Program Management Lead Analyst - Encore Program - Remote

The Cigna Group

1d • Remote

About The Position

Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
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.

Requirements

• 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.

Nice To Haves

• 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.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level