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. The Data Measurement & Reporting Advisor plays a critical role in turning complex data into clear, actionable insights that help leaders make better decisions. This role supports Data Management & Reporting within DS&I by designing standardized performance analytics, building trusted reporting solutions, and elevating how insights are shared across the organization. You will partner closely with functional leaders and technical teams to ensure data tells a meaningful story that drives performance, accountability, and continuous improvement. Responsibilities Design and implement standardized operational performance analytics that align to DS&I priorities and enterprise objectives. Develop clear measurement frameworks, including data definitions and...

Location: Remote Summary The Billing Specialist is responsible for managing third-party billing and collections, ensuring timely and accurate billing of claims. This role involves billing medical and NCPDP claims, identifying and resolving root cause of rejections, with the goal of resolving discrepancies and maximizing reimbursement. The ideal candidate will have knowledge of home infusion, medical billing practices, and payer reimbursement guidelines, as well as strong communication and problem-solving skills. The position requires attention to detail, the ability to work independently, and proficiency with Microsoft 365. Experience with ICD-10, CPT-4, HCPCS, and Medicare billing is preferred. Essential Duties & Responsibilities Understand Third Party Billing. Ensure the timeliness and accuracy of billing. Meet quality assurance, benchmark standards, and maintain productivity levels as defined by management. Identifies patient and insurance...

Clinical Waste & Abuse Nurse Lead - Evernorth As a Clinical Waste & Abuse Nurse Lead, you bring clinical expertise and thoughtful judgment to help protect patients, strengthen payment integrity, and support high-quality care. You play a critical role in identifying waste and abuse trends while coaching others and shaping smarter, more effective review practices. We are an ambitious, compassionate team committed to doing what's right-for members, providers, and one another. Responsibilities Lead complex clinical reviews that assess medical necessity, coding accuracy, and billing integrity to drive appropriate claim outcomes Identify patterns, trends, and opportunities that strengthen cost containment and payment integrity initiatives Serve as a trusted escalation partner for complex or non-routine cases, guiding resolution through sound clinical judgment Coach, train, and mentor peers and new hires, helping build confidence, consistency, and...

Provider Relations Lead Analyst | Encore - Cigna Retiree Program The Provider Relations Lead Analyst is a key member of National Ancillary Tools and Capabilities Team. This role will provide a variety of operational support functions within the team. This role will support the operational reporting, service processes, and invoicing with a focus on successful delivery of the highest value projects. In addition, this role will support operational functions across the team as part of on-going business process improvements, centralization and related responsibilities. As a member of the Tools and Capabilities team, this role entails analysis, root cause identification, and resolution. Responsibilities: Oversees the task of preparing vendor invoices; ensuring a complete, timely and accurate invoice package is sent to Accounts Payable Team for payment Inspects invoices for deficiencies Tracks the status of vendor invoices Investigates and resolves...

As a valued member of the credentialing team, you will play an important role in supporting timely, accurate enrollment and credentialing processes that enable access to pharmacy services. In this role, you will collaborate across teams and with external partners to ensure compliance, strengthen relationships, and support operational excellence. Your attention to detail, organization, and commitment to service will directly contribute to improved access and outcomes. Responsibilities Prepare and manage enrollment and credentialing applications for health plans, PBMs, Medicaid, and other payors. Oversee credentialing and re-credentialing processes to ensure compliance with regulatory, accreditation, and payer requirements. Track and manage credentialing timelines, ensuring all submissions and follow-ups are completed on schedule. Review documentation for accuracy and completeness, identifying and resolving gaps proactively. Build and maintain...

Position Overview The Cigna Group’s Global Employment Law Team is seeking a talented and experienced licensed attorney to provide strategic legal support across a complex and dynamic organization. The Counsel, Employment Law will play a critical role in ensuring compliance with employment laws and regulations, managing employment claims and litigation, advising on employee relations matters, and supporting accommodations and leave programs. Key Responsibilities Counsel HR and management on Americans with Disabilities Act (ADA) and religious accommodation requests, including review of documentation, interactive process guidance, and resolution of accommodation issues. Support compliance and administration of state paid time off, paid leave, and paid sick time programs, including policy development, statutory interpretation, and operational implementation. Provide legal guidance on matters related to leave of absences, including FMLA, state-mandated leaves, and company...

The Senior Director, Customer Service Operations (PBS – Federal Services & Regulated Markets) is a senior leader accountable for the strategy, performance, and transformation of pharmacy customer service operations supporting highly regulated lines of business. This role requires a strategic leader with a deep understanding of operations, exceptional leadership skills, and a passion for enhancing the customer experience. This leader will lead complex contact center operations and ensure the delivery of compliant, high‑quality, and differentiated service experiences for clients and members. This leader will translate regulatory, client, and market requirements into scalable operating models that balance compliance, service excellence, and operational efficiency. The Senior Director serves as an accountable executive partner to Account Management, Compliance, Legal, Product, and Technology leaders, ensuring consistent execution, audit readiness, and a differentiated client...

Business Project Senior Advisor, Pharmacy Fulfillment Enablement– Accredo Make an impact where strategy meets patient care. As a Fulfillment Pharmacy Business Project Senior Advisor at Accredo, you will help shape the future of pharmacy fulfillment operations. In this highly collaborative role, you will guide complex projects that expand capacity, strengthen operational capabilities, and improve the patient experience. You will partner closely with leaders and experts across the enterprise to turn strategic goals into executable solutions that deliver long-term business value. This is an opportunity for an ambitious, thoughtful advisor who thrives in a fast-moving environment and leads with both expertise and compassion. Responsibilities Drive Strategic Project Outcomes Lead and facilitate cross-functional planning sessions to define project scope, priorities, and success measures that support future growth and operational excellence. Translate business needs into...

Position Summary Join a high‑impact Product Strategy organization responsible for strengthening product decisions through customer insight, market intelligence, and performance analytics across Cigna’s Supplemental Health Solutions (SHS) portfolio, including Accidental Injury, Critical Illness, Hospital Indemnity, and emerging employee‑paid solutions. The Product & Innovation Advisor plays a critical role in enabling value‑driven, consumer‑centric product decisions by embedding data, research, and insights throughout the product lifecycle. This role partners closely with Marketing, Pricing, Data Analytics, Operations, and Sales to inform innovation priorities, support go‑to‑market execution, and ensure products deliver meaningful value once in market. This position is ideal for a highly analytical, insight‑driven product professional who excels at translating complex information into clear, decision‑ready recommendations that accelerate product success. Key...

Senior Architect, Enterprise Architecture – Enterprise Servicing Career Architecture Title: IT Principal Architect, Enterprise Architecture Position Summary The Senior Architect, Enterprise Servicing shapes the enterprise architecture for an end-to-end member/patient servicing experience across digital self-service, contact center/voice, and supporting operational workflows. This role defines horizontal servicing capabilities, aligns line-of-business initiatives to the target state, and drives value-based roadmaps that improve customer experience, advocate effectiveness, and cost-to-serve. Partnering across Enterprise Architecture, Product, Technology, Operations, and business leaders, this role provides architectural direction in complex, fast-changing environments—clarifying options, influencing decisions, and translating business needs into actionable technology strategy. The architect operates with high autonomy, executing from intent rather than instruction,...

As a key member of the Strategy and Business Development team, you will support initiatives that strengthen partnerships, improve operational execution, and enhance product awareness. In this role, you will serve as a central point of coordination across teams, helping ensure seamless communication, timely issue resolution, and successful execution of strategic priorities. Your ability to stay organized, build relationships, and drive follow‑through will directly support growth and operational excellence. Responsibilities Coordinate cross‑functional communication to support business development initiatives and ensure alignment across teams. Track, document, and manage operational issues related to pharmaceutical manufacturers, including contracting, compliance, logistics, and product setup. Execute workflows that support issue resolution, contract administration, product access, and documentation needs. Partner with stakeholders across contracting, compliance,...

As a key member of the Strategy and Business Development team, you will support initiatives that strengthen partnerships, improve operational execution, and enhance product awareness. In this role, you will serve as a central point of coordination across teams, helping ensure seamless communication, timely issue resolution, and successful execution of strategic priorities. Your ability to stay organized, build relationships, and drive follow‑through will directly support growth and operational excellence. Responsibilities Coordinate cross‑functional communication to support business development initiatives and ensure alignment across teams. Track, document, and manage operational issues related to pharmaceutical manufacturers, including contracting, compliance, logistics, and product setup. Execute workflows that support issue resolution, contract administration, product access, and documentation needs. Partner with stakeholders across contracting, compliance,...

Business Project Senior Advisor, Pharmacy Fulfillment Enablement– Accredo Make an impact where strategy meets patient care. As a Fulfillment Pharmacy Business Project Senior Advisor at Accredo, you will help shape the future of pharmacy fulfillment operations. In this highly collaborative role, you will guide complex projects that expand capacity, strengthen operational capabilities, and improve the patient experience. You will partner closely with leaders and experts across the enterprise to turn strategic goals into executable solutions that deliver long-term business value. This is an opportunity for an ambitious, thoughtful advisor who thrives in a fast-moving environment and leads with both expertise and compassion. Responsibilities Drive Strategic Project Outcomes Lead and facilitate cross-functional planning sessions to define project scope, priorities, and success measures that support future growth and operational excellence. Translate business needs into...

ABOUT THE DEPARTMENT Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency. In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients' lives. ESSENTIAL FUNCTIONS Prepares and reviews claims to ensure billing accuracy Pursues collection activities to obtain reimbursement from payers and/or patients Bills and/or collects outstanding/delinquent payments or issues payments Frequent follow up with payers and/or patients on outstanding accounts Escalates delinquent and/or complex claims to Senior Billing...

Product Management Senior Advisor, Express Scripts You are a trusted problem solver who brings clarity to complex data and confidence to high‑impact conversations. In this role, you help ensure accurate Medicaid Encounter submissions that strengthen trust with state partners and clients. With curiosity, care, and accountability, you translate data into insight, improve how work gets done, and support results that matter to members, clients, and the business. Responsibilities Protect compliance and data integrity by monitoring Medicaid Encounter processes and identifying risks that could impact state and client submissions. Analyze file data, trends, and metrics to uncover issues, recommend solutions, and improve submission accuracy and timeliness. Drive continuous improvement by documenting processes, evaluating performance, and recommending practical enhancements aligned to state guidance. Lead and support encounter reject analysis and remediation efforts to...

Position Summary Come bring your expertise, curiosity, and energy to the Network & Benefits Strategy Team in Product/Core Solutions. In this role, you will be responsible for maintaining, developing, supporting, and implementing innovative short and long-term medical network & benefit strategies to sustain and drive profitability and growth for the commercial market segment. Developing and delivering new solutions will allow Cigna Healthcare to remain competitive and will be the focus on this role. Network and benefit solutions also are key for achieving our enterprise’s affordability and strategic goals. You will have the opportunity to work closely with our wide constituency of partners, including Medical, Clinical, Pricing, Legal, Technology and Compliance. This role is perfect if you are looking to refine your product management skills on complex projects and expand your breadth of knowledge on the most fundamental aspects of our health care business. Primary...

Position Summary Come bring your expertise, curiosity, and energy to the Network & Benefits Strategy Team in Product/Core Solutions. In this role, you will be responsible for maintaining, developing, supporting, and implementing innovative short and long-term medical network & benefit strategies to sustain and drive profitability and growth for the commercial market segment. Developing and delivering new solutions will allow Cigna Healthcare to remain competitive and will be the focus on this role. Network and benefit solutions also are key for achieving our enterprise’s affordability and strategic goals. You will have the opportunity to work closely with our wide constituency of partners, including Medical, Clinical, Pricing, Legal, Technology and Compliance. This role is perfect if you are looking to refine your product management skills on complex projects and expand your breadth of knowledge on the most fundamental aspects of our health care business. Primary...

The Behavioral Health Senior Manager - Network Operations is responsible for leading the strategy, performance, and scalability of MDLIVE's Behavioral Health provider network. This role provides senior-level operational and people leadership across therapy and psychiatry network management, with direct accountability for provider access, engagement, productivity, and network performance. The Senior Manager partners closely with Sales, Account Management, Clinical/Quality, Product, Analytics, Finance, Credentialing, Compliance, Government Programs, and Client teams to ensure the Behavioral Health network meets access standards, regulatory requirements, and enterprise objectives. This role serves as a primary owner of Behavioral Health network outcomes and applies data-informed decision-making to support sustainable growth and an excellent provider and patient experience. What you'll do to make a difference *: * Own end-to-end performance of the Behavioral Health...

The Behavioral Health Senior Manager – Network Operations is responsible for leading the strategy, performance, and scalability of MDLIVE’s Behavioral Health provider network. This role provides senior‑level operational and people leadership across therapy and psychiatry network management, with direct accountability for provider access, engagement, productivity, and network performance. The Senior Manager partners closely with Sales, Account Management, Clinical/Quality, Product, Analytics, Finance, Credentialing, Compliance, Government Programs, and Client teams to ensure the Behavioral Health network meets access standards, regulatory requirements, and enterprise objectives. This role serves as a primary owner of Behavioral Health network outcomes and applies data‑informed decision‑making to support sustainable growth and an excellent provider and patient experience. What you’ll do to make a difference : Own end‑to‑end performance of the Behavioral Health provider...