Summary
The Health Utilization Management Analytics (HUMA) team is seeking a senior individual contributor to support analytics for the Transparency initiative—a high‑visibility effort that informs executive commitments, regulatory requirements, and strategic decision making related to utilization management programs.
This role is ideal for an experienced healthcare analytics professional with strong quantitative skills, sound analytical judgment, and the ability to translate complex analyses into clear, actionable insights. The advisor will support Transparency methodology, metrics, and analysis, partnering closely with Medical Directors and enterprise stakeholders to ensure insights are well‑documented, reliable, and aligned with clinical and business context.
Responsibilities
Support the analytical execution for Transparency reporting, including metric definition, methodology implementation, analysis, and documentation for non‑delegated authorization experience
Contribute to analytical logic and documentation that support external transparency commitments, regulatory considerations, and internal leadership needs
Perform utilization, trend, and comparative analyses to evaluate UM program performance and identify opportunities for improvement
Apply analytical judgment to address data variability, limitations, and assumptions, escalating risks and considerations as appropriate
Translate analytical findings into clear, decision‑focused insights for senior leaders and clinical stakeholders
Partner closely with Medical Directors, clinical leaders, and cross‑functional teams to ensure analyses appropriately reflect clinical workflows and operational realities
Support additional Utilization Management analytics initiatives and ad hoc priorities as needed, contributing flexibility across the HUMA portfolio
Qualifications
7+ years' of experience applying analytics in healthcare, with demonstrated familiarity with utilization management concepts and healthcare data (e.g., claims, authorizations, ICD‑10)
Experience with utilization analysis, program evaluation, trend monitoring, and comparative analyses
Ability to clearly articulate methodology, data considerations, limitations, and implications to both technical and non‑technical audiences
Strong data visualization and storytelling skills; experience communicating through dashboards and presentations (Tableau experience preferred)
Experience working with or alongside actuarial or finance partners is highly desired
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, 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), 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, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.