Program Management Lead Analyst - Cigna Healthcare - Remote

The Program Management Lead Analyst, as part of the Clinical Sales and Network Organization Business (CSNO) Team, supports CSNO Clinicians who represent Cigna externally and enables the successful alignment between our most Complex Clients, Provider Partners and Stakeholders and Cigna's Clinical Programs, Products and Services. The Clinicians support the Sales Organization for key Cigna clients and contribute toward the successful execution of Value-Based partnerships such as Cigna’s Collaborative Care Organizations (CCC), working cross-organizationally to influence and drive change that results in improved quality, affordability and satisfaction for our customers.

Responsibilities:

• Completion of the care management summary for High-Cost Claimant reporting, following corporate guidelines

• Research and presentation of findings to support the Market Medical Executive / Clinical Consultant to help prompt problem resolution

• Performs root cause analysis on escalated issues and recommends system/ process improvement to leadership for improvements/ corrections.

• May lead to a small to mid-sized project to implement recommended improvements.

• Utilize critical thinking to identify and present resolution to escalated issues.

• Work with multiple matrix partners in a fast-paced environment.

• Navigation in ICMS, HC ICMS, CCMS, HEV, OneView, Evernorth, Express Scripts, and TruCare

• Understanding of Cigna's basic clinical programs

Qualifications:

• Requires a significant (minimum of 5 years) clinical or clinical support background.

• Requires a high level of ability in analyzing and researching clinical information.  

• Knowledge of CPT codes required.

• Excellent time management, organizational, research, analytical, communication and interpersonal skills with demonstrated ability to build strong relationships and influence diverse teams.

• Demonstrates Flexible, Consultative Critical Thinking and Action planning.

• Outstanding verbal and written communication skills.

• Proficient in using Microsoft and Technology/Software applications.

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 76,400 - 127,300 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.

We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.

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