Program Management Lead Analyst, Clinical Sales & Network Organization

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November 20

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The Cigna Group

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Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

📋 Description

• Complete care management summary reviews for high-cost claimants in accordance with corporate guidelines • Conduct in-depth clinical summary reviews • Summarize and compile findings to support Market Medical Executives and Nurse Executives in client-facing engagements • May lead 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

🎯 Requirements

• Minimum of 5 years of clinical or clinical support experience • Strong analytical and research skills • 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

🏖️ Benefits

• Health insurance • Vision insurance • Dental insurance • Well-being and behavioral health programs • 401(k) with company match • Company paid life insurance • Tuition reimbursement • Minimum of 18 days paid time off per year • Paid holidays