Note: The job is a remote job and is open to candidates in USA. The Cigna Group is dedicated to improving health and vitality through its divisions, including Cigna Healthcare. As a Program Management Lead Analyst, you will support Client Growth & Innovations by transforming complex clinical and claims data into actionable insights that enhance provider partnerships and client decision-making.
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
Skills
- 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
- 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
Benefits
- Annual bonus plan
- 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.
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
Company Overview