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Summary: Make a meaningful impact at the intersection of clinical insight and client innovation. As a Program
Management Lead Analyst, you will play a critical role supporting our Client Growth & Innovations (CGI)
Clinicians by transforming complex clinical and claims data into clear, actionable insights. Your work
helps strengthen provider partnerships, supports client decision-making, and advances our commitment
to better health outcomes, affordability, and experience.
Responsibilities:
• Deliver timely, high-quality clinical and claims insights that enable CG&I Clinicians to support
clients and broker engagements.
• Analyze, investigate, and summarize high-cost claim data, including TC131 and TC56 reports, to
inform Total Health Insight deliverables and external clinician meetings.
• Conduct comprehensive clinical summary reviews for high-cost claimants in alignment with
established clinical and corporate guidelines.
• Interpret medical records and claims data to identify trends, risks, and opportunities that support
strategic recommendations.
• Synthesize findings into clear, executive-ready summaries for Market Medical Executives and
Nurse Executives.
• Lead or contribute to small- to mid-sized projects focused on improving processes, quality, and
efficiency.
• Partner effectively across a matrixed organization, building trust and momentum in a fast-paced,
evolving environment.
• Apply a working knowledge of core clinical programs, products, and systems (e.g., ICMS, CCMS,
HEV, OneView, TruCare) to support business outcomes.
Required Qualifications
• 3+ years of clinical or clinical support experience.
• Strong analytical and research skills with the ability to interpret complex clinical and claims
information.
• Experience reviewing medical records and summarizing clinical findings.
• Effective written and verbal communication skills, with the ability to convey insights clearly to
diverse stakeholders.
• Strong organizational and time management skills, with comfort managing multiple priorities.
Preferred Qualifications:
• 5+ years of clinical or related healthcare experience.
• Experience with CPT and ICD-10 coding.
• Proficiency in Microsoft Office and healthcare technology platforms.
• Demonstrated ability to influence, collaborate, and drive outcomes across cross-functional teams.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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