The role involves performing specialized patient access functions and verifying medical and pharmacy benefits to resolve drug coverage issues. The representative collaborates with payers, physicians, and internal departments to ensure accurate claims processing and timely referral turnaround.
Cigna Healthcare
81 Remote Job Openings at Cigna Healthcare
Clinical Safety Program Advisor - Remote
Cigna Healthcare
·
Full Time
·
6 hours ago
Cigna Healthcare
The role involves advancing patient safety by managing cross-functional initiatives to reduce preventable harm and improve reliability. Responsibilities include translating safety priorities into actionable plans and coordinating clinical event investigations and risk mitigation.
Medical Collections Specialist, Home Infusion - Evernorth - Remote
Cigna Healthcare
·
Full Time
·
7 hours ago
Cigna Healthcare
Resolve insurance claims and research denials to improve reimbursement outcomes for home infusion pharmacy care. Communicate with payers and patients while documenting all collection activities in AR reports.
Support the Social Media Center of Excellence by creating compelling content and managing engagement across various social platforms. Perform metrics analysis, reporting, and develop paid social advertising strategies.
RN Telephonic Nurse - Accredo - Work from Home, Anywhere, USA (Compact Nursing License Required)
Cigna Healthcare
·
Full Time
·
8 hours ago
Cigna Healthcare
Provide telephonic education and clinical support to patients and caregivers following established clinical protocols. Collaborate with treating physicians and mentor new hires to ensure high-quality patient care and documentation.
Provider Relations Associate Analyst - Cigna Healthcare - Remote
Cigna Healthcare
·
Full Time
·
10 hours ago
Cigna Healthcare
Perform basic technical and administrative tasks related to provider relations, including credentialing and network provider retention. Maintain provider profiling systems and communicate with providers regarding contractual inquiries and status updates.
Business & Data Analysis-Advisor (Remote)
Cigna Healthcare
·
Full Time
·
11 hours ago
Cigna Healthcare
Lead the end-to-end business requirements gathering and process redesign for a strategic financial workflow transformation. Drive data insights and collaborate with technical teams to implement AI-driven capabilities and automation solutions.
Lead the full pursuit lifecycle for National Accounts, from opportunity shaping and proposal strategy to negotiations and implementation. Act as a consultative advisor to strategic stakeholders to drive sales targets and grow the future business pipeline.
Business Analytics Senior Analyst - EviCore - Remote
Cigna Healthcare
·
Full Time
·
12 hours ago
Cigna Healthcare
Design and maintain operational reports and dashboards using Tableau and Power BI to drive operational efficiency. Write and optimize SQL queries to extract and analyze data while collaborating with stakeholders to deliver actionable business insights.
Provide dedicated project management and governance support for China JV operational activities, acting as a central liaison between stakeholders and functional teams. Manage governance trackers, coordinate workstreams, and drive the resolution of operational and technology-related requests.
Contract Lead Analyst - Express Scripts - Remote
Cigna Healthcare
·
Full Time
·
a day ago
Cigna Healthcare
Manage the end-to-end process of pharmaceutical manufacturer contracts and amendments from request to execution. Coordinate with Legal, Finance, and external clients to ensure contract accuracy and compliance.
Pharmacy Technician (PACE) - Accredo - Remote, TN, IN, FL & PA
Cigna Healthcare
·
Full Time
·
3 days ago
Cigna Healthcare
Assist patients with medications for rare and chronic diseases by accurately entering prescriptions into the system. Coordinate with healthcare providers and insurance companies to ensure timely medication shipment and coverage.
Sr. Supervisor, Customer Success - Pharmacy Team - Verity 340B Solutions - Remote
Cigna Healthcare
·
Full Time
·
3 days ago
Cigna Healthcare
Lead and develop a team of customer success managers to provide proactive 340B program support for pharmacy partners. Monitor account performance metrics and serve as the primary escalation point to improve program outcomes and revenue.
Customer Service Representative - Express Scripts - Remote
Cigna Healthcare
·
Full Time
·
3 days ago
Cigna Healthcare
Handle a high volume of inbound calls from members, providers, and pharmacies regarding Pharmacy Benefit Management benefits. Resolve customer complaints independently while meeting call center metrics and maintaining high service standards.
PT After Hours Staff Pharmacist - Remote, IL
Cigna Healthcare
·
Full Time
·
3 days ago
Cigna Healthcare
Perform remote order entry and verification while providing clinical guidance and therapeutic support to healthcare providers. Ensure safe patient care by managing medication reconciliation and maintaining compliance with pharmacy laws and HIPAA.
Payer Contract Analyst - CarepathRx - Remote
Cigna Healthcare
·
Full Time
·
3 days ago
Cigna Healthcare
The Payer Contract Analyst manages contracting and revenue cycle support, ensuring all payer requirements are met and contracts are kept up-to-date. They act as a subject matter expert on third-party and government payer regulations to optimize reimbursement and resolve billing issues.
Senior Advisor - Product Strategy & Signature Model Transformation
Cigna Healthcare
·
Full Time
·
3 days ago
Cigna Healthcare
Lead the transformation of the product portfolio under the Signature model by driving alignment across product teams and defining value propositions. Develop actionable transformation roadmaps and design new product packaging strategies to ensure commercial viability and market differentiation.
Planning & Delivery Coordinator - Evernorth - Remote
Cigna Healthcare
·
Full Time
·
3 days ago
Cigna Healthcare
Coordinate intake, tracking, and governance for initiatives and resource needs within the Strategy Execution Office. Prepare reports, dashboards, and presentation materials to help leaders monitor progress and make informed portfolio decisions.
Plan Automation Senior Associate - Evernorth - Remote (Chattanooga, TN)
Cigna Healthcare
·
Full Time
·
4 days ago
Cigna Healthcare
The role involves loading client-specific benefits into the Proclaim claim engine using automation and manual entry. It also requires analyzing contract language and state mandates to ensure compliance and resolve member-impacting benefit issues.
Enterprise CX Strategic Planning Senior Advisor
Cigna Healthcare
·
Full Time
·
4 days ago
Cigna Healthcare
Shape and advance the enterprise customer experience strategy by aligning priorities and investments across multiple business units. Deliver data-driven insights and executive-ready materials to inform CX governance and strategic decision-making.
Senior Advisor of Business Analytics - Customer Engagement
Cigna Healthcare
·
Full Time
·
4 days ago
Cigna Healthcare
The role focuses on building an analytical foundation to connect digital customer engagement strategies to financial and strategic outcomes. This includes developing measurement frameworks, performing deep-dive journey analytics, and translating complex data into actionable business narratives.
Customer Service Senior Representative - Patient Scheduling-Accredo - Remote
Cigna Healthcare
·
Full Time
·
4 days ago
Cigna Healthcare
Coordinate home infusion visit scheduling by collaborating with nurse managers, field staff, and patients. Manage nursing referrals and resolve non-clinical issues through various communication channels and data manipulation in Excel.
Manager, Enrollment and Billing (Cash Operations) - Evernorth - Remote
Cigna Healthcare
·
Full Time
·
4 days ago
Cigna Healthcare
Lead daily enrollment and billing cash operations to ensure accurate payment posting and strong accounts receivable outcomes. Coach team members and partner with internal and external stakeholders to improve operational results and resolve billing issues.
Intake Care Representative - Evernorth - Remote
Cigna Healthcare
·
Full Time
·
4 days ago
Cigna Healthcare
Serve as the primary contact for incoming DME referrals, managing the process from intake to readiness. This includes verifying insurance eligibility, maintaining patient accounts, and coordinating workflows across various communication channels.
The Senior Agile Product Owner manages the product backlog and serves as the voice of the customer to drive the delivery of high-value features. They collaborate with clinical and technology teams to remove blockers and ensure product enhancements meet business and user needs.
Business Project Advisor - Cigna Global Health Benefits
Cigna Healthcare
·
Full Time
·
5 days ago
Cigna Healthcare
Lead the planning, execution, and sign-off of User Acceptance Testing (UAT) to ensure business solutions meet requirements. Partner with global stakeholders and IT teams to validate end-to-end workflows and resolve defects before production release.
Project Manager. Global Delivery Office - Cigna Global Health Benefits - Remote
Cigna Healthcare
·
Full Time
·
5 days ago
Cigna Healthcare
Lead strategic projects within the Global Delivery Office to improve business processes and support the Global Healthcare Business. Partner with IT and operational teams to manage project lifecycles, budgets, and business readiness activities.
Operations Lead Analyst - Business Acceptance Testing - Evernorth - Remote
Cigna Healthcare
·
Full Time
·
5 days ago
Cigna Healthcare
Lead Business Acceptance Testing (BAT) for system releases and initiatives to ensure pricing and operational solutions meet business needs. Collaborate with cross-functional teams to resolve defects and improve testing practices and standard operating procedures.
The advisor analyzes cost data and reviews Cigna's cost position in local markets to identify trends and opportunities for medical cost reduction. They collaborate with various business partners to develop tools and reports that support market affordability and competitive unit cost goals.
Lead the broker growth strategy and annual operating plan to deepen relationships and expand market reach for Global Health Benefits. Coordinate across cross-functional teams to translate market intelligence into actionable value propositions and commercial outcomes.
Part-Time After Hours Staff Pharmacist - Remote, IL
Cigna Healthcare
·
Full Time
·
6 days ago
Cigna Healthcare
Perform remote order entry and verification while providing clinical guidance and therapeutic support to healthcare providers. Ensure safe patient care by assessing medication dosing and maintaining compliance with pharmacy laws and HIPAA.
The Counsel will negotiate, draft, and advise on complex commercial agreements for medical benefits management solutions. They will partner with cross-functional stakeholders to provide risk-based legal guidance and ensure regulatory compliance.
General Manager, Product Strategy and Management: EviCore
Cigna Healthcare
·
Full Time
·
7 days ago
Cigna Healthcare
The General Manager serves as the P&L owner responsible for the strategy and management of various utilization management programs to ensure profitability and growth. They lead the development of short-term and long-term product roadmaps while collaborating with finance, operational, and clinical teams to drive efficiency and value.
Define and advance the enterprise strategy for content capabilities and personalization to power customer experiences across digital channels. Act as a strategic translator between business stakeholders and technical teams to optimize content management and omni-channel delivery.
Data Measurement & Reporting Advisor - Evernorth Health Services - Hybrid
Cigna Healthcare
·
Full Time
·
10 days ago
Cigna Healthcare
Deliver accurate production and ad hoc reporting to support Pharmacy Sales & Account Management and other internal partners. Manage data structures, develop new reporting solutions, and drive automation initiatives to support data-informed decision-making.
Business Analytics Associate - Provider Contracting & Network Analytics - Remote
Cigna Healthcare
·
Full Time
·
10 days ago
Cigna Healthcare
The role involves providing analytical and strategic support for healthcare provider rate negotiations and unit cost improvement. The associate will perform deep-dive data analysis to identify trend drivers and partner with business units to ensure competitive market positioning.
Performs benefit-driven medical necessity reviews and case management activities to ensure quality clinical outcomes. Serves as a clinical consultant and educator to internal operations and external healthcare professionals.
Pharmacy Market Manager, West Region - Cigna Healthcare - Remote
Cigna Healthcare
·
Full Time
·
13 days ago
Cigna Healthcare
Lead pharmacy benefit strategy for Middle Market and Select Segment clients in the West Region while managing a team of Pharmacy Clinical Account Managers. Partner with Medical Sales and brokers to drive retention, growth, and the adoption of cost-lowering pharmacy solutions.
Senior Advisor, Care Model & Payment Innovation - The Cigna Group - Hybrid
Cigna Healthcare
·
Full Time
·
15 days ago
Cigna Healthcare
Design and implement innovative care delivery models and alternative payment structures across Cigna Healthcare and Evernorth. Build and manage a pipeline of strategic partnerships with providers, pharmacies, and employers to improve health outcomes and manage total cost of care.
Bilingual Provider Network Manager (French & English) β Senegal
Cigna Healthcare
·
Full Time
·
15 days ago
Cigna Healthcare
Manage and expand the healthcare provider network across Francophone and Anglophone African markets. Oversee the full provider lifecycle, including onboarding, performance monitoring, and relationship management to ensure high-quality healthcare access.
Account Executive - Cigna Pharmacy (South Texas) - Cigna - Remote
Cigna Healthcare
·
Full Time
·
17 days ago
Cigna Healthcare
Acts as the primary pharmacy benefits expert for clients with up to 3,000 employees in the South Texas market. Manages client persistency, supports Medical Sales teams, and provides consultative recommendations based on pharmacy utilization trends.
Senior Advisor, Business Analytics - Digital Product
Cigna Healthcare
·
Full Time
·
20 days ago
Cigna Healthcare
The role focuses on building the analytical foundation for digital products by translating complex strategies into measurable KPIs and success metrics. It involves leading behavioral and journey analytics to optimize digital experiences and informing enterprise decision-making through data storytelling.
Lead the development and execution of enterprise digital strategies focusing on AI innovation, digital containment, and channel optimization to drive business value. Act as a strategic connector across product, engineering, and business teams to align priorities and maximize customer experience outcomes.
The Lead Analyst manages the client data delivery process to ensure accuracy, timeliness, and adherence to quality standards. Key duties include building Databricks dashboards, deploying code in Snowflake, and collaborating with clients to troubleshoot data sharing.
Data Licensing Sales Lead, Intelligence Solutions - Evernorth Health Services - Remote
Cigna Healthcare
·
Full Time
·
24 days ago
Cigna Healthcare
Drive revenue growth by licensing tokenized, privacy-preserving healthcare data assets to life sciences and analytics organizations. Lead the entire deal lifecycle from market development and commercial structuring to final contract execution.
Define and lead the enterprise-level digital product strategy and roadmap across a complex healthcare portfolio. Drive the execution of integrated, cross-channel digital experiences while aligning senior stakeholders and leading high-performing product teams.
Senior Growth Consultant, Commercial - Express Scripts
Cigna Healthcare
·
Full Time
·
a month ago
Cigna Healthcare
The role focuses on helping health plan partners grow their employer group pharmacy benefit business through strategic go-to-market planning. Key duties include managing the pharmacy sales bid process and maintaining strong relationships with brokers and consultants.
Lead the design and delivery of the European Compliance Programme to strengthen governance and ethics frameworks across multiple jurisdictions. Act as a strategic advisor to senior leadership, managing regulatory relationships and promoting a culture of integrity.
Define and champion a product vision that leverages data and analytics to improve customer outcomes and clinical insights. Lead Agile teams to build, test, and release scalable solutions while managing product backlogs and roadmaps.
Director, Network Management - Cigna Healthcare - Remote, Idaho
Cigna Healthcare
·
Full Time
·
a month ago
Cigna Healthcare
Lead the strategic direction and day-to-day management of provider contracting and network activities for a specific territory. Manage complex negotiations for fee-for-service and value-based reimbursements with hospitals and large physician groups.
Develop and scale data-driven customer engagement strategies to drive behavior change and improve health outcomes. Design multichannel customer journeys and lead A/B experimentation across various digital and offline touchpoints.
Eligibility Manager - CuraScript - Remote
Cigna Healthcare
·
Full Time
·
a month ago
Cigna Healthcare
Lead a team of analysts overseeing complex chargeback, cash application, and adjustment activities to ensure operational excellence. Manage vendor relationships and drive process improvements to enhance data quality and resolve escalated financial discrepancies.
Financial Analysis Advisor - Express Scripts - Remote
Cigna Healthcare
·
Full Time
·
a month ago
Cigna Healthcare
Oversees pharmacy contractual guarantees and pricing recommendations to meet performance targets. Manages provider contracts end-to-end and leads complex financial analyses to support corporate initiatives.
Pharmacy Clinical Consulting Senior Advisor - Cigna - Remote (Nashville, TN area)
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Serve as the primary pharmacy benefits subject matter expert to support client retention and growth for integrated pharmacy clients. Collaborate with internal sales and underwriting teams to manage pharmacy components of integrated benefits and resolve complex clinical issues.
Medical Director β Gastroenterology β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for gastroenterology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Medical Director β Spine Surgery (Orthopedic or Neurosurgery) β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for spine surgery cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Medical Director β Cardiology β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for cardiology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Medical Director β Pediatric Endocrinology β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for pediatric endocrinology cases using specialized software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Medical Director β Otolaryngology β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for Otolaryngology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Medical Director β Pediatric Otolaryngology β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for pediatric otolaryngology cases using specialized software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Medical Director β Pain Medicine β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for pain medicine cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Medical Director β Radiation Oncology β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for radiation oncology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Medical Director β Pediatric Nephrology β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for pediatric nephrology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Medical Director β Medical Oncology β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for oncology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Perform benefit-driven medical necessity reviews and case management activities to improve clinical outcomes for members. Provide clinical insight and consultation to internal departments and serve as a clinical educator for utilization and pharmacy operations.
Medical Director β Urology β Evicore - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for urology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Vice President, Dental National Accounts Strategy & Business Development (Existing Business) - Remote - Cigna
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Drive growth and retention of dental national accounts by developing sales strategies and managing relationships with consultants and internal teams. Act as the primary liaison between the National Account Executive team and the Dental Organization to optimize product pricing and network strategy.
Develop and support conversational IVR call flows to enhance personalized customer experiences across voice, text, and chat channels. Collaborate with architects and business partners to design, test, and maintain high-quality code for multimedia applications.
Medical Director β Medical Genetics & Genomics β EviCore
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Perform evidence-based medical necessity reviews for genetics and genomics cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Perform expert medical reviews of necessity requests for post-acute care services and provide clinical opinions. Conduct case conferences with nursing and social work teams to manage discharge planning and quality of care.
Design and implement major components of data architecture and models to modernize Reporting & Analytics applications. Collaborate with stakeholders and development teams to create scalable data design solutions and optimize data access layers in the data lake.
Sr. Account Executive - Allergy, Asthma, Immunology - AZ, NV, UT, N.CA - Accredo - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Drive growth for specialty therapy products including Immune Globulin and Asthma/Allergy biologics within the assigned territory. Build trusted relationships with physicians and infusion centers to increase referrals and expand access to advanced therapies.
Account Management Director - Evernorth
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Lead a multidisciplinary account team to provide strategic guidance and operational support to health plan clients. Serve as the senior relationship owner to ensure client satisfaction, retention, and growth while partnering with product leaders to translate client needs into actionable insights.
Managing Counsel, Allegiance (VP β Head of Legal & Compliance)
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Serves as the senior legal and compliance leader for the Allegiance business, providing strategic counsel to executive leadership. Oversees regulatory inquiries, complex contract negotiations, and the enhancement of the compliance program including HIPAA and URAC readiness.
Sr Account Executive - Allergy, Asthma & Immunology - Northeast/New England - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Drive prescription growth and service adoption for Allergy, Asthma, and Immunology therapies within the New England territory. Build strong relationships with healthcare providers and collaborate with internal teams to ensure seamless patient access to biologic therapies.
Data Science Senior Advisor (Pricing & Underwriting) - Remote
Cigna Healthcare
·
Full Time
·
2 months ago
Cigna Healthcare
Develop and maintain machine learning models to optimize pricing and underwriting within the healthcare sector. Collaborate with business stakeholders and leadership to deliver actionable insights and robust analytics that drive strategic objectives.
The Senior Advisor will lead the execution of real estate portfolio, space, and occupancy strategies to support business growth and operational efficiency. They will also build trusted relationships with business leaders to translate workforce needs into actionable real estate plans.
Business Analytics Senior Analyst - Express Scripts - Remote
Cigna Healthcare
·
Full Time
·
4 months ago
Cigna Healthcare
The analyst will promote 340B program success by performing routine and ad hoc data analysis to maximize performance. They will also manage reporting efforts and build relationships with internal and external stakeholders to resolve data inquiries.
Home Infusion Nurse, 32 hours - Accredo - Bismarck, ND
Cigna Healthcare
·
Full Time
·
7 months ago
Cigna Healthcare
As a Home Infusion Registered Nurse, you will provide safe and effective administration of specialty medications in patients' homes. You will also partner with pharmacists and care teams to ensure holistic patient well-being and serve as the primary point of contact for patient updates and care coordination.
Agile Technical Product Owner Senior Advisorβ SAP Extended Warehouse Management (EWM/RTS)
Cigna Healthcare
·
Full Time
·
9 months ago
Cigna Healthcare
As the Agile TPO Advisor for SAP EWM/RTS, you will own the product vision, roadmap, and delivery strategy for warehouse and logistics operations. You will work closely with business stakeholders, SAP functional experts, and development teams to deliver scalable, integrated solutions that support strategic supply chain initiatives.
Handle inbound and outbound calls from patients regarding their medical history and fertility challenges. Ensure process efficiency by coordinating fertility plans and medications while resolving customer issues.