The Cigna Group · 15 hours ago
Program Management Lead Analyst - Encore Program - Remote
United States
Part-time
Remote
Mid, Senior Level
3+ years expThe Cigna Group is dedicated to improving health and vitality through innovative client solutions. As a Program Management Lead Analyst, you will support the Client Growth & Innovations team by transforming complex clinical and claims data into actionable insights to enhance provider partnerships and client decision-making.
HealthcareHospitalProperty & Casualty InsuranceCommercialHealth CareInsuranceMedical
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
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
The Cigna Group
The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
David Cordani
Chairman and Chief Executive Officer
Michele Berg
CEO Communications
Recent News
2026-01-25
2026-01-06
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