The Cigna Group

Clinical Staff Pharmacist - Coverage Review - Remote

The Cigna Group · Full Time · 16 minutes ago

The Cigna Group

🌎 United States 💵 $55 - $91 per hour ⭐ 5-10 yrs exp 💼 Healthcare

Responsible for reviewing plan policies to determine medication coverage and finalizing clinical prior authorization denials. Provides clinical support and oversight for all utilization management activities within a multi-disciplinary team.

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Administrative Assistant Senior Representative - Evenorth - Remote

The Cigna Group · Full Time · 16 minutes ago

The Cigna Group

🌎 United States 💵 $26 - $39 per hour ⭐ 5-10 yrs exp 💼 Data Entry

Provide high-level administrative and operational support to five senior leaders within Operations, Insights & Delivery. Responsibilities include managing complex calendars, coordinating travel and expenses, and supporting leadership meetings and organizational events.

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RN- MD Live Urgent Care-Remote

The Cigna Group · Full Time · 16 minutes ago

The Cigna Group

🌎 United States 💵 $31 - $47 per hour ⭐ 2-5 yrs exp 💼 Healthcare

The Registered Nurse provides high-quality virtual patient care through telephone triage, assessment, and care coordination. They serve as a liaison between patients and providers while ensuring accurate documentation in electronic medical records.

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Authorization Coordinator - Evernorth - Remote

The Cigna Group · Full Time · 16 minutes ago

The Cigna Group

🌎 United States 💵 $62600 - $104K per year ⭐ 2-5 yrs exp 💼 Others

The role focuses on supporting prior authorization processes by resolving daily operational issues and managing special projects. It involves maintaining work queues, ensuring client satisfaction, and participating in process improvement activities.

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Enrollment/Billing Senior Representative - Remote

The Cigna Group · Full Time · 4 hours ago

The Cigna Group

🌎 United States 💵 $20 - $30 per hour ⭐ 2-5 yrs exp 💼 Finance

Manage complex billing and collections for outstanding claims to improve company revenue and accounts receivable balances. Research root causes of non-payment, resolve insurance denials, and mentor new hires on role-specific tasks.

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Business Analytics Senior Analyst - Remote

The Cigna Group · Full Time · 4 hours ago

The Cigna Group

🌎 United States 💵 $68000 - $113K per year ⭐ 2-5 yrs exp 💼 Software Development

Execute high-quality analyses and predictive modeling to improve healthcare outcomes and affordability. Partner with stakeholders to translate complex data into actionable business insights and scalable analytical frameworks.

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Director, Product Growth Enablement and Innovation

The Cigna Group · Full Time · 16 hours ago

The Cigna Group

🌎 United States 💵 $155K - $258K per year ⭐ 10+ yrs exp 💼 Product

The Director sets the strategy for product growth enablement, solution positioning, and portfolio investment priorities to scale product value across the organization. They lead the development of sales assets and translate market insights into actionable product roadmap recommendations.

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Prior Authorization Representative- Evernorth- Remote

The Cigna Group · Full Time · 20 hours ago

The Cigna Group

🌎 United States 💵 $17 - $26 per hour ⭐ 0-2 yrs exp 💼 Others

The representative manages the authorization process for enteral nutrition services by submitting requests and following up with insurance plans. They coordinate between clinicians, patients, and providers to ensure timely approvals and reduce delays in care.

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U3000 Regional Implementation Specialist - Cigna Healthcare - Remote

The Cigna Group · Full Time · 20 hours ago

The Cigna Group

🌎 United States 💵 $55700 - $92900 per year ⭐ 5-10 yrs exp 💼 Healthcare

Manage the installation process for medical, dental, and vision accounts within the U3000 regional market. Coordinate with matrix partners to maintain benefit summaries, handle ePro transactions, and ensure accurate plan implementation.

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Financial Analysis Advisor - Express Scripts - Remote

The Cigna Group · Full Time · 3 days ago

The Cigna Group

🌎 United States 💵 $96800 - $161K per year ⭐ 2-5 yrs exp 💼 Finance

Oversees pharmacy contractual guarantees through performance analysis, forecasting, and pricing recommendations. Manages provider contracts throughout their lifecycle and partners with cross-functional teams to support negotiations and strategic initiatives.

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Information Protection Advisor

The Cigna Group · Full Time · 3 days ago

The Cigna Group

🌎 United States 💵 $103K - $171K per year ⭐ 5-10 yrs exp 💼 Others

Design and deliver scalable, secure enterprise applications while translating complex requirements into maintainable architecture. Lead technical decision-making, optimize database performance, and mentor other developers to foster a culture of continuous improvement.

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Business Analytics Associate - Provider Contracting & Network Analytics - Remote

The Cigna Group · Full Time · 3 days ago

The Cigna Group

🌎 United States 💵 $79000 - $131K per year ⭐ 2-5 yrs exp 💼 Software Development

Provide analytical and strategic support for healthcare provider rate negotiations and unit cost improvement. Partner with various business units to deliver contract analysis and ensure competitive market positioning.

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Medical Director

The Cigna Group · Full Time · 3 days ago

The Cigna Group

🌎 United States 💵 $212K - $354K per year ⭐ 5-10 yrs exp 💼 Healthcare

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.

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Software Engineering Senior Analyst

The Cigna Group · Full Time · 3 days ago

The Cigna Group

🌎 India ⭐ 5-10 yrs exp 💼 Others

Drive the adoption of DevOps culture and quality engineering principles across International Markets. Design and implement secure, compliant CI/CD pipelines and automate deployment processes.

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Clinical Strategy Sr. Advisor - Evernorth - Hybrid/Remote (New Sales)

The Cigna Group · Full Time · 4 days ago

The Cigna Group

🌎 United States 💵 $123K - $205K per year ⭐ 5-10 yrs exp 💼 Sales

Provides clinical direction and pharmacy expertise to support new sales opportunities and product development. Collaborates across teams to translate pharmacy trends and condition dynamics into actionable guidance for client engagements and RFP responses.

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Customer Success Manager, Pharmacy Team - Verity 340B Solutions - Remote

The Cigna Group · Full Time · 4 days ago

The Cigna Group

🌎 United States 💵 $64100 - $106K per year ⭐ 2-5 yrs exp 💼 Sales

Manage a portfolio of pharmacy accounts to drive program performance and maintain 340B compliance. Analyze financial results and operational data to provide actionable insights and conduct regular business reviews for clients.

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Claim Negotiator - Non‑Par Reimbursement - Remote

The Cigna Group · Full Time · 4 days ago

The Cigna Group

🌎 United States 💵 $58100 - $96900 per year ⭐ 2-5 yrs exp 💼 Others

The role is responsible for negotiating reimbursement rates and single case agreements with non-participating healthcare providers. It involves collaborating with internal teams to resolve disputes and ensuring compliance with regulatory requirements.

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Customer Service Representative - Accredo - Remote

The Cigna Group · Full Time · 4 days ago

The Cigna Group

🌎 United States 💵 $17.75 - $19 per hour ⭐ 0-2 yrs exp 💼 Support

Serve as the primary point of contact for patients, doctors, and caregivers to assist with medication scheduling and account support. Document all patient interactions in real-time and escalate concerns to ensure patients receive proper care and advice.

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Director of Performance Consulting, Operations Enablement - Remote

The Cigna Group · Full Time · 5 days ago

The Cigna Group

🌎 United States 💵 $149K - $248K per year ⭐ 10+ yrs exp 💼 Others

Lead a team of performance consultants to diagnose business gaps and design data-driven solutions that improve operational outcomes. Serve as a strategic partner to leadership to align enablement investments across training, quality, and technology with business needs.

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Medical Collections Specialist, Home Infusion - Evernorth - Remote

The Cigna Group · Full Time · 6 days ago

The Cigna Group

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The role focuses on resolving insurance claims and managing unpaid accounts to improve reimbursement outcomes. Responsibilities include researching denials, submitting appeals, and communicating with payers and patients to ensure payment accuracy.

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Pharmacy Market Manager, West Region - Cigna Healthcare - Remote

The Cigna Group · Full Time · 6 days ago

The Cigna Group

🌎 United States 💵 $121K - $202K per year ⭐ 5-10 yrs exp 💼 Healthcare

Leads pharmacy benefit strategy for Middle Market and Select Segment clients in the West Region while managing a team of Pharmacy Clinical Account Managers. Partners with Medical Sales and brokers to drive retention, growth, and the adoption of cost-lowering pharmacy solutions.

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Information Protection Senior Advisor

The Cigna Group · Full Time · 6 days ago

The Cigna Group

🌎 United States 💵 $124K - $207K per year ⭐ 5-10 yrs exp 💼 Others

Provide engineering and vaulting support for Privileged Access Management tools like CyberArk and HashiCorp. Lead the design, implementation, and optimization of cloud-native security features while mentoring software engineers.

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Data Measurement & Reporting Advisor - Evernorth Health Services - Hybrid

The Cigna Group · Full Time · 6 days ago

The Cigna Group

🌎 United States 💵 $96700 - $161K per year ⭐ 2-5 yrs exp 💼 Healthcare

Deliver accurate production and ad hoc reporting to support Pharmacy Sales & Account Management and other internal partners. Manage data extraction, dashboard maintenance, and automation initiatives to drive data-informed decision-making.

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Data Science Director - Remote

The Cigna Group · Full Time · 6 days ago

The Cigna Group

🌎 United States 💵 $178K - $297K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the strategy and development of machine learning models to support pricing, underwriting, and risk decisions in a healthcare environment. Manage the full model lifecycle and partner with cross-functional teams to integrate analytical insights into business processes.

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Pharmacy Technician - Accredo Specialty Pharmacy - Remote, PA and AZ

The Cigna Group · Full Time · 6 days ago

The Cigna Group

🌎 United States 💵 $18 - $27 per hour ⭐ 2-5 yrs exp 💼 Healthcare

The role involves managing inbound and outbound calls to gather patient demographics and coordinate prescription requests with providers. Additionally, the technician ensures accurate data entry of prescriptions and investigates non-clinical issues with healthcare providers.

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Customer Success Manager, Pharmacy Team - Verity 340B Solutions - Remote

The Cigna Group · Full Time · 7 days ago

The Cigna Group

🌎 United States 💵 $88700 - $147K per year ⭐ 5-10 yrs exp 💼 Sales

Lead and develop a team of Customer Success Managers to provide proactive 340B program support for pharmacy partners. Monitor data metrics and financial results to improve program outcomes and maximize savings for customers.

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Clinical Program Advisor - Express Scripts - Remote (Centene)

The Cigna Group · Full Time · 7 days ago

The Cigna Group

🌎 United States 💵 $95500 - $159K per year ⭐ 5-10 yrs exp 💼 Healthcare

Provides expert counsel on complex Clinical Program Management matters and serves as a strategic advisor to internal stakeholders and external clients. Leads large strategic projects to enhance operating effectiveness and ensures the accurate implementation of clinical benefit requirements.

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Medical Director, Post Acute Care- PM&R

The Cigna Group · Full Time · 7 days ago

The Cigna Group

🌎 United States 💵 $207K - $346K per year ⭐ 2-5 yrs exp 💼 Healthcare

Perform evidence-based medical necessity reviews for patient care using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.

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Senior Director, US Employer Operations - Head of Medical Call Centers

The Cigna Group · Full Time · 7 days ago

The Cigna Group

🌎 United States 💵 $180K - $300K per year ⭐ 10+ yrs exp 💼 Healthcare

Lead the strategic direction and operational performance of the U.S. Employer Medical Customer Service organization, overseeing 1,300+ team members and a $60 million budget. Drive digital transformation through AI-enabled capabilities and ensure high-quality customer outcomes across all medical service lines.

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Senior Advisor, Care Model & Payment Innovation - The Cigna Group - Hybrid

The Cigna Group · Full Time · 7 days ago

The Cigna Group

🌎 United States 💵 $116K - $193K per year ⭐ 5-10 yrs exp 💼 Others

Design and implement innovative care delivery models and alternative payment structures across Cigna Healthcare and Evernorth. Manage a pipeline of strategic partnerships and align cross-enterprise stakeholders to improve health outcomes and manage total cost of care.

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Account Executive - Cigna Pharmacy (South Texas) - Cigna - Remote

The Cigna Group · Full Time · 10 days ago

The Cigna Group

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

The Pharmacy Account Executive serves as the primary expert on pharmacy benefits for clients with up to 3,000 employees in South Texas. The role focuses on managing client persistency, driving growth strategies, and collaborating with Medical Sales teams to reduce total healthcare costs.

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National Account Executive - Northeast - Remote

The Cigna Group · Full Time · 11 days ago

The Cigna Group

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

Lead strategic relationships with large, complex healthcare accounts to drive growth and deliver solutions aligned with client goals. Manage the end-to-end sales process and use data-driven insights to shape account strategies and meet revenue objectives.

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Payer Contracting Manager, Home Infusion - Evernorth - Remote

The Cigna Group · Full Time · 12 days ago

The Cigna Group

🌎 United States 💵 $103K - $173K per year ⭐ 10+ yrs exp 💼 Others

The Payer Contracting Manager builds and maintains a knowledge base of home infusion reimbursement to advise health system partners on contract optimization. They serve as a strategic liaison between client leadership and internal teams to align payer requirements with operational and financial outcomes.

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Provider Contracting Director-West Region (Remote)

The Cigna Group · Full Time · 13 days ago

The Cigna Group

🌎 United States 💵 $156K - $261K per year ⭐ 5-10 yrs exp 💼 Others

Oversee field contractor compliance with contracting standards, reimbursement policies, and the contract escalation process. Provide guidance on national standards and collaborate with cross-functional teams to improve contract language and business processes.

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Senior Director, Product Strategy

The Cigna Group · Full Time · 13 days ago

The Cigna Group

🌎 United States 💵 $183K - $305K per year ⭐ 10+ yrs exp 💼 Product

Lead the enterprise digital strategy to drive business value through AI innovation, digital containment, and channel optimization. Act as a strategic connector between product teams, engineering, and business leaders to align investments with high-value customer outcomes.

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Senior Advisor, Business Analytics - Digital Product

The Cigna Group · Full Time · 13 days ago

The Cigna Group

🌎 United States 💵 $112K - $188K per year ⭐ 5-10 yrs exp 💼 Software Development

The role focuses on building the analytical foundation to connect digital product strategies with financial and strategic outcomes. This includes developing measurement frameworks, optimizing digital capabilities, and translating complex data into actionable business narratives.

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Product Management Senior Manager

The Cigna Group · Full Time · 14 days ago

The Cigna Group

🌎 United States 💵 $131K - $218K per year ⭐ 5-10 yrs exp 💼 Product

Develop and execute the product strategy and roadmap for agent experience tools to improve productivity and service quality. Lead the development of AI-powered tools and collaborate with cross-functional teams to enhance the overall agent and customer experience.

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IOH Provider Claims SME

The Cigna Group · Full Time · 15 days ago

The Cigna Group

🌎 Spain ⭐ 2-5 yrs exp 💼 Legal

Act as a Subject Matter Expert for IOH Provider Claims, focusing on process improvement, financial verification, and quality audits. Lead the training and onboarding of new hires while monitoring team performance and resolving escalated cases.

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Business Development Senior Advisor, Intelligence Solutions - Evernorth Health Services - Remote

The Cigna Group · Full Time · 17 days ago

The Cigna Group

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

Lead the full sales lifecycle for data and analytics solutions, from lead generation to contract execution. Act as a strategic liaison between clients and internal teams to align product roadmaps with market needs.

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Lead Analyst-Forsyth Health - Remote

The Cigna Group · Full Time · 17 days ago

The Cigna Group

🌎 United States 💵 $79000 - $131K per year ⭐ 2-5 yrs exp 💼 Healthcare

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 internal teams to optimize data sharing processes.

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Senior Director, Product Strategy

The Cigna Group · Full Time · 19 days ago

The Cigna Group

🌎 United States 💵 $183K - $305K per year ⭐ 10+ yrs exp 💼 Product

Define and deliver the end-to-end digital product strategy and roadmap across a complex portfolio of healthcare products. Lead cross-functional teams to drive consistency, speed, and impact through data-driven prioritization and AI innovation.

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Medical Director - Neurologist

The Cigna Group · Full Time · 20 days ago

The Cigna Group

🌎 United States 💵 $212K - $354K per year ⭐ 5-10 yrs exp 💼 Healthcare

Perform benefit-driven medical necessity reviews and case management activities to ensure quality outcomes for members. Provide clinical insight and consultation to internal departments and serve as a clinical educator for utilization and pharmacy operations.

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Infrastructure Engineering Senior Advisor – Governance, Risk & Compliance (GRC)

The Cigna Group · Full Time · 20 days ago

The Cigna Group

🌎 United States 💵 $105K - $176K per year ⭐ 2-5 yrs exp 💼 Software Development

The role manages governance, risk, and compliance activities for the network team, acting as the primary liaison with audit and security groups. Responsibilities include tracking security risks, supporting internal and external audits, and creating compliance reports.

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Senior Growth Consultant, Commercial - Express Scripts

The Cigna Group · Full Time · 21 days ago

The Cigna Group

🌎 United States 💵 $126K - $210K per year ⭐ 10+ yrs exp 💼 Marketing

The role focuses on helping health plan partners grow their employer group pharmacy benefit business through strategic go-to-market planning. This includes managing the pharmacy sales bid process and maintaining strong relationships with brokers and consultants.

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