Claims Systems Project Lead Analyst - Remote

Position Summary

The Business Project Lead Analyst is an individual contributor who supports the Claims organization as a subject matter expert (SME) on enterprise projects and ClaimsXten (CXT) initiatives. This role focuses on improving claim processes, increasing automation, reducing costs, and driving efficiency. The analyst manages day‑to‑day project tasks independently and works closely with business and IT partners to deliver results.

Key Responsibilities

• Create and test ClaimsXten (CXT) scripts using medical claim systems such as Proclaim, Facets, PMHS, and PPN.
• Partner with Quality Engineering (QE) teams to support testing, retesting, and issue resolution.
• Document workflows, test results, and system changes clearly and accurately.
• Work with business leaders and change teams to support readiness, training, and implementation.
• Provide clear project updates, reporting, and post‑implementation monitoring.
• Identify opportunities to automate processes, improve service quality, and reduce operating costs.
• Support or lead small projects or components of larger initiatives.
• Coordinate with business SMEs and IT partners to meet scope, cost, and timeline goals.
• Ensure project plans are documented, approved, and executed as designed.

Qualifications

• High School Diploma or GED required.
• 3+ years of experience with one or more of the following medical claim systems (Proclaim, Facets, PMHS, or PPN) required.
• Experience creating or testing ClaimsXten (CXT) edits strongly preferred.
• Coding or system configuration experience preferred.
• Experience supporting project readiness activities such as training, procedures, and implementation.
• Ability to work independently in a fast‑changing environment.
• Strong skills in documenting business requirements and process changes.
• Ability to manage multiple priorities and meet deadlines.
• Strong problem‑solving, decision‑making, and communication skills.
• Proficient in Microsoft Office, SharePoint, and project tools; advanced Excel skills preferred.
• Proven ability to work well with cross‑functional teams and stakeholders at all levels.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 75,700 - 126,100 USD / yearly, depending on relevant factors, including experience and geographic location.

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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.