The Cigna Group

Accounting Manager

• Lead and execute month-end close processes in accordance with GAAP
• Prepare and review journal entries and supporting documentation
• Perform and review balance sheet reconciliations and account analyses
• Ensure alignment between subledgers and the general ledger
• Reconcile internal records to external bank statements
• Investigate and resolve variances
• Partner with cross-functional teams to record accruals, prepaids, and other financial transactions accurately and timely
• Analyze P&L fluctuations and balance sheet activity
• Identify trends and explain variances to management
• Support forecasting and financial reporting activities
• Provide ad hoc analysis and insights for key stakeholders
• Support internal and external audits with audit-ready documentation and responses
• Contribute to process improvements and automation efforts
• Enhance efficiency and strengthen financial controls

Senior Accounting Analyst

Analyst

• Write business, functional, and non-functional business requirements
• Participate in system design reviews
• Review test evidence and participate in status meetings
• Identify data elements required for provider data loading to PRIME (BoR)
• Understand provider/practitioner demographics, contracts, contract management, and PRIME domains
• Develop understanding of the PRIME BoR system and other BoR systems related to HCPM
• Determine load type (update or new) based on data analysis
• Collaborate with matrix partners to review outcomes and ensure accurate loading guidelines
• Identify remediation needs to increase automated loading of provider data and support data integrity across provider systems
• Review validated data elements to ensure data quality before BoR ingestion
• Guide the team in following system process flows
• Partner with IT and business stakeholders to improve provider data quality and develop automation capabilities

Senior Provider Relations Analyst

Claims Specialist

• Accurately and timely process Supplemental Health claims
• Review claim submissions and confirm required documentation
• Verify medical codes, eligibility, other insurance, authorizations, and account benefit plans
• Interpret policy provisions and determine benefit eligibility
• Pay, pend for additional information, or deny claims according to established policies and procedures
• Manage pending claims and issue claim decisions
• Participate in virtual team huddles, supervisor one-to-ones, and check-ins using virtual tools
• Meet or exceed established quality, productivity, KPI, and performance standards
• Identify discrepancies, errors, and missing information
• Use eMOS tools and reporting systems, including DPL, Performance Profile, Ring Master, SAM3, and other systems
• Partner with the Resource Management Group on WFT, COGNOS pend report claims, and inventory issues
• Work with supervisors, coaches, and trainers to improve claim-processing techniques and workflows
• Maintain confidentiality and compliance with company policies and regulatory requirements

Claims Representative

General Counsel

• Work cross-functionally with Compliance, Legal, Government Affairs, and business stakeholders
• Own EviCore’s Medicaid Compliance program and processes
• Perform and oversee second-line-of-defense Medicaid regulatory audits
• Identify and report regulatory and compliance risks and findings for remediation
• Ensure compliance with state and federal laws and regulations
• Provide day-to-day Medicaid regulatory guidance to stakeholders
• Notify stakeholders about updated Medicaid contracts and regulations
• Present Medicaid matters in regulatory and new-law oversight committees
• Identify Medicaid regulatory compliance trends and company risk through analysis and engagement
• Participate in client regulatory audits and provide Medicaid regulatory guidance
• Serve as an internal Medicaid subject matter expert
• Advise functional leaders using deep professional knowledge
• Provide thought leadership within Compliance and contribute to broader business projects

Legal Advisor, Healthcare Regulatory Compliance

Events

• Review and assess adverse event cases using established clinical protocols
• Complete accurate and timely adverse drug event reports for pharmaceutical manufacturers and the FDA
• Respond to requests for additional information and provide case clarifications
• Track reporting activities and identify documentation errors
• Communicate findings to leadership
• Maintain compliance with manufacturer training requirements and regulatory standards
• Participate in audits and quality initiatives
• Collaborate with internal teams while delivering detailed, high-quality work
• Work under the supervision of a Registered Nurse (RN)

LPN – Adverse Drug Events

Team Leader

• Function as a player/coach, owning individual Associate Account Manager work while leading Associate Account Managers/Sales Coordinators
• Support the Express Scripts Commercial Division and ensure direct reports meet client and Client Service Team partner needs
• Maintain a book of business/group mailbox for client issue resolution, reporting needs, access requests, and tactical support tasks
• Facilitate resolution of cross-functional operational issues and ensure projects are implemented effectively
• Coach, develop, train, and guide less experienced team members
• Serve as team process coach and SME for internal process and procedure inquiries
• Support day-to-day operational, system, process questions, issues, inquiries, and escalations
• Balance priorities to achieve divisional and team objectives
• Monitor resources and communications to identify areas where the team can support Client Service Team partners
• Identify common issues and constraints and drive process improvements
• Take on new projects and tasks as needed
• Monitor team performance and provide detailed reporting
• Maintain and update team playbooks, training materials, and resources
• Identify opportunities to integrate AI-driven solutions into daily workflows to improve efficiency, productivity, and business outcomes

Team Leader – Commercial Employer Market Account Team Support

Advisor

• 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

• Lead and execute month-end close processes in accordance with GAAP
• Prepare and review journal entries and supporting documentation
• Perform and review balance sheet reconciliations and account analyses
• Reconcile internal records to external bank statements and resolve variances
• Partner with cross-functional teams to record accruals, prepaids, and other financial transactions accurately and timely
• Analyze P&L fluctuations and balance sheet activity
• Identify trends and explain variances to management
• Support forecasting and financial reporting activities
• Provide ad hoc analysis and insights for key stakeholders
• Support internal and external audits with audit-ready documentation and responses
• Contribute to process improvements and automation efforts
• Enhance efficiency and strengthen financial controls

Machine Learning Engineer

• Build and improve reusable machine learning frameworks that accelerate model development and production deployment
• Design scalable data pipelines and feature-engineering solutions using Python, SQL, Spark, Databricks, or related technologies
• Develop production-ready APIs, cloud-native services, and intelligent applications
• Contribute to MLOps automation, containerized deployment, monitoring, and reliable engineering practices
• Work with large health care datasets, including pharmacy and medical claims, member information, call transcripts, surveys, and web logs
• Partner with technical and business stakeholders to translate complex needs into scalable, responsible solutions and communicate outcomes clearly
• Explore generative AI, agentic AI, retrieval-augmented generation, document intelligence, or real-time prediction
• Document learning and seek feedback while collaborating with engineers, data scientists, architects, and business stakeholders

AI/ML Engineer Intern

Representative

• Help specialty pharmacy patients obtain needed medication
• Answer patient calls using training, problem-solving skills, and team support
• Coordinate and ensure services are covered under insurance
• Discuss deductibles, co-payments, and authorizations with patients
• Research benefits coverage issues with pharmacists and doctors’ offices
• Provide patients with guidance about medication coverage
• Handle multiple requests while maintaining attention to detail
• Document conversation information in the computer system

Eligibility Representative

• Build trusted relationships with an assigned portfolio of providers and develop account plans that improve engagement, performance and mutual value.
• Lead provider business reviews covering operational performance, service measures, member experience and improvement opportunities.
• Analyse claims, utilisation, direct payment activity, turnaround times, complaints and other relevant measures to identify performance gaps and root causes.
• Coordinate corrective actions and continuous improvement initiatives, helping providers meet agreed service standards and contractual obligations.
• Manage provider escalations and operational concerns through to timely resolution, representing provider feedback within Cigna.
• Support provider onboarding and the adoption of Cigna processes, digital tools, platforms and service expectations.
• Partner with Claims, Operations, Clinical, Service, Contracting, Commercial and Network teams to deliver a consistent provider experience.

Provider Relations Analyst

Principal

• Principal role focused on drug trends and pipeline strategy at Evernorth Health Services
• Drive growth and improve lives through Evernorth pharmacy, care, and benefit solutions
• Improve accessibility of prediction, prevention, and treatment of illness and disease

Principal – Drug Trends & Pipeline Strategy

Data Scientist

• Lead the design, development, and implementation of predictive modeling, machine learning, generative AI, and other advanced analytics solutions aligned with user needs and business goals
• Build and improve supervised and unsupervised models using regression, decision trees, random forests, neural networks, clustering, segmentation, time-series analysis, topic modeling, sentiment analysis, and Bayesian analysis
• Develop scalable data pipelines and analytics workflows using large healthcare datasets and modern cloud-based tools
• Turn complex findings into clear insights, visual stories, and practical recommendations for technical and non-technical audiences
• Partner with clinical, operations, technology, and business teams from early discovery through successful delivery
• Provide thought leadership on advanced analytics, emerging AI methods, and responsible approaches that improve solution quality and business value
• Work with curiosity, sound judgment, and a growth mindset in a fast-paced environment while maintaining high standards for accuracy and quality

Data Science Advisor

• Work cross-functionally with Compliance, Legal, Government Affairs, and business stakeholders
• Own EviCore's Medicaid Compliance program and processes
• Perform and oversee second line of defense Medicaid regulatory audits
• Identify and report non-compliance and risk areas to stakeholders for remediation
• Analyze data to ensure preventative measures effectively mitigate risk
• Ensure compliance with state and federal laws and regulations
• Provide day-to-day Medicaid regulatory guidance to stakeholders
• Notify stakeholders about updated Medicaid contracts and regulations
• Present Medicaid matters in regulatory and new law oversight committees
• Identify Medicaid regulatory compliance trends and risks through analysis and engagement
• Participate in client regulatory audits and provide Medicaid regulatory guidance
• Serve as an internal Medicaid subject matter expert
• Advise functional leaders using deep professional knowledge
• Provide thought leadership within Compliance and contribute to broader business projects

Procurement

• Lead configuration and ongoing administration of the provider contract management system, including reference data, approval workflows, user roles, permissions, and standard contract templates
• Partner with contracting leaders, governance groups, Legal, Regulatory and State Government Affairs, and technology teams to align system capabilities with business, policy, and regulatory needs
• Coordinate release readiness, testing, implementation, and adoption of system improvements
• Develop reporting and insights on workload, contract complexity, compliance, financial performance, language trends, and improvement opportunities
• Create and refine administrative guidelines, contracting processes, exception pathways, and approval structures
• Design, deliver, and evaluate virtual or classroom training; maintain learning materials and training records
• Provide consultative support and subject matter expertise to field contracting teams and cross-functional partners
• Mentor frontline staff, resolve complex issues, and provide occasional backup support through phone and shared email channels
• Build relationships across Network Operations, Service Operations, Medical Management, Medical Economics, Legal, vendors, and regional contracting teams

Senior Accounting Analyst

Senior Provider Relations Analyst

Claims Representative

Legal Advisor, Healthcare Regulatory Compliance

LPN – Adverse Drug Events

Team Leader – Commercial Employer Market Account Team Support

Data Enablement and Reporting Advisor

Senior Accounting Analyst

AI/ML Engineer Intern

Eligibility Representative

Provider Relations Analyst

Principal – Drug Trends & Pipeline Strategy

Data Science Advisor

Legal Advisor, Healthcare Regulatory Compliance

Senior Contract Management Specialist