Cigna

Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ. Network Operations Manager/Vendor Relationship Manager Role Summary This position focuses on supporting provider data accuracy vendor relationships, and requires strong expertise in directory compliance, data accuracy, analytics, and external client engagement. The role demands end-to-end ownership of the analysis, planning, and execution phases surrounding Lexis Nexis and other provider data accuracy vendors, ensuring seamless coordination across internal and external stakeholders. Key Responsibilities Participates in the end-to-end processes for provider data accuracy vendor(s), such as LexisNexis, from initial analysis through execution and post-implementation support. Serves as a liaison between internal teams, external clients, and provider...

Customer Event & Benefit Education Fulfillment Supervisor Organization: Support Resolution Center (SRC) Workstream: Customer Event Operations / Benefit Education Opening Statement Bring your leadership skill, operational mindset, and passion for customer engagement to a role where your work makes a real difference. As the Customer Event & Benefit Education Fulfillment Supervisor, you will lead with purpose-guiding a talented team, partnering across the business, and rolling up your sleeves to ensure customer events are delivered with quality, consistency, and care. This is an opportunity to grow people, strengthen processes, and help scale a customer event support model that reflects our commitment to being ambitious, compassionate experts. Responsibilities Drive successful customer event delivery by serving as the primary point of contact between the Support Resolution Center and Customer Event Operations. Lead, coach, and develop Benefit...

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a Provider Network Advisor, you’ll report to the Provider Contracting Senior Manager, AVP Network Management. In this individual contributor role, you’ll assist in developing the strategic direction and management of day-to-day contracting and network management. Responsibilities Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems. Lead key market contracting strategy projects with responsibility for managing direct reports as assigned. Build and maintain strong provider relationships to support network growth and value-based business opportunities. Coordinate closely with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure aligned execution. Develop strategic network positions, identify value-oriented and risk-based opportunities, and contribute to...

Senior Supervisor, Infusion Nursing - Accredo Specialty Pharmacy Hybrid Role - Work from Home & In-Office in Marlborough, MA. Candidates for this position should reside in Massachusetts or Connecticut, and will supervise nurses working throughout Massachusetts, Connecticut and possibly Rhode Island. What You'll Do: Lead and support a team of infusion nurses delivering specialized therapies in homes and alternate care settings. Ensure high-quality patient care and operational excellence by: Overseeing daily nursing operations and supervising RN staff. Conducting skills assessments and supervisory visits. Managing patient intake, education, and scheduling. Monitoring documentation and compliance with treatment plans. Identifying and recommending process improvements. What You'll Need: Active, unencumbered RN license 5+ years RN experience, including 2+ years in a supervisory role 1+ year of...

Senior Supervisor, Infusion Nursing - Accredo Specialty Pharmacy Hybrid Role - Work from Home & In-Office in Marlborough, MA. Candidates for this position should reside in Massachusetts or Connecticut, and will supervise nurses working throughout Massachusetts, Connecticut and possibly Rhode Island. What You'll Do: Lead and support a team of infusion nurses delivering specialized therapies in homes and alternate care settings. Ensure high-quality patient care and operational excellence by: Overseeing daily nursing operations and supervising RN staff. Conducting skills assessments and supervisory visits. Managing patient intake, education, and scheduling. Monitoring documentation and compliance with treatment plans. Identifying and recommending process improvements. What You'll Need: Active, unencumbered RN license 5+ years RN experience, including 2+ years in a supervisory role 1+ year of...

Position Summary The Senior Advisor, Consultant Strategy is a strategic business development role focused on accelerating Evernorth's Health Services business through our consultant firm relationships. The Senior Advisor will aggressively pursue new business opportunities through our firm partners and strategic business alliances that are in line with the company's long-range goals. This person will develop firm-specific business plans and initiatives, growing our relationship footprint within target firms and expanding business opportunities through consultant channels. This position will regularly collaborate with internal and external senior leaders to understand strategic business priorities and develop consultant-specific strategies to drive results aligned with those priorities. This person will be widely recognized as an expert voice of the market within the company, bringing critical external insights into our organization to influence our product roadmaps,...

Job Summary The Market Performance Leader for Individual & Family Plans (IFP) is the market-level business owner responsible for driving growth, profitability, and long-term performance across assigned states. This role leads the development and execution of a comprehensive market strategy aligned to an evolving IFP business model, with full accountability for financial results, market expansion, and competitive positioning. The Market Performance Leader builds deep market insight to shape strategies across product, pricing, distribution, risk, network, and benefit design, ensuring the IFP offering is competitive, differentiated, and scalable. Serving as the senior IFP representative at the market level, this role develops critical relationships that support growth, distribution, and partnership strategies while influencing cross-functional teams to deliver business outcomes. Core Responsibilities Own full P&L accountability for assigned states, delivering...

The Account Manager is responsible for ensuring clients and patients receive superior service. Key member of the core client account team is responsible for overall satisfaction and retention of assigned book of business. Manages the day-to-day client relationship. Accountable for core service delivery for clients working cross-functionally with all operational. The Account Manager proactively reviews performance metrics to promote client satisfaction, profitability, and retention. Utilizes technology, tools, processes and resources to anticipate and exceed clients needs and expectations. Collaborates with Account Directors on client activity, expectations, and service needs. ESSENTIAL FUNCTIONS Manages day to day client relationships through comprehensive knowledge of client's benefit plan and product offerings. Daily interaction with clients, consultants and producers providing preventative consultation, analysis and issue resolution associated with core services....

Role Summary The Performance Management Principal is a senior individual contributor responsible for advancing administrative expense discipline and driving efficiency and effectiveness priorities across Cigna Healthcare. This role serves as the single point of accountability for performance transparency, cost-to-serve insights, and executive-ready materials that inform leadership decisions. The principal designs and owns the operating expense framework, translates analyses into actionable insights, and ensures leadership has a clear, consistent view of where and why we spend money, how it drives business outcomes, and where we have opportunities. This role partners closely with Finance, Business Technology, HR, and other enterprise stakeholders, operating with a high degree of judgment, influence, and independence. Impact Statement This role is critical to strengthening financial discipline, enabling informed trade-offs, and improving Cigna Healthcare's efficiency...

The Account Manager is responsible for ensuring clients and patients receive superior service. Key member of the core client account team is responsible for overall satisfaction and retention of assigned book of business. Manages the day-to-day client relationship. Accountable for core service delivery for clients working cross-functionally with all operational. The Account Manager proactively reviews performance metrics to promote client satisfaction, profitability, and retention. Utilizes technology, tools, processes and resources to anticipate and exceed clients needs and expectations. Collaborates with Account Directors on client activity, expectations, and service needs. ESSENTIAL FUNCTIONS Manages day to day client relationships through comprehensive knowledge of client's benefit plan and product offerings. Daily interaction with clients, consultants and producers providing preventative consultation, analysis and issue resolution associated with core services....

About the Role We are building the next generation of clinical and affordability insights and we are looking for a thoughtful, innovative leader to help shape the future. In this role, you will design and deliver trend analysis capabilities that reveal the true drivers of healthcare cost and affordability across Cigna Healthcare. You will turn complex claims and non-claims data into clear insights that influence strategy, improve engagement, and support smarter decisions. You will bring curiosity, expertise, and optimism to the work-partnering across clinical, financial, and technical teams to create solutions that make healthcare more affordable and sustainable. Responsibilities Lead the design and implementation of enterprise-level clinical risk and affordability indicators that strengthen the Cigna Healthcare Risk Ecosystem and inform cost-of-care strategy. Translate complex clinical, claims, and trend research into compelling insights that guide business...

Role Summary The Business Operations Advisor serves as a trusted operational partner to the US Employer Business Operations and Performance Management team, enabling effective execution of priorities across Cigna Healthcare (CHC). Impact Statement The Business Operations Advisor drives and executes key initiatives supporting the CHC operating plan. This resource contributes to core operating projects and ensures executive engagements run seamlessly with clear outcomes and follow-through. Key Responsibilities Cross-Functional Program Management Support priority initiatives for Cigna Healthcare that connect business strategy, financial performance, and talent priorities across the U.S. Employer portfolio. Help to translate insights into clear recommendations for leadership action, including operating metrics, performance narratives, and executive-ready materials. Support ad hoc processes and orchestration of initiatives that cut across multiple...

Role Summary The Business Operations Advisor serves as a trusted operational partner to the US Employer Business Operations and Performance Management team, enabling effective execution of priorities across Cigna Healthcare (CHC). Impact Statement The Business Operations Advisor drives and executes key initiatives supporting the CHC operating plan. This resource contributes to core operating projects and ensures executive engagements run seamlessly with clear outcomes and follow-through. Key Responsibilities Cross-Functional Program Management Support priority initiatives for Cigna Healthcare that connect business strategy, financial performance, and talent priorities across the U.S. Employer portfolio. Help to translate insights into clear recommendations for leadership action, including operating metrics, performance narratives, and executive-ready materials. Support ad hoc processes and orchestration of initiatives that cut across multiple...

Systems Analysis Senior Advisor - Product & Automation Job Summary The Systems Analysis Senior Advisor - Product & Automation serves as a senior, hybrid role combining Business Product Ownership, Technical Product Ownership, and Systems Analysis to support automation initiatives within PBM / Benefit Automation. This role is responsible for translating complex business, regulatory, and operational needs into high-quality technical solutions, while leading delivery execution in partnership with onshore and offshore teams. The ideal candidate operates independently, manages competing priorities, and owns outcomes across the full delivery lifecycle. Key Responsibilities Product Ownership & Business Analysis Act as a Business Product Owner (BPO) for automation initiatives, owning business intent, scope, prioritization, and delivery outcomes Partner with stakeholders to gather, analyze, and validate business, operational, and regulatory...

This is a unique opportunity to join a dynamic in-house litigation team responsible for healthcare/commercial litigation and government investigations. This is a next-level development step for an experienced litigator - to apply their skills to support The Cigna Group in government investigations and as well as complex healthcare/commercial litigation matters. This position is well suited for a strategic, creative thinker who enjoys owning challenging matters from start to finish, thrives in a high-performance environment, and is energized by partnering with cross-functional stakeholders to deliver practical, business-focused solutions. Responsibilities: Independently develop, lead, and execute all facets of litigation management and strategy for their portfolio Manage their litigation portfolio by working collaboratively with colleagues in Legal, Compliance, Government Affairs and Communications, as well as business stakeholders Effectively direct,...

A great opportunity to help military members and their families! This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of non-medical counseling (EAP) to members of the military and their family. Non-medical counseling is focused on a specific issue or concern and includes developing strategies and solutions, building on the participant's strengths, accessing support systems, and utilizing community resources. Sessions are provided telephonically, via video or secure chat and are intended to be solution focused and short-term. Non-medical Counseling topics are varied but often include the following issues: Stress Transition/Relocation Grief and loss Employment issues Marital/couple conflict or communication Parent-Child Relational Problems Academic or Educational problems Problems related to Primary Support The successful candidate will have...

This role will serve as the leader of the National Network Contract Analytics team for the US Employer business. The role is pivotal in driving affordability strategies, maintaining rigorous standards in the management/measurements of our network contracts, and delivering actionable insights to support provider contracting. Key Responsibilities Drive unit cost affordability planning and provide cross-functional partners with insightful projections on unit cost trends and risks. Identify and evaluate contracting opportunities partnering closely with Contracting and Network Analytic teams. Redefine our affordability goals, develop ongoing processes to monitor progress, and support Contracting in achieving those goals. Communicate progress against goals to executive leadership Influence AMP and Next Gen modeling/toolsets priorities and methodologies. Lead the development of comprehensive plan methodology for unit cost, translation factor, and...

Role Summary The Performance Management Principal is a senior individual contributor responsible for advancing administrative expense discipline and driving efficiency and effectiveness priorities across Cigna Healthcare. This role serves as the single point of accountability for performance transparency, cost-to-serve insights, and executive-ready materials that inform leadership decisions. The principal designs and owns the operating expense framework, translates analyses into actionable insights, and ensures leadership has a clear, consistent view of where and why we spend money, how it drives business outcomes, and where we have opportunities. This role partners closely with Finance, Business Technology, HR, and other enterprise stakeholders, operating with a high degree of judgment, influence, and independence. Impact Statement This role is critical to strengthening financial discipline, enabling informed trade-offs, and improving Cigna Healthcare's efficiency...

This role will serve as the leader of the National Network Contract Analytics team for the US Employer business. The role is pivotal in driving affordability strategies, maintaining rigorous standards in the management/measurements of our network contracts, and delivering actionable insights to support provider contracting. Key Responsibilities Drive unit cost affordability planning and provide cross-functional partners with insightful projections on unit cost trends and risks. Identify and evaluate contracting opportunities partnering closely with Contracting and Network Analytic teams. Redefine our affordability goals, develop ongoing processes to monitor progress, and support Contracting in achieving those goals. Communicate progress against goals to executive leadership Influence AMP and Next Gen modeling/toolsets priorities and methodologies. Lead the development of comprehensive plan methodology for unit cost, translation factor, and...

This role will serve as the leader of the National Network Contract Analytics team for the US Employer business. The role is pivotal in driving affordability strategies, maintaining rigorous standards in the management/measurements of our network contracts, and delivering actionable insights to support provider contracting. Key Responsibilities Drive unit cost affordability planning and provide cross-functional partners with insightful projections on unit cost trends and risks. Identify and evaluate contracting opportunities partnering closely with Contracting and Network Analytic teams. Redefine our affordability goals, develop ongoing processes to monitor progress, and support Contracting in achieving those goals. Communicate progress against goals to executive leadership Influence AMP and Next Gen modeling/toolsets priorities and methodologies. Lead the development of comprehensive plan methodology for unit cost, translation factor, and...

This role will serve as the leader of the National Network Contract Analytics team for the US Employer business. The role is pivotal in driving affordability strategies, maintaining rigorous standards in the management/measurements of our network contracts, and delivering actionable insights to support provider contracting. Key Responsibilities Drive unit cost affordability planning and provide cross-functional partners with insightful projections on unit cost trends and risks. Identify and evaluate contracting opportunities partnering closely with Contracting and Network Analytic teams. Redefine our affordability goals, develop ongoing processes to monitor progress, and support Contracting in achieving those goals. Communicate progress against goals to executive leadership Influence AMP and Next Gen modeling/toolsets priorities and methodologies. Lead the development of comprehensive plan methodology for unit cost, translation factor, and...

The Clinical Safety Director is responsible for advancing patient safety initiatives across all care and health services delivery environments. Reporting to the Chief Clinical Quality and Safety Officer, this role focuses on translating enterprise clinical safety strategy into effective programs, practices, and measurable outcomes. The Director is accountable for designing, implementing, and continuously strengthening a comprehensive clinical safety framework that proactively identifies risk, mitigates harm, and supports safe, reliable care. This role requires deep clinical safety expertise to lead complex initiatives, guide decision-making, and influence safety performance across all the care ecosystem. Working in close partnership with clinical, operational, legal, compliance, pharmacy, technology, and fraud, waste, and abuse (FWA) partners, the Clinical Safety Director supports systems that reduce risk, promote transparency, and reinforce a culture of learning and high...

This role supports the Pricing & Eligibility team by helping ensure contract pricing data is accurate, customer eligibility is properly determined, and pricing and membership work is completed in line with vendor requirements and department timelines. The person in this role uses strong attention to detail, problem-solving ability, and communication skills to support pricing accuracy, audit readiness, and service for internal and external partners. Key Responsibilities Review and validate credit and rebill requests for completeness and accuracy. Provide customer service related to pricing and membership for internal and external partners. Capture and maintain required audit documentation. Determine appropriate member access to contract pricing based on required customer criteria. Review and complete assigned work in the queue according to department guidelines. Research supplier and customer pricing and membership claims and take...

This role supports the Pricing & Eligibility team by helping ensure contract pricing data is accurate, customer eligibility is properly determined, and pricing and membership work is completed in line with vendor requirements and department timelines. The person in this role uses strong attention to detail, problem-solving ability, and communication skills to support pricing accuracy, audit readiness, and service for internal and external partners. Key Responsibilities Review and validate credit and rebill requests for completeness and accuracy. Provide customer service related to pricing and membership for internal and external partners. Capture and maintain required audit documentation. Determine appropriate member access to contract pricing based on required customer criteria. Review and complete assigned work in the queue according to department guidelines. Research supplier and customer pricing and membership claims and take...