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Position Summary:

The Program Management Lead Analyst plays a key role within the Clinical Sales and Network Organization (CSNO) team, supporting CSNO Clinicians who represent Cigna externally. This position enables successful alignment between Cigna’s most complex clients, provider partners, and internal stakeholders with Cigna’s clinical programs, products, and services. The analyst supports the Sales Organization and contributes to the execution of value-based partnerships, such as Cigna’s Collaborative Care Organizations (CCC), driving cross-functional collaboration to improve quality, affordability, and customer satisfaction.

Key Responsibilities:

+ Complete care management summary reviews for high-cost claimants in accordance with corporate guidelines.

+ Conduct in-depth clinical summary reviews, including analysis of medical records and claims data.

+ Summarize and compile findings to support Market Medical Executives and Nurse Executives in client-facing engagements.

+ May lead to small to mid-sized stretch projects focused on implementing process improvements.

+ Collaborate with multiple-matrix partners in a fast-paced, dynamic environment.

+ Navigate and utilize systems including ICMS, HC ICMS, CCMS, HEV, OneView, Evernorth Express Scripts, and TruCare.

+ Demonstrate understanding of Cigna’s core clinical programs and their application.

Qualifications:

+ Minimum of 5 years of clinical or clinical support experience.

+ Strong analytical and research skills with the ability to interpret complex clinical information.

+ Experience with ICMS, HC ICMS, CCMS, HEV, OneView, Evernorth Express Scripts, or TruCare strongly preferred.

+ Experience with CPT and ICD-10 coding is highly recommended.

+ Excellent time management, organizational, and communication skills.

+ Proven ability to build strong relationships and influence cross-functional teams.

+ Demonstrates flexible, consultative critical thinking and effective action planning.

+ Proficient in Microsoft Office and other relevant technology platforms.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 76,400 - 127,300 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._

_If you require reasonable accommodation in completing the online application process, please email:_ [email protected]_ _for support. Do not email_ [email protected]_ _for an update on your application or to provide your resume as you will not receive a response._

_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._

_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._