Program Management Lead Analyst

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

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.

📋 Description

• 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.

🎯 Requirements

• 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. • 5+ years of clinical or related healthcare experience (preferred) • Experience with CPT and ICD-10 coding (preferred) • Proficiency in Microsoft Office and healthcare technology platforms (preferred) • Demonstrated ability to influence, collaborate, and drive outcomes across cross-functional teams (preferred).

🏖️ Benefits

• medical, vision, dental, and well-being and behavioral health programs • 401(k) • company paid life insurance • tuition reimbursement • a minimum of 18 days of paid time off per year • paid holidays • leaves of absence