Cigna Remote jobs - 1,179 jobs

Home Infusion Registered Nurse - Accredo Specialty Pharmacy Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes. As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications. However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care. You'll work independently, making decisions that lead to the best outcomes for your patients. You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team. For more than 30 years, Accredo has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others. How you'll make a difference and improve lives: Empower Patients: Focus on the overall well-being of your patients. Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health. Administer Medications: Take full responsibility for administering IV infusion medications in patients' homes. Provide follow-up care and manage responses to ensure their well-being. Stay Connected: Be the main point of contact for updates on patient status. Document all interactions, including assessments, treatments, and progress, to keep track of their journey. Requirements: Active RN license in the state where you'll be working and living 2+ years of RN experience 1+ year of experience in critical care, acute care, or home healthcare Strong skills in IV insertion Valid driver's license Willingness to travel to patients' homes within a large geographic region Ability to work 32 hours a week (can include days, evenings, and weekends, per business need) Flexibility to work different shifts on short notice and be available for on-call visits as needed 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. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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: ...@cigna.com for support. Do not email ...@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.

A leading health care company is seeking a Legal Counsel to join its Operations and Experience Legal team. This role involves providing legal advice and counsel on regulatory requirements in the health care industry. Candidates must possess a Juris Doctorate degree and an active law license in at least one US jurisdiction, with a minimum of 6 years of legal experience, including health plan expertise. The position offers the flexibility to work remotely from anywhere in the U.S. #J-18808-Ljbffr

A leading healthcare provider is seeking a Project Management Lead to oversee diverse projects, ensuring they are completed on time and within budget. The successful candidate will develop operational plans, manage project meetings, and enhance communication across teams. With a Bachelor's degree and at least 2 years of leadership experience, you will play a crucial role in driving project success and improving consumer experiences. This position allows for hybrid work flexibility and offers a competitive salary and comprehensive benefits package. #J-18808-Ljbffr

A leading health services company is seeking a Risk Management Lead responsible for oversight of risk adjustment operations. The role includes advising on risk management strategies, compliance, and project management. The ideal candidate should have significant experience in project leadership and risk analysis, with a passion for enhancing consumer experiences. This remote position requires strong initiative and the ability to manage multiple projects simultaneously. Interested candidates are encouraged to apply for a rewarding opportunity focused on health improvement. #J-18808-Ljbffr

Inventory Rep. Hours: 8am-4:30 pm As an Inventory Representative you are responsible for processing supplier delivery receipt information in perpetual inventory system. Ensure all paperwork is received and filed properly. Resolve delivery issues between receiving department, purchasing, and suppliers. How you'll improve the lives of others: Conduct daily/weekly cycle counts of inventory Maintain an accurate physical count of product in dispensing and overstock locations Reconcile variances to vendor invoices/packing slips; research and troubleshoot quantity discrepancies Work with warehouse Associates to maintain accurate labeling of items and locations Set up of new items and resources in software as needed Assist Operations Managers/Supervisors with all inventory reports Performs related duties as required Ensure each package receives the correct paperwork, envelopes, medications, packing and or shipping labels before sealing and sending packages to patients. Ensure that the address prints correctly on each package. Accurately package prescriptions requiring special handling according to specific process and policy requirements. Keep work station clean at all times. Other duties assigned as needed. Requirements: High School Diploma or GED required 1+ years relevant experience preferred Intermediate computer skills including Microsoft office: Word, Outlook, Excel & Access. Intermediate office equipment skills Ability to understand mathematical conversions Working knowledge of inventory control practices 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. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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: ...@cigna.com for support. Do not email ...@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.

The job profile for this position is Chief Quality & Health Advocacy Officer, which is a Band 6 Executive Career Track Role. 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. Flexible Onsite Location: Bloomfield, CT, St, Louis, MO, Philadelphia, PA, other locations where The Cigna Group has an office presence. Position Summary The Chief Clinical Quality Officer (CCQO) at The Cigna Group is responsible for overseeing the quality and safety of healthcare services, ensuring the delivery of safe, effective, and patient-centered care while aligning quality initiatives with the company's strategic goals and operational excellence. This role will lead a cross-functional team of clinical and business leaders to build solutions, processes and functions that ensure a high degree of clinical integrity, quality and safety. The CCQO will work closely with the CMOs, policy teams, safety infrastructure, compliance and legal teams, and technology teams to drive quality improvement initiatives, leverage data analytics and reporting, and enhance patient outcomes and satisfaction. Key Responsibilities Quality Management: Develop and implement quality improvement and outcome strategies aligned with organizational goals. Collaborate with stakeholders to set and monitor key performance indicators (KPIs) related to healthcare quality and outcomes. Oversee quality assurance programs to ensure compliance with local, state, and federal regulation and with healthcare quality standards, including HIPAA, JCAHO, and CMS as well as HEDIS, NCQA Health Plan Ratings, STARS, and CAHPS compliance. Identify and mitigate risks related to healthcare quality and implement continuous improvement methodologies like Six Sigma or Lean Healthcare. Clinical Safety Oversight: Lead the development and implementation of a robust clinical safety framework across all care and health services delivery settings. Oversee incident reporting systems, root cause analyses (RCA), and failure mode and effects analyses (FMEA) to proactively identify and mitigate risks. Establish and monitor clinical safety KPIs, including adverse event rates, sentinel events, and near misses. Collaborate closely with legal, compliance and FWA teams. Ensure timely investigation and resolution of safety events, with transparent reporting to leadership and regulatory bodies. Collaborate with clinical leaders to embed evidence-based safety protocols and promote a culture of high reliability. Champion infection prevention and control programs, medication safety initiatives, and patient harm reduction strategies. Leadership & Team Management: Collaborate with stakeholders to develop business cases and monitor performance. Lead and develop a multidisciplinary team focused on clinical excellence, quality and safety. Foster a culture of continuous improvement and innovation. Represent the department in executive meetings and external forums. Stakeholder Engagement & Collaboration: Collaborate with internal entities, healthcare providers, and members/patients to improve quality and integration of interventions. Engage with industry experts and participate in relevant forums and committees. Required Qualifications MD or DO with board certification. 15+ years of leadership experience in a large healthcare organization, including 5+ years in direct leadership of patient experience and quality improvement. Strong knowledge of healthcare quality standards and patient experience strategies. Excellent leadership skills, strategic thinking, and ability to execute for results in a complex commercial environment. Proven ability to innovate and drive organizational change. Experience in a highly matrixed organization with strong internal enterprise relations. Strong communication skills, with the ability to translate complex topics into consumable formats. Key Competencies Strategic Mindset Builds Networks Manages Conflict Organizational Savvy Courage Drives Vision and Purpose Persuades Cultivates Innovation Situational Adaptability Ensures Accountability Resourcefulness 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. 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. #J-18808-Ljbffr

A healthcare services company is seeking an Actuary for Analytics/Forecasting to analyze financial data and support strategic decisions. This role offers upward mobility and exposure to senior leadership. Candidates must have strong communication skills and experience across multiple functions like modeling and pricing. The position is remote with occasional travel, and the salary ranges from $129,300 to $177,800 annually, complemented by a bonus incentive plan. #J-18808-Ljbffr

A leading healthcare company is seeking a Director - Automations & Efficiencies to lead innovative projects aimed at enhancing operational effectiveness. This role involves overseeing automation initiatives in a healthcare environment, managing strategic partnerships, and improving processes through advanced technologies. The ideal candidate has significant experience in healthcare payer operations, RPA technologies, and cross-functional leadership. This position offers flexibility to work remotely from anywhere within the U.S. #J-18808-Ljbffr

A health insurance organization is seeking a Director of Provider Contracting to manage negotiations and contracts with healthcare providers. The ideal candidate will have extensive experience in provider contracting, strong leadership capabilities, and a proficiency in financial analysis. This remote role, based in Illinois, offers a competitive salary range and comprehensive benefits including a bonus incentive plan. Applicants should possess a Bachelor's degree, with a preference for a Master's or J.D. #J-18808-Ljbffr

Part‑Time Staff Pharmacist - CO/NV The Part‑Time Staff Pharmacist, based in a Cigna office in Denver, CO or Las Vegas, NV, provides telepharmacy services to multiple hospital clients across various states. This role enhances clinical team performance, supports quality patient care, and ensures safe and compliant medication practices. This part‑time position includes evening, overnight, and/or weekend shifts. Shifts available: Saturday and/or Sunday: 6:00 AM - 6:00 PM PST Possible other shifts available: Monday-Friday: 12:30 PM - 8:30 PM PST Monday-Friday: 2:00 PM - 9:00 PM PST Monday-Friday: 7:30 PM - 6:00 AM PST Responsibilities: Telepharmacy Perform remote order entry, order verification, drug verification, and patient/staff counseling. Support multiple clients and operate within various pharmacy information systems (PIS). Clinical Excellence Provide proactive clinical pharmacy services and adhere to all client‑specific and Cigna policies. Deliver drug information and therapeutic recommendations, including dosing adjustments, interactions, compatibilities, and infusion guidance. Maintain working knowledge of IV fluids, TPN, narcotic/cardiac drips, IV antibiotics, chemotherapy, and more. Understand considerations for special populations (pediatric, geriatric, pregnant/nursing, renal/hepatic impairment, HIV). Counsel patients, nurses, and medical staff on safe medication use. Investigate and resolve medication variances within 48 hours. Operational Excellence Learn and work in multiple hospital pharmacy systems. Obtain and maintain multiple state pharmacist licenses. Document orders, interventions, and recommendations in PLRX by end of shift. Ensure compliance with all applicable pharmacy laws, regulations, and internal policies. Technical Excellence Perform basic troubleshooting during system or connectivity issues. Work effectively with VPNs, PIS platforms, automation systems, and common software (Microsoft Office, Snagit, etc.). Training & Development Participate in ongoing training, including clinical updates, PIS enhancements, and policy changes. Maintain all required access credentials, licenses, and reciprocity. Productivity Achieve and maintain company productivity metrics. Qualifications: B.S. in Pharmacy required, PharmD preferred. Active and in good standing Colorado or Nevada pharmacist license. Additional state licenses preferred (AL, LA, MS, MI, SC, NY). 2+ years of inpatient hospital experience preferred. Strong written and verbal communication skills. Demonstrated customer service skills. Knowledge of formulary management and P&T procedures. Familiarity with client/server applications. Proficiency in MS Office, Google Drive, internet, and email. 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 hourly rate of 54 - 91 USD / hourly, 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 require reasonable accommodation in completing the online application process, please email: ...@cigna.com for support. Do not email ...@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.

A leading health services company is seeking a Senior Full Stack Engineer in Washington, DC. The role involves designing and deploying AI-powered solutions, mentoring junior engineers, and collaborating with various stakeholders. Candidates should have a Bachelor's degree in Computer Science and over 5 years of relevant experience. Proficiency in Python, .NET, and Java along with strong skills in Agile methodologies is required. The position offers competitive compensation and flexible work arrangements. #J-18808-Ljbffr

The Third-Party Management (TPM) Advisor is responsible for conducting activities associated with governance, vendor and risk management, portfolio administration, and relationship management processes that support The Cigna Group Technology & Operations organization. This position includes oversight of Enterprise Operations suppliers (Print & Distribution) as well as Artificial Intelligence (AI) initiatives. The TPM Advisor is required to coordinate across these domains to ensure consistency with The Cigna Group strategic objectives and operational standards. Responsibilities involve communication with senior leadership to develop portfolio and vendor management strategies that reflect The Cigna Group global Technology initiatives, projects, and programs. The role also aids Procurement / Sourcing teams during negotiations, RFPs, and proposal analysis. Familiarity with legal contracts, strong analytical abilities, and financial expertise are preferred. KEY RESPONSIBILITIES: Vendor Management * Responsible for delivering strategic guidance and governance for assigned supplier relationships, including the following: * Tracking and reporting supplier performance against established criteria on a regular basis. * Managing governance actions and resolving issues throughout the assigned portfolio. * Conducting scheduled Enterprise Business Review sessions with internal business partners, matrix partners and suppliers. * Applying analytical skills to assess and improve processes, focusing on ongoing enhancement of supplier management and operational workflows. Portfolio Management * Accountable for developing effective relationships with Technology & Operations business stakeholders to understand their business portfolio and implement supplier-based solutions for their needs, which includes: * Navigating complex environments with evolving strategies and priorities. * Facilitating discussions between Cigna senior leaders and supplier counterparts. * Supporting overall business requirements, enterprise agreements, service level agreements, and statements of work through strategic planning. Program Support * Besides vendor and portfolio management duties, the TPM Advisor supports cross-functional initiatives, coordinating and executing projects in areas such as technology, print & distribution, and AI applications. * The TPM Advisor is expected to identify opportunities for process improvement and efficiency, analyze existing workflows, suggest enhancements, and oversee implementation of best practices for third-party engagements. Qualifications/Requirements: * At least 4 years' experience in third party management, procurement, or operations and management is strongly preferred. * Experience building and maintaining relationships with Senior and Executive levels inside and outside the organization to accomplish results through contracted engagements. * Experience preparing, modifying, and reviewing contracts - including Service Level Agreements, Master Service Agreements, and Statements of Work. * Demonstrated negotiation and third-party management skills; direct negotiation experience with internal and external partners is preferred. * Strong presentation, written, and verbal communication skills for interactions with various leadership levels. * Ability to prioritize tasks and perform effectively in an environment with high ambiguity and fast-paced activity. * Proficiency with Microsoft Word, Excel, PowerPoint, and familiarity with artificial intelligence tools. * Bachelor's degree in supply chain management or a related field is strongly preferred. 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. 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: ********************* for support. Do not email ********************* 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.

Become a part of our caring community and help us put health first The Principal Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Principal Solutions Architect provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. Discover how your passion can make a difference at Humana. Apply today and embark on your career journey with a company recognized as one of the Best Places to Work and named among Forbes America's Best Employers for Tech Workers. Role Overview We are seeking a Principal Solutions Architect to serve as the chief architect for our enterprise Next Best Action (NBA) platform. This position is responsible for defining and/or overseeing the end-to-end architecture, from domain modeling and data ingestion to decisioning, orchestration, and omnichannel activation. The role provides technical leadership across multiple engineering teams, ensuring the NBA platform remains scalable, secure, explainable, and compliant, while supporting highly personalized, real-time engagement across both digital and assisted channels. The Principal Solutions Architect will be accountable for the NBA reference architecture, technical standards, and key design decisions throughout the platform. This individual will collaborate closely with product, engineering, data, machine learning, security, and compliance stakeholders to deliver a unified and future-ready ecosystem. Key Responsibilities Architecture & Technical Leadership Define and maintain the end-to-end NBA platform architecture, encompassing data ingestion, state management, decisioning, business rules, machine learning, and channel activation. Serve as the technical authority across NBA domains, including State Machine, Action Library, Decision Engine, Data and ML Platforms, and Channel & Integration Services. Establish and uphold architectural standards for API-first, event-driven, cloud-native solutions, ensuring consistency across teams and external partners. Review and approve solution designs, major technical decisions, and non-functional requirements related to scalability, resiliency, performance, and security. Decisioning, Rules, and AI/ML Architect decision frameworks that combine business rules, eligibility logic, and machine learning-driven insights. Ensure explainability, auditability, and governance are embedded in decisioning workflows, with a focus on regulated use cases. Partner with data science and ML teams to incorporate feature stores, model serving, and MLOps into low-latency decision services. Data & Event Architecture Define best practices for batch and real-time data ingestion, including event streaming, state transitions, and lifecycle analytics. Drive strong data governance, quality, lineage, and observability across the NBA platform. Align data models and contracts across domains to facilitate reliable orchestration and activation. Activation & Integration Oversee integration approaches for activating NBA decisions across all digital and assisted channels (web, mobile, email, SMS, push, call center, and third-party platforms). Define reusable integration patterns, APIs, and event contracts for consistent and scalable activation. Governance & Compliance Ensure the NBA architecture adheres to security, privacy, and regulatory standards, including robust audit and access controls. Work with security and compliance teams to embed necessary controls into the platform design. Collaboration & Enablement Collaborate with engineering leads, product managers, and vendors to translate business objectives into effective technical solutions. Mentor senior engineers and architects to advance the organization's architectural maturity. Support strategic planning, platform evolution, and build-versus-buy assessments. Use your skills to make an impact Required Qualifications 12+ years of experience in software and platform architecture, including as a principal or lead architect. Demonstrated expertise designing large-scale, cloud-native, distributed systems. Strong hands-on experience with Node.js and/or Python, API design (REST/GraphQL), and event-driven architectures (Kafka or similar). In-depth knowledge of decisioning platforms, rules engines, and ML integration patterns. Experience in regulated enterprise settings (such as healthcare, financial services, or insurance). Excellent communication skills with the ability to influence technical and non-technical stakeholders. Preferred Qualifications Experience building or scaling Next Best Action, personalization, or real-time decisioning platforms. Familiarity with modern data platforms (e.g., Spark/Databricks, Delta Lake, feature stores). Knowledge of MLOps practices and model governance. Experience leading architectural efforts across multi-vendor and distributed teams. Success Criteria A well-defined and widely adopted NBA reference architecture consistently used across teams. Scalable, explainable, and reliable decisioning and activation systems in production. Strong alignment across domain teams with minimal architectural drift. Accelerated delivery of new actions, rules, and models with reduced operational risk. Additional Information Location/Work Style: Remote US Why Humana? At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few: Work-Life Balance Generous PTO package Health benefits effective day 1 Annual Incentive Plan 401K - Excellent company match Well-being program Paid Volunteer Time Off If you share our passion for helping people, we likely have the right place for you at Humana. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $172,200 - $236,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-23-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr

A leading health insurance company is seeking an Insurance Product Compliance Lead to manage regulatory compliance for Medicare and Medicaid products. The role involves analyzing regulations, consulting on compliance matters, and advising executives. This position is remote with occasional travel to the company's offices. The ideal candidate will have experience with Medicare, strong Microsoft Office skills, and a passion for enhancing consumer experiences. Competitive benefits include medical, dental, vision, and family leave. #J-18808-Ljbffr

As a Strategic Account Executive, you are the face of Cigna to the client. Your focus is on spending time with clients in person to cultivate the relationship, addressing client issues, selling annual renewal rate increases in addition to new products and services to expand the relationship. You will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience. Key Responsibilities: Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders. Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges. Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals. Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued. Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs. Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs. Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs. Portfolio Management: Drive growth, earnings and retention across your client portfolio, meeting targets for both new business and renewals. Work to expand Cigna's relationships through cross-selling additional products and services. Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions. Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving. Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success. What You Bring: Strong relationship-building skills and a passion for developing deep client connections Expertise in financials, underwriting, and providing strategic solutions A collaborative mindset with the ability to work effectively across teams Proactive, creative thinking to develop tailored solutions for each client A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry At Cigna, we value people who bring both strategic insight and a hands-on approach to client management. If you're driven by client success and want to work for an organization that values both innovation and personal relationships, we want to hear from you! Qualifications Bachelor's degree or equivalent experience. Experience: 3+ years of experience in health benefits or client management Skills: Strong communication, sales negotiation, and relationship-building skills. Proven ability to manage and grow client relationships, particularly with clients Experience in sales, marketing, underwriting, or operations is preferred. Financial acumen with the ability to identify and drive growth opportunities within the book of business. Additional: Demonstrated success in managing large, complex client accounts with a focus on relationship-building and revenue growth. 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. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: ********************* for support. Do not email ********************* 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.

A leading healthcare company is looking for a Director of Authorizations & Eligibility in Washington, D.C. This senior role involves strategic oversight of authorization processes and managing both onshore and offshore teams to ensure compliance with various payer requirements. Candidates should have significant experience in revenue cycle management, especially in complex, multi-site healthcare environments. This position offers a salary range of $115,200 - $158,400 annually and comes with a comprehensive benefits package. #J-18808-Ljbffr

As a Pharmacy Technician, you'll help our 95+ million members make the most of our benefit offerings. In this role, you'll set our customers at ease by helping answer their questions and providing solutions to their problems. Above all, you'll make a real impact on the lives of others, day in and day out. Location: 4600 North Hanley, St. Louis, MO 63134 - Onsite position Work Schedules available: PM shift - Mon-Thurs - 3:30PM-2:00AM ( This shift may be eligible for shift differential) AM shift - Sunday -Wednesday - 5:00AM-3:30PM What you will do: Select and retrieve appropriate quantities of medication and prepare the labels that correspond. Works as part of a team in resolving requests in Pull Department, Pull Rx, Letter processing, and Controls exception across ESI as needed. Pull Department responsibilities require walking, standing, and repetitive up and down lifting of boxes weighing 35lb and repetitive pulling of prescriptions 95% of the work time. Pull Rx responsibilities will include pull, copy, fax, and processing. Letter processing will need to provide data entry, type customer service notes, and own total member correspondence. Controls exception will include data verification, QA, and exception processing. Adhere to strict HIPAA regulation especially when communicating to others outside of Express Scripts. All team members will be expected to work as per Policies and Procedures (P &P) and Work Instructions with onsite or offsite departments, internal or external to the company as directed. The weights listed in Essential Functions will vary as size and needs of the department change. All team members are expected to work with Supervisors and Management to cross-train and develop proficiency across all functional areas of the job. Process letter requests by manual or automated databases, typing customer service notes in system, pulling Rx, and processing member correspondence. Pull requests, rescan, and work with RPh to obtain appropriate documentation to resolve request. Controls work includes data input / validation, Quality Assurance (QA), Prescriber and Patient outreach, and working with RPh and Pharmacy per work instructions, P&P, management direction, or any national or state regulations. Participate in Lean and Continuous Improvement efforts internal and external to the department. Perform all QA tasks as identified. Complete and process data for reporting needs. Prepare and organize work for storage both on and offsite. What you will need: HS Diploma or GED required. Valid MO Pharmacy technician license registration required. Minimum of 1 year of relevant experience as a Pharmacy Technician. Certified Pharmacy Technician or NHA preferred. Strong computer skills Word and Excel. Self-motivator with strong organizational skills, attention to detail, and exceptional time management skills. Effective written and oral communication skills. What we Offer: Health coverage effective day 1 (including medical, dental, vision). 401(k) plan with company match. Holiday Pay and Paid Time Off. Education/Certification Program (Grow to Thrive). Career Growth and Advancement opportunities. Physical Requirements: Stand for lengthy periods Lift up to 50 lbs. occasionally and 20 lbs. frequently Perform repetitive motion with fingers, hands, and arms Work may be in confined areas close to machinery Work may be performed in an environment with varying levels of noise 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. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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: ...@cigna.com for support. Do not email ...@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.

A leading healthcare company is seeking an experienced Infrastructure Operations leader to drive innovation in AI and cloud technologies. The ideal candidate will have over 10 years in infrastructure, with a strong background in AI/ML, leading cloud operations for Azure and AWS. Key responsibilities include overseeing cloud strategy and governance, enhancing operational performance, and fostering partnerships across teams. This role offers a competitive salary and benefits focused on well-being. #J-18808-Ljbffr

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities * Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. * Analyze market trends and internal performance to identify opportunities for innovation and improvement. * Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. * Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. * Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications * Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. * Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. * Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications * Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. * Experience in payer, provider, or integrated delivery systems. * Familiarity with value-based care models, population health, or digital health tools. * Exposure to strategic planning and healthcare innovation. 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 94,700 - 157,800 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 require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* 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.