Operations Lead Analyst - Remote

Position Summary

This individual contributor role supports new and evolving programs within the Reimbursement Capitation and Collaboration Operations (RCO) team. RCO ensures accurate and timely payments for capitation and value-based programs. The role focuses on payment processing, contract setup, reporting, and issue resolution across multiple systems in a fast‑changing environment.

Key Responsibilities

• Process monthly, quarterly, and annual payments and reconcile files to ensure no errors
• Configure contracts and payment details in multiple systems
• Investigate and resolve data and payment issues
• Document current processes and recommend improvements
• Track, analyze, and report payment activity and program metrics
• Partner with cross‑functional teams to support changing contracts and business needs
• Support short‑term fixes while helping drive long‑term solutions

Qualifications

• High School Diploma or GED required. Bachelor’s degree preferred
• 2+ years of experience with value‑based or non‑fee‑for‑service payments
• 3+ years of healthcare payment or claims data experience
• Knowledge of capitation and/or value-based payment concepts, processes and systems such as CCMI, and PMHS capitation strongly preferred.
• Experience with reporting tools such as Toad, Databricks, or SAS
• Strong Excel skills; working knowledge of PowerPoint
• Ability to work independently and with cross‑functional partners
• Strong analytical, problem‑solving, and communication skills
• Ability to manage multiple priorities in a changing environment
• Knowledge of Cigna payment systems is a plus

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 62,600 - 104,300 USD / yearly, depending on relevant factors, including experience and geographic location.

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 and paid holidays. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.