQL, Databricks, and Tableau
• Translate complex healthcare data into actionable insights
• Partner with cross-functional stakeholders to define reporting strategies aligned with business priorities
• Improve reporting processes through automation, standardization, and performance optimization
• Establish data quality and validation frameworks
• Train and guide stakeholders on data interpretation and self-service analytics
• Deliver targeted analyses supporting business decisions and strategic initiatives

Data Enablement and Reporting Advisor

Claims Specialist

• Manually review and process medical, supplemental, or dental claims
• Process claims according to benefits, eligibility, and internal processes, policies, and procedures
• Complete, hold for additional information or review, or deny claims as appropriate
• Research and navigate documents and databases to process claims accurately and compliantly
• Confirm necessary documents are present in submitted claims
• Validate medical codes in claim submissions
• Assess claim eligibility
• Review and verify other insurance coverage information
• Evaluate authorizations for accuracy
• Analyze account benefit plans to ensure claims align with coverage and policies
• Identify discrepancies, errors, and missing information
• Use multiple computer applications simultaneously
• Meet or exceed quality and productivity goals
• Work with supervisors, coaches, and trainers to improve processing techniques and workflows
• Use Outlook, Cisco Webex, and similar virtual tools to collaborate and communicate with colleagues and supervisors
• Complete a robust training program and meet accuracy, quality, volume, claims-per-hour, and production metrics after training

Claims Representative

Attorney

• Serve as the business owner and strategic leader for the Enterprise Legal Management platform
• Lead platform administration, configuration, testing, releases, enhancements, and ongoing optimization
• Establish governance and operational standards for matter management, e-billing, workflows, user access, data quality, and reporting
• Develop and execute the ELM platform roadmap aligned with Legal Operations and business priorities
• Partner with Legal, IT, Finance, Procurement, and external vendors to deliver scalable technology solutions and process improvements
• Drive user adoption, training, change management, and platform best practices
• Develop reporting, dashboards, and analytics supporting legal operations performance, legal spend management, and decision-making
• Evaluate and implement legal technology enhancements, integrations, automation opportunities, and emerging capabilities
• Manage vendor relationships and oversee delivery of technology solutions supporting Legal Operations objectives

Director, Enterprise Legal Management – Legal Technology

Customer Support

• Handle a high volume of inbound calls assisting patients with prescription medications
• Manage inbound and outbound communications with patients, physicians, and physician advocates professionally and within program guidelines
• Accurately enter eligibility paperwork, prescriptions, refills, and other information into the system
• Maintain accurate and complete documentation and system records of inquiries
• Enter and interpret program materials to determine enrollment criteria
• Explain program requirements to callers and employees
• Report allergy, adverse-event, or duplicate-therapy warnings to the appropriate group
• Place outbound calls to clarify issues involving program or pharmacy guidelines

Customer Service Representative

Pharmacist

• Develop and execute the analytics, intelligence, and research roadmap for Evernorth Pharmacy Solutions
• Identify, prioritize, and evaluate strategic opportunities affecting product strategy, program investments, affordability initiatives, and enterprise decision-making
• Lead program evaluations, outcomes research, and evidence-generation initiatives using publication-grade methodologies
• Develop drug trend insights, forecasting models, therapeutic pipeline analyses, and emerging market intelligence
• Partner with business, clinical, product, technology, actuarial, finance, and operations leaders to quantify opportunities and translate findings into recommendations
• Lead advanced analytics, machine learning, and artificial intelligence solutions across Evernorth Pharmacy Solutions
• Advance personalized experiences and intelligent decision-support capabilities through predictive models, recommendation engines, next-best-action strategies, AI-driven content, and intelligent agents
• Embed intelligence into business operations, products, and customer experiences
• Produce and oversee research publications, conference presentations, white papers, thought leadership content, and market insights
• Build, lead, and mentor a high-performing team of analytics, data science, and research professionals
• Establish best practices in forecasting, causal inference, real-world evidence generation, experimentation, AI governance, and responsible analytics deployment

Director – Pharmacy Analytics

• Answer outbound and inbound calls in a high-volume call center
• Follow structured workflows and scheduled call-taking expectations
• De-escalate patient concerns by providing empathetic solutions within established procedures
• Document interactions in real time while maintaining patient confidentiality and HIPAA compliance
• Attend and participate in paid virtual training
• Meet monthly performance goals
• Engage in continuous learning and feedback
• Handle back-to-back calls for the duration of the shift
• Support patients with specialty pharmacy needs and access to critical therapies

Administrative Assistant

• Manage complex calendars for two HR executives, resolve conflicts, and make timely scheduling decisions
• Coordinate enterprise leadership meetings and forums, including agendas, pre-reads, logistics, technology, virtual Q&A, surveys, and follow-up communication
• Develop communications for leaders and teams, including organizational announcements, team updates, presentations, and HR activity messages
• Lead coordination for cross-team initiatives and recurring HR activities, including talent management, budget submissions, onboarding, and ad hoc leadership requests
• Create workforce and employee insight reports, summarize key themes, and present information to support decisions
• Partner with administrative peers, Executive IT, Internal Communications, Travel and Aviation, Real Estate, and other internal teams
• Plan leader travel, prepare and reconcile expenses, coordinate vendor payments and invoices, and serve as a delegate in Concur
• Maintain department resources, including organization charts, distribution lists, equipment and supply requests, and space-planning information
• Anticipate risks, solve problems early, and handle sensitive information with discretion and sound judgment

Executive Administrative Assistant, Human Resources

• Manually review and process medical, supplemental, or dental claims
• Research and navigate documents and databases to process claims accurately and comply with established guidelines
• Confirm necessary documents are present in submitted claims
• Validate medical codes in claim submissions
• Assess claim eligibility
• Review and verify other insurance coverage information
• Evaluate authorizations for accuracy
• Analyze account benefit plans to ensure claims align with coverage and policies
• Identify discrepancies, errors, or missing information
• Use multiple computer applications simultaneously
• Work independently without close supervision while maintaining productivity and quality
• Meet or exceed quality and productivity goals
• Work with supervisors, coaches, and trainers to improve claim-processing techniques and workflows
• Use Outlook, Cisco Webex, and similar virtual tools to collaborate and communicate with colleagues and supervisors

• Develop and execute the analytics, intelligence, and research roadmap for Evernorth Pharmacy Solutions
• Identify, prioritize, and evaluate strategic opportunities that drive measurable business impact
• Lead program evaluations, outcomes research, and evidence-generation initiatives
• Develop drug trend insights, forecasting models, therapeutic pipeline analyses, and emerging market intelligence
• Partner with business, clinical, product, technology, actuarial, finance, and operations leaders
• Quantify opportunities, evaluate concepts and vendor solutions, define success metrics, and translate findings into recommendations
• Lead advanced analytics, machine learning, and artificial intelligence solutions
• Drive personalized experiences and intelligent decision-support capabilities through predictive models, recommendation engines, next-best-action strategies, AI-driven content, and intelligent agents
• Embed intelligence into business operations, products, and customer experiences
• Produce and oversee research publications, conference presentations, white papers, thought leadership content, and market insights
• Build, lead, and mentor a high-performing analytics, data science, and research team
• Establish best practices in forecasting, causal inference, real-world evidence generation, experimentation, AI governance, and responsible analytics deployment

Senior Director, Software Engineering

Regulatory Solutions Analyst

Nurse Case Management Lead Analyst

Senior Data Measurement & Reporting Advisor

Senior Advisor, AI & Sales Intelligence

Provider Relations Manager

Data Enablement and Reporting Advisor

Claims Representative

Director, Enterprise Legal Management – Legal Technology

Customer Service Representative

Director – Pharmacy Analytics

Customer Service Representative

Executive Administrative Assistant, Human Resources

Claims Representative

Director, Pharmacy Analytics