The Claims Representative reviews and processes post-service medical necessity claims to ensure accurate adjudication and compliance with benefit plans. They are responsible for building authorization cases, attaching clinical documentation, and resolving claim discrepancies.
The clinician will provide real-time crisis support, risk assessment, and ongoing clinical case management for members via telephonic and scheduled interactions. They are responsible for developing personalized wellness goals, collaborating with internal teams, and ensuring seamless care transitions while maintaining accurate clinical documentation.
The role serves as the business owner for the BlinkRx partnership, managing day-to-day operations and driving cross-functional initiatives. You will partner with senior leaders to design scalable processes and ensure performance goals are met or exceeded.
The Audit Operations Lead manages end-to-end audit activities, including intake, execution, remediation, and closure for regulatory and internal audits. They coordinate across multiple teams to clarify requirements, identify risks, and improve operational workflows and SOPs.
The Software Engineering Senior Advisor will lead the technical direction for backend services and APIs while guiding engineering decisions for scalability and performance. They will also mentor team members and collaborate with cross-functional partners to deliver secure, high-quality software solutions.
The Account Manager will oversee day-to-day client engagement, monitor account performance, and coordinate solutions across internal teams to ensure client satisfaction and retention. They are responsible for analyzing performance trends, facilitating business reviews, and advocating for client needs while aligning with organizational objectives.
The Proposal Support Advisor manages the end-to-end RFP and proposal development process for complex strategic bids. They facilitate cross-functional collaboration to ensure compliant, high-quality responses while mitigating business risk and providing technical expertise.
The Dedicated Client Service Partner serves as a primary liaison between Cigna, client HR teams, and employees to provide personalized benefits support and issue resolution. They are responsible for educating employees on healthcare plans, managing complex claims, and driving client success through strategic insights.
You will lead the onboarding of new lines of business to the Agentic Servicing platform and translate complex business needs into clear, prioritized product requirements. You will also partner with engineering and architecture teams to deliver secure, scalable, and reusable platform capabilities.
The Client Service Executive will manage end-to-end service delivery and build strong client relationships to enhance Cigna's market reputation. They are responsible for facilitating internal matrix partner engagement, performing root cause analysis, and monitoring account metrics to ensure client satisfaction.
The Staff Pharmacist interprets and verifies prescriptions while collaborating with healthcare providers to ensure accurate medication dispensing. They also provide clinical consultations to patients regarding medication use and potential drug interactions.
The Senior Principal AI Business Partner shapes AI investment, portfolio prioritization, and delivery standards across business units. This role involves framing complex enterprise AI problems, designing scalable solutions, and mentoring teams to ensure successful AI adoption.
Research and resolve complex compliance and operational matters with pharmacy providers and internal teams, while monitoring provider adherence to regulatory requirements, policies, and procedures. Support audits and cross-functional projects, analyze risks, recommend solutions, and improve processes through documentation, technology, automation, and continuous improvement.
Manage the governance, platforms, and strategic initiatives for enterprise privacy to ensure compliance across digital environments. Coordinate across cross-functional teams to turn privacy requirements into actionable controls, roadmaps, and measurable results.
The Medical Director conducts evidence-based medical necessity reviews and engages in peer-to-peer consultations with healthcare providers. They collaborate with a large team of physicians to ensure patients receive appropriate care through clinical decision-making.
The Privacy Engineer will own and improve online privacy technology platforms while assessing risks related to cookies, scripts, and data transfers. They will also partner with cross-functional teams to embed privacy requirements into digital products and support incident response efforts.
Contact prescribers and patients to obtain complete and accurate information for specialty prescription processing, then review and enter prescriptions. Work with pharmacists, complete REMS training, support team members as a subject matter expert, and may help train new technicians.
Lead the development and execution of enterprise clinical AI and technology strategies to improve clinical quality, operational efficiency, and patient outcomes. Partner with cross-functional teams to translate complex clinical needs into scalable, AI-enabled solutions from concept through implementation.
The Product Strategy Advisor supports the global product portfolio by managing product lifecycles, governance, and operational execution. They collaborate with cross-functional teams to ensure products are effectively documented, commercially supported, and aligned with business needs.
Lead and develop a team of attorneys to provide strategic legal guidance for pharmacy network operations within the PBM business. Serve as the primary legal advisor for operational, regulatory, and transactional matters impacting the healthcare supply chain.
The Senior Product Manager Advisor will lead the strategy and development of tools to enhance agent experience and operational efficiency. This involves collaborating with cross-functional teams to integrate AI and automation while tracking performance metrics to drive business results.
The Clinical Program Director sets the strategic direction for behavioral health programs and oversees the full program lifecycle from design to implementation. They lead multidisciplinary teams and partner across the enterprise to ensure clinical excellence, quality, and measurable outcomes.
The Strategic Client Manager is responsible for the operational performance, strategy, and execution of global benefit programs for large national accounts. They act as a consultant to key decision-makers, managing renewals, upselling products, and resolving service-related issues.
This role provides strategic leadership for a team of client managers responsible for a large group portfolio, ensuring financial, retention, and growth objectives are met. The manager builds relationships with senior stakeholders and brokers while coordinating with internal matrix partners to deliver tailored global health benefit solutions.
This role provides strategic leadership and management for a team of Client Managers responsible for the CORE East portfolio within Cigna Global Health Benefits. The manager oversees financial performance, client retention, growth objectives, and the development of consultative strategies for complex accounts.
The role involves leading sales enablement, growth marketing, and revenue intelligence strategies to drive performance across the organization. Responsibilities include managing sales playbooks, overseeing event content, monitoring campaign ROI, and providing coaching to sales teams.
The Director of Sales is responsible for driving new logo acquisition and revenue growth by managing complex, multi-stakeholder sales processes within the healthcare sector. This role involves leading the entire customer acquisition lifecycle, from initial prospecting and solution design to contracting and transition to client success teams.
Provide continuous behavioral health support by assessing clinical needs and risk, delivering crisis de-escalation and safety planning, and helping members set goals and navigate appropriate care. Coordinate follow-up and transitions with internal colleagues while managing real-time calls, scheduled appointments, case management, and accurate confidential documentation.
Lead national physician and clinic engagement and own non-payer sales and business development for the fertility pharmacy business, including growth strategy, key account relationships, and sales pipeline performance. Manage and develop a multi-layered sales and physician support organization, represent the company’s clinical and technology capabilities, and partner with operations and product leaders to address provider needs.
Build and promote production-grade Silver and Gold data products from architectural designs and business requirements, using MVP delivery and governed CI/CD pipelines. Collaborate with architecture, analysis, platform, DevOps, data science, and business teams while maintaining engineering standards, quality, security, and cost controls.
Build production-ready Silver and Gold data products from architectural designs and business requirements, using MVP delivery and governed CI/CD pipelines. Collaborate with architecture, analysis, platform, DevOps, data science, and business teams to ensure reusable, connected, secure, and high-quality data solutions.
Develop and deliver integrated communications strategies and content across internal and external channels, aligning stakeholders with business priorities and supporting executive visibility. Manage communications plans, budgets, workflows, approvals, and performance reporting while partnering with leaders and teams to improve engagement and business outcomes.
Build and promote production-ready Silver and Gold data products from architectural designs and business requirements, using MVP delivery and governed CI/CD pipelines. Collaborate with architecture, analysis, platform, DevOps, data science, and business analytics teams to ensure reusable, connected, secure, and high-quality data solutions.
The Regional Specialist serves as the primary contact for prescribers and stakeholders to strengthen referral pathways and improve patient access to blood disorder therapies. They are responsible for achieving admit targets through proactive territory management and cross-functional collaboration with internal teams.
You will develop and maintain network automation solutions using Python, DevOps practices, and infrastructure-as-code to improve enterprise network efficiency. The role involves building CI/CD pipelines, supporting REST APIs, and collaborating with cross-functional teams to reduce manual tasks and resolve infrastructure issues.
Design, build, and evolve scalable full-stack software solutions for reporting, workflow automation, and predictive analytics. Lead technical architecture decisions while mentoring engineers and partnering with stakeholders to deliver high-impact, data-intensive systems.
The Medical Director will lead the development and execution of clinical strategies for high-risk members, focusing on scalable programs and AI-enabled solutions. They will partner across departments to translate clinical and business priorities into measurable performance goals and actionable implementation plans.
The Technical Coaching Lead Representative provides technical and procedural coaching to claims processors to improve performance and quality outcomes. They analyze KPIs, facilitate training, and partner with supervisors to drive process improvements and ensure accurate claim resolutions.
The Lead Analyst manages complex claims systems projects, implementations, and data configuration within the adjudication engine. They also provide subject matter expertise to internal departments and lead external client communications to ensure process optimization and data integrity.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and potential interactions. They also provide quality assurance oversight for pharmacy technicians and maintain production and service levels.
The Senior Director of Sales & Business Development leads the enterprise sales organization to drive growth across specialty pharmacy, home infusion, and telepharmacy service lines. This role establishes comprehensive sales strategies, cultivates executive-level partnerships, and collaborates across functional teams to ensure sustainable revenue growth and client success.
Lead the design, engineering, and implementation of complex CICS infrastructure solutions to support enterprise business objectives. Provide technical leadership for large-scale mainframe initiatives while ensuring the availability and reliability of critical systems.
The Senior Advisor leads the design and deployment of AI-powered tools, automated reporting, and sales intelligence solutions to drive business performance. They act as a strategic partner to leadership, transforming complex data into actionable insights to support growth and account management effectiveness.
The Director serves as the business owner for the Enterprise Legal Management platform, driving strategy, governance, and optimization. They will partner with cross-functional teams to deliver scalable technology solutions and improve legal operations performance.
The Director will lead the Legal organization's budgeting, forecasting, and financial planning processes while developing reporting and analytics to drive strategic decision-making. They will also establish financial governance and leverage legal technology to improve transparency and operational performance.
The resident will collaborate with health plan clients and account teams to develop and execute clinical strategies that improve member outcomes and optimize pharmacy spend. Responsibilities include analyzing pharmacy trends, supporting formulary management, and participating in cross-functional workgroups to implement innovative healthcare solutions.
Perform specialized evidence-based medical case reviews to determine medical necessity using company software. Conduct peer-to-peer consultations with referring providers to discuss treatment appropriateness and recommend alternative services.
Lead territory strategy and execution to drive specialty pharmacy growth and strengthen relationships with healthcare providers. Collaborate with clinical and operational partners to improve patient access and deliver exceptional customer outcomes.
The Senior Account Executive will lead territory strategy to drive specialty pharmacy growth and strengthen relationships with healthcare providers and referral sources. They will collaborate with clinical and operational partners to improve patient access and deliver exceptional customer outcomes.
Conduct specialized evidence-based medical case reviews to determine medical necessity using company software. Perform peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
The Senior Advisor will lead complex analytics initiatives to support pharmacy and clinical outcomes research while partnering with stakeholders to generate actionable insights. They are responsible for designing program evaluations, analyzing large healthcare claims datasets, and mentoring junior team members.
The Senior Director leads the design and industrialization of enterprise-wide data and digital product solutions using a centralized medallion architecture. They are responsible for integrating AI and automation to accelerate modeling cycles and ensure all assets are reusable, scalable, and production-ready.
Perform specialized evidence-based medical case reviews to determine medical necessity using company software. Conduct peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
Perform specialized evidence-based medical case reviews to determine medical necessity using company software. Conduct peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
The advisor provides strategic leadership for the enterprise identity platform, shaping roadmaps for authentication, fraud prevention, and secure access. They act as a bridge between business and technical teams to drive adoption of identity services and support personalized digital experiences.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and potential interactions. They also provide oversight to pharmacy technicians, ensure regulatory compliance, and maintain production and quality standards.
The Staff Pharmacist is responsible for interpreting prescriptions, verifying order accuracy, and consulting with patients regarding medication use and potential interactions. They also provide oversight to pharmacy technicians and collaborate with prescribers to tailor patient infusion regimens.
The Medical Director will conduct specialized evidence-based medical case reviews to determine medical necessity using company software. They will also perform peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
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.
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.
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.
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.
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.
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.
