
10,000+ employees
Founded 1982
đĽ Healthcare
âď¸ Healthcare Insurance
đ Pharmaceuticals
Healthcare ⢠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.
đĽ 0 minutes ago
đşđ¸ United States â Remote
đľ $76.1k - $126.9k / year
â° Full Time
đ Senior
â Product Manager
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10,000+ employees
Founded 1982
đĽ Healthcare
âď¸ Healthcare Insurance
đ Pharmaceuticals
Healthcare ⢠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.
⢠Coordinate data collection, validation, quality reviews, and issue resolution for CMS and HPMS submissions ⢠Ensure regulatory submissions are accurate and timely across multiple plan years and business priorities ⢠Monitor findings, trends, and corrective actions ⢠Contribute to submission validation and post-submission performance monitoring ⢠Coordinate and validate partner data for Open Enrollment readiness ⢠Partner with stakeholders on milestones, risk reduction, testing, implementation, and operational readiness ⢠Maintain CMS-related reporting and operational performance metrics ⢠Provide reporting and analysis to support business decisions and improve outcomes ⢠Identify trends, risks, and improvement opportunities across Plan Finder operations ⢠Develop and coordinate Field Alerts and operational communications related to Medicare Plan Finder updates and CMS guidance ⢠Coordinate intake requests, inquiries, operational support needs, and Government Programs Intake Requests through completion ⢠Develop and maintain process documentation, job aids, trackers, and reference materials ⢠Support continuous improvement initiatives for clients, members, and internal partners
⢠3+ years of experience in Medicare, regulated markets, healthcare operations, compliance, pharmacy benefit management (PBM), product support, or a related field ⢠Strong Microsoft Excel skills, including data analysis, reporting, tracking, and management of complex datasets ⢠Ability to manage multiple priorities and deadlines while maintaining accuracy and attention to detail ⢠Strong written and verbal communication skills across teams and stakeholder groups ⢠Ability to analyze information, solve problems, and drive work forward in a fast-paced environment ⢠Ability to work independently while building collaborative relationships ⢠Experience supporting CMS, HPMS, Medicare Plan Finder, or regulatory submission processes preferred ⢠Experience supporting Open Enrollment or large-scale operational initiatives preferred ⢠Experience with reporting, analytics, compliance monitoring, or operational performance tracking preferred ⢠Working knowledge of Microsoft Access or similar database tools preferred ⢠Experience managing shared mailboxes, intake workflows, or service request processes preferred ⢠Experience supporting process improvement initiatives preferred ⢠Bachelor's degree in Business, Healthcare Administration, Public Health, Information Systems, or a related field preferred ⢠Ability to learn and apply emerging technologies, including Microsoft Copilot and other productivity tools ⢠For home work, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload
⢠Annual bonus plan eligibility ⢠Medical benefits ⢠Vision benefits ⢠Dental benefits ⢠Well-being and behavioral health programs ⢠401(k) ⢠Company-paid life insurance ⢠Tuition reimbursement ⢠Minimum of 18 days of paid time off per year ⢠Paid holidays ⢠Leaves of absence ⢠Remote work from home
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