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Cigna Healthcare · 11 hours ago

Program Management Lead Analyst - Encore Program - Remote

United States

Full-time

Remote

Mid, Senior Level

3+ years exp

Cigna Healthcare is dedicated to improving health and vitality, and they are seeking a Program Management Lead Analyst to support their Client Growth & Innovations Clinicians. This role involves transforming complex clinical and claims data into actionable insights to enhance provider partnerships and client decision-making.

Hospital & Health Care

H1B Sponsor Likely

Responsibilities

Deliver timely, high-quality clinical and claims insights that enable CGI Clinicians to support client and broker engagements

Analyze, investigate, and summarize HCC 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

Qualification

Clinical support experienceAnalytical skillsMedical records reviewCPTICD-10 codingMicrosoft Office proficiencyCommunication skillsOrganizational skillsTime management skillsCollaboration skills

Required

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

Bachelor's degree in a related field

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

Company

Cigna Healthcare

We are a health benefits provider that advocates for better health through every stage of life.

Founded in 1982

Bloomfield, CT, US

10001+ employees

http://www.cigna.com

H1B Sponsorship

Cigna Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (442)

2024 (335)

2023 (324)

Funding

Current Stage

Late Stage

Leadership Team

Laura Cascudo

CEO Communications Operations / Communications Operations Director

Stephanie Bobb

CEO Communications Operations Lead

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Company data provided by crunchbase