The Cigna Group
Health Insurance (Payers)
See how your profile stacks up against this role.
We compared the job requirements to your profile to show where you're strong and where you fall short.
Summary: Make a meaningful impact at the intersection of clinical insight and client innovation. As a Program
Management Lead Analyst, you will play a critical role supporting our Client Growth & Innovations (CGI)
Clinicians by transforming complex clinical and claims data into clear, actionable insights. Your work
helps strengthen provider partnerships, supports client decision-making, and advances our commitment
to better health outcomes, affordability, and experience.
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.
Required Qualifications
• 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.
Preferred Qualifications:
• 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.
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, paid holidays, and leaves of absence. 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.
After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.
Marcus Rivera
Chief Revenue Officer

Kapres Technology

Stride, Inc.

SGS

Trax Technologies

Arrow Components

The Cigna Group

The Cigna Group

The Cigna Group