Full-Time
Cigna Group
1,001-5,000 employees
No salary listed
Senior
St. Louis, MO, USA
3 days per week in-office + 2 days work at home. Candidates can be based out of any US Cigna Healthcare office.
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- Bachelor's degree required, Master’s degree preferred
- Minimum of 5 years of experience in healthcare utilization management or a related field
- Ability to work independently and adapt quickly to changing environments
- Comfort with complex systems and processes
- Excellent strategic thinking and problem-solving abilities
- Process optimization and efficiency improvement
- Strong analytical and decision-making skills
- Experience with OnePA, CSP, ATK, and medical/drug claim processing is strong plus
- Proficiency in Microsoft Office, including Excel and Access
- Strong organizational skills and ability to manage multiple projects
- Ability to travel as needed up to 10%
- Develop a process to validate that cross-functional business and formulary strategy requirements are accurately implemented and functioning as expected and through testing in various enterprise applications: OnePA, CSP, ATK, pharmacy and medical claims
- Analyze and document the behaviors of applications, with a focus on downstream impacts including communications
- Possess a working knowledge of prior authorization processes and claims adjudication and ensure end to end process is not broken
- Collaborate with cross-functional partners to resolve complex issues
- Document findings in a clear and relevant manner to be reviewed at leadership level
- Other tasks as assigned
Company Size
1,001-5,000
Company Stage
N/A
Total Funding
N/A
Headquarters
N/A
Founded
N/A
Simplify's Take
What believers are saying
- Cigna's revenue increased by 27% in 2024, reaching $247.1 billion.
- The sale of Medicare businesses enables capital allocation for share repurchases.
- Cigna's commitment to mental health aligns with growing demand for mental health services.
What critics are saying
- Increased competition in Medicare Advantage could impact Cigna's market share.
- Leadership changes may lead to instability or strategic shifts affecting growth.
- The sale of Medicare businesses may raise concerns about Cigna's commitment to Medicare.
What makes Cigna Group unique
- Cigna's divestment of Medicare businesses allows focus on innovation and core services.
- The Cigna Group Foundation's $9 million commitment addresses youth mental health crisis.
- Leadership changes aim to enhance customer focus and accelerate growth strategy.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
401(k) Company Match
Paid Vacation
Paid Holidays
Wellness Program
Company News
Business Roundtable and The Cigna Group convened senior executives and community leaders last week in the Bay Area for a Workforce Mental Health Summit.
BLOOMFIELD, Conn., March 19, 2025 /PRNewswire/ -- Global health company The Cigna Group (NYSE: CI) today announced the successful completion of the sale of its Medicare Advantage, Cigna Supplemental Benefits, Medicare Part D, and CareAllies businesses to Health Care Service Corporation (HCSC). The divestment of these assets streamlines The Cigna Group's portfolio and enables it to drive further innovation to support customers.As previously announced, proceeds from the sale will be used in alignment with The Cigna Group's capital deployment priorities, with the majority expected to be allocated to share repurchases."We are proud of the positive impact we have made in people's lives and the unique value provided through our Medicare businesses and are confident that HCSC will continue the meaningful work that we have done for these customers. We remain committed to serving Medicare populations through the portfolio of products and services we offer through Evernorth Health Services," said David M. Cordani, Chairman and Chief Executive Officer of The Cigna Group.The Cigna Group will continue to provide pharmacy benefit services and other solutions to the Medicare businesses through its health services company Evernorth Health Services as part of services agreements with HCSC for an agreed period post-closing."This transaction is fully aligned with our mission of expanding access to quality health care by adding capabilities and deepening our geographic presence across the United States," said Maurice Smith, HCSC's CEO, President and Vice Chair. "We recognize that the health and wellness needs for older Americans are growing, and we plan to have an important role in helping seniors live healthier, fuller lives. We are excited to welcome our new Medicare members and the employees who will continue to help them achieve their best health."The transaction is not expected to disrupt coverage or service for customers, clients, providers, or brokers of the Medicare or CareAllies businesses
Brian Evanko named President and Chief Operating Officer, The Cigna GroupAnn Dennison named Executive Vice President and Chief Financial Officer, The Cigna GroupNicole Jones , Chief Administrative Officer and General Counsel, to assume oversight of Enterprise MarketingEric Palmer , President and Chief Executive Officer of Evernorth Health Services, to depart The Cigna GroupReaffirms Full Year 2025 Financial OutlookBLOOMFIELD, Conn., March 13, 2025 /PRNewswire/ -- The Cigna Group (NYSE: CI), a global health company, today announced leadership changes designed to further drive the company's focus on customers and patients and accelerate its growth strategy."These leadership changes create a sharpened structure to build upon our strengths for continued growth, enhance our customer focus, and deliver even greater value for those we serve," said David M. Cordani, Chairman and Chief Executive Officer (CEO), The Cigna Group. "The bedrock of our continued success is our exceptional talent. We have one of the most experienced leadership teams in the industry to ensure that we deliver on the bold commitments we have set for ourselves for growth and to further our impact."Brian Evanko named President and Chief Operating Officer, The Cigna GroupBrian Evanko has been named President and Chief Operating Officer (COO), The Cigna Group, with responsibility for all business lines reporting to Chairman and CEO David Cordani, effective March 31. In January 2024, Evanko was named President and Chief Executive Officer for Cigna Healthcare with oversight of all Cigna Healthcare businesses. Evanko also serves as the company's Chief Financial Officer, a role he has held since 2021
In addition, Ann Dennison, who joined Cigna last year from Nasdaq where she was chief financial officer, has been named executive vice president and chief financial officer, The Cigna Group, reporting to Cordani and joining the company's enterprise leadership team.
Nonprofits are encouraged to apply now for 2025 grantsThe Cigna Group Foundation committed $9 million in 2024 to address youth mental health, distributing $3 million each year through 2026In first year, 28 grantees were awarded funding to expand programs, including youth camps, mindfulness coach program and conflict resolution techniquesBLOOMFIELD, Conn., Feb. 12, 2025 /PRNewswire/ -- The Cigna Group Foundation, the philanthropic arm of The Cigna Group (NYSE: CI), announced today it is taking further actions to combat the youth mental health crisis sweeping the nation. As part of a $9 million, three-year commitment that began in 2024, the Foundation has opened its second year of funding and will distribute $3 million in grants to address post-pandemic stress and distress among youth ages 5-18.The commitment includes funding to support those who care for youth in everyday settings and interactions, including parents, caregivers, and youth service professionals, such as educators and therapists. The 2025 grant application is now open for eligible organizations in select states through March 13, 2025."We recognize conditions spurred by stress in a post-pandemic world are pervasive among our nation's youth. That's why The Cigna Group Foundation remains dedicated to partnering with trusted nonprofit organizations that can deliver local resources and services aimed at supporting and improving youth mental health and well-being," said Melissa Skottegaard, board chair, The Cigna Group Foundation. "We've already seen the positive impacts of these collaborations in several communities where organizations are using grant funds to expand or launch vital youth programs