Forrest T. Jones & Company, Inc., and its affiliates (“FTJ”), provide insurance and insurance-related services to clients, corporations, employers and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets.
Position Summary
The Data Business Analyst is responsible for analysis of data files, evaluation and validation of data, and business solution definition, technical recommendations, testing, reporting, and project execution in support of the organization's initiatives and strategies. The Data Business Analyst reviews large sets of data, reorganizes data to go into various systems and assures that data is imported and exported accurately for business use and function.
Expectations
Works with large datasets to ensure completeness and transformation of data into various other formats.
Validates data coming from or going into various systems from departmental and client requests.
Serves as the liaison between internal business personnel and software development team.
Critically evaluates data gathered from multiple sources, reconciles conflicts, decomposes high-level information into details, abstracts up from low-level information to a general understanding, and distinguishes if data is complete and meets business needs.
Proactively communicates and collaborates with external and internal customers to analyze data needs to meet business requirements.
Drives and challenges business units on their assumptions of how they will successfully execute their plans.
Focuses on delivering value innovation in projects; solution and efficiency focused.
Collaborates with developers and subject matter experts to establish the technical vision and analyze tradeoffs between usability and performance needs.
Works with the Project and Portfolio Manager to plan projects to accomplish its goals within constraints such as time, cost and agreed quality standards.
Works independently with subject matter experts and clients to define concepts and data reporting.
Works with the Project and Portfolio Manager to plan and schedule project timelines and milestones where applicable.
Develops and manages testing efforts.
Ensures data issues are identified, tracked, reported on and resolved in a timely manner.
Works with client personnel to identify required changes.
Communicates needed changes to development team.
Competency
Excellent verbal and written communication skills and the ability to interact professionally with all levels of the organization.
Ability to communicate technical matters clearly in lay terms for full comprehension by non-technical users.
Possesses understanding in the areas of application programming, database and system design.
Strong analytical skills required, including a thorough understanding of how to interpret customer business needs, and translate them into application and operational requirements.
Excellent organizational skills, including the proven ability to adapt to a dynamic project environment and manage multiple projects.
Identifies critical issues with ease.
Exhibits confidence and extensive knowledge when solving business problems.
Knowledge, Skills and Abilities
Data collection: Gathers data from various sources, such as databases, surveys, flat files from business partners, and APIs.
Data cleaning/curation: Cleans and processes raw data to ensure accuracy and consistency by fixing errors and removing inconsistencies.
Data quality: Uses a mix of manual and automated methods to validate data, perform basic transformations, and adhere to enterprise schemas and standards. (Goal of 90+% accuracy rate.)
Data analysis: Uses statistical methods to analyze datasets, identify trends, and uncover meaningful patterns.
Collaboration: Works with other departments, such as IT, Operations, and Sales, to understand their data needs and support new business initiatives.
Data governance: Helps establish and maintain data integrity and governance standards for insurance administration data.
Requisites
Requires college degree in business/computer science or equivalent.
Knowledge of MS-SQL, Azure SQL, Python, JetBrains, Jupyter.
1-3 years of experience in the insurance industry, with strong knowledge of insurance terminology preferred but not required.
2+ years of experience in a similar business analyst support position is preferred but not required.
Understanding of business requirements and able to implement them in a timely manner.
We offer comprehensive benefits to full-time employees including company-paid medical, STD, LTD and life insurance plus voluntary dental, vision, life/AD&D insurance, 401(k) with company matching, generous paid time off and much more.
We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age.
ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON THE PASSING OF A DRUG SCREEN AND BACKGROUND CHECK.
$69k-92k yearly est. Auto-Apply 2d ago
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Claims Examiner II
Forrest t Jones & Company 4.0
Forrest t Jones & Company job in Kansas City, MO
Forrest T. Jones & Company, Inc., and its affiliates (“FTJ”), provide insurance and insurance related services to clients, corporations, employers and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets.
Position Summary
The Claims Examiner II is responsible for the accurate and timely processing of life claims. The Claims Examiner II is expected to provide courteous and prompt response to customer inquiries.
Expectations
Verifies the accuracy and receipt of all required documentation for each claim submitted.
Evaluates claims for benefit payment according to policy provisions and assures that the system processes each claim correctly.
Communicates with insureds, agents, providers, attorneys, and employers.
Documents the claim and image systems in an accurate manner.
Contributes to the daily workflow with regular and punctual attendance.
Adheres to the Claims Department's established time-in-process, production, and quality standards.
Performs related or other assigned duties as required.
Maintains a professional demeanor with internal and external clients, insureds, and all FTJ associates and affiliates.
Competencies
Excellent oral and written communication skills.
PC skills, including Microsoft Word.
Typing ability of 45 wpm.
Ability to learn all functions of claims processing software as is necessary for claims processing and adjudication.
Must be able to adapt to software changes as they occur.
Basic knowledge of life claims practices.
Basic mathematical skills.
Strong interpersonal skills to work effectively with others, able to work in a team environment.
Strong organizational skills.
Strong analytical and interpretive skills.
Ability to meet productivity standards with 99% financial accuracy.
Ability to be flexible, work under pressure, and meet deadlines.
Ability to occasionally work overtime as required.
Requisites
High School Diploma or equivalent.
Five years of claims processing experience required, preferably life claims.
We offer comprehensive benefits to full time employees including company paid medical, STD, LTD and life insurance; plus voluntary dental, vision, Life/AD&D insurance, 401(k) with company-matching, generous paid time off and much more.
We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age.
ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON PASSAGE OF A DRUG SCREEN AND BACKGROUND CHECK
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.
$30k-34k yearly est. 22h ago
Senior Client Relationship Executive - National Accounts
Sun Life of Canada 4.3
Kansas City, MO job
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.
Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.
Job Description:
The opportunity:
This position is a key strategic relationship management and revenue generating resource for policyholders, brokers and the Sun Life organization. This position is focused on internal and external partnerships and strategies that will result in long term growth and persistency.
The Senior Client Relationship Executive represents the entire range of employer and employee-paid Sun Life products and services their assigned brokers and policyholders. The SCRE will proactively seek opportunities to increase revenue; both organically and through cross-sell opportunities.
The SCRE is a trusted advisor to the broker/policyholder and educates and trains their clients while maintaining the perspective of the client and Sun Life. The SCRE will respond to the client's needs by striving for and achieving internal alignment through collaboration.
What you will do:
The Senior Client Relationship Executive (SCRE) is responsible for the overall relationship and financial management of our most complex clients including, but not limited to:
Large clients or blocks of clients with complex benefit plans and administration requirements
Clients who purchase Absence Management services with Sun Life
Clients with complex technology needs including Application Program Interface (API), Reverse File Feeds (Payroll and Time and Attendance)
May assume team leadership responsibilities
Specific Accountabilities
Establishes and maintains productive, professional relationships with key personnel for assigned clients and brokers
Collaborates with SLF personnel, including support, service, and management resources, in order to meet client's expectations and provide value-added solutions and meet growth and persistency objectives and managing client's expectations
Meet annual retention targets, business growth targets (including cross-sell) and client loyalty goals through Benefit Administrator (BA) satisfaction surveys
Proactively assesses, clarifies, and validates client needs on an ongoing basis. Creates communication plans and clearly relays the information to clients and brokers.
Develops and maintains excellent working relationships with the Client Advocate and/or Sr. Client Advocate and other internal service departments to oversee resolution of issues
Participates in Finalist presentations representing the Sun Life account management and service value story. Understands and clearly explains the value of Sun Life, our business partnerships and the strength of our products.
Partners and collaborates with territory EBR / NAEBR to ensure a mutual understanding of territory goals and objectives. Develops plans of action (through use of business plan) to act on those goals and objectives.
Partners with Implementation Consultant throughout the implementation process
Partners with Benefit Education team to strategize on enrollment and re-enrollment needs
Conducts consistent, proactive education/outreach communication with brokers/clients in the form of: in person meetings, scheduled call-outs, email, conference calls, webinars, etc.
Conduct Installation meeting upon completion of the implementation process to educate BA's on Sun Life administrative policies and procedures (in person or by phone)
Remains up to date on market changes that impact their BAs and provides consultation on how Sun Life may assist with their changing needs
Conducts regular case reviews with internal departments as well as with the client, reviewing claims experience and administrative processes - identifies areas of concern and collaborates with brokers, clients and internal teams to address problem areas and recommend additional Sun Life products/services
Facilitates the renewal process; accountable for renewal preparation and consultation with EBR/NAEBR and Underwriting on overall service experience and client needs to best position the client to renew with Sun Life
Acts as the liaison for agency partners and internal team; display active listening skills and bridge relationships between Policyholders and Home Office partners to lead the team to find creative solutions in selling, problem solving and team building
Effectively communicates, networks and builds relationships that can lead the team to find creative solutions in selling, problem solving and team building
Uses Salesforce to manage business, and ensure all relevant client and broker activities are documented
Travel Required: 50% to 60% of time depending on the territory
What you will need to succeed:
Leadership, Communication & Relationship Management
Displays integrity through transparency, honest dealings, predictable reactions and well-controlled emotions. Demonstrate the ability to be fair and consistent in all professional dealings. Regularly acknowledge each team member's contributions and successes to the team.
Engages as an interventionist or change agent for growth initiatives. Is a trendsetter for the team to understand, implement, and communicate new ideas and processes.
Takes ownership of action and thought. Understands value in partnership and displays a strong knowledge of the culture of Sun Life, of the market, their clients and brokers
Possesses superior relationship management skills; demonstrated ability to build and foster productive and healthy relationships with sales and home office partners; Addresses conflict by working with others to resolve differences in a professional and productive manner
Maintain and represent the integrity of our organization while balancing the needs of the client
Ability to independently organize and prioritize daily/weekly working structure to meet business activity goals and client needs
Ability to communicate to clients how to most effectively work with Sun Life to foster more BA self service capabilities.
Ability to work with a diverse range of people
Business planning; establish a proactive contact strategy
Effectively develops and delivers a written and verbal elevator pitch: Company, Product and Self
Sales Skills:
Positioning statements for cross selling and ensuring future growth opportunities
Interviewing skills
Effective listening skills; note taking, recording data; active listening skills
Written and rehearsed request for business
Establishing next contact date and objective
Knowledge and Skills
Superior presentation skills
Strong knowledge of the full suite of Sun Life product and service offerings, including thorough knowledge of our Absence Management solutions
Demonstrated success in managing complex client relationships (innovative critical thinker with a strong ability to resolve complex issues)
Ability to approach business planning strategically and creatively
Demonstrates resilience by reacting positively to changes and maintains poise, focus and flexibility when encountering difficulties or obstacles
Results oriented and goal driven with superior collaboration and influencing skills;
Develops a high level of credibility with internal and external partners
Self-starter; able to work successfully both independently and interdependently within a team environment and within a mobile environment
Adept at project management and multi-tasking
Strong financial acumen with a focus on achieving profitable growth; Solid understanding of product pricing, profitability and risk/underwriting rules/guidelines
Strong knowledge of Market and competitor landscape
Required Education and Skills:
5+ years of industry experience; Employee Benefit industry and/or knowledge of Group Benefit design, with specific working experience in a national, key, or strategic account management field
Must hold current insurance license or have ability to obtain immediately
Certified leave management Specialist (CLMS) designation preferred
College degree preferred
Strong analytical, mathematical and problem solving skills;
Excellent verbal and written communication skills
At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Salary Range: $101,700 - $152,600
Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!
We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.
Life is brighter when you work at Sun Life
At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.
We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
We do not require or administer lie detector tests as a condition of employment or continued employment.
Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Job Category:
Sales - Client Relationship Management
Posting End Date:
30/01/2026
$101.7k-152.6k yearly Auto-Apply 21d ago
Sr. Strategic Account Executive; O500 - Overland Park, KS or Clayton, MO(Hybrid)
The Cigna Group 4.6
Remote or Clayton, MO job
As a Sr. 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: 5+ years of experience in health benefits or client management experience managing large accounts is highly preferred
**Skills:**
+ Strong communication, sales negotiation, and relationship-building skills.
+ Proven ability to manage and grow client relationships, particularly with clients having 500+ employees
+ 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._
Summary: The Risk & Underwriting Advisor, Retail Network, is responsible for developing and implementing client-specific retail network pricing strategies that ensure competitive positioning in the marketplace. This role collaborates closely with Supply Chain teams and cross-functional stakeholders-including Retail Network Underwriting Analysis, Product, Sales & Account Management (SAM), Core Underwriting, and Next Generation Engine (NGE) Support-to optimize retail network modeling for Health Plan clients and new sales opportunities. The Advisor also provides expert support for ad hoc and complex underwriting analyses with potential financial impact.
Key Responsibilities:
Strategic Pricing & Modeling
Develop tailored retail network pricing strategies for renewing clients and new sales opportunities, including RFPs, Direct Renewals, and Market Checks.
Deliver competitive offers by leveraging market intelligence and client-specific data.
Analytical Support
Provide underwriting support for all retail network ad hoc analyses with potential financial implications.
Conduct quantitative and financial cost modeling for clients across diverse lines of business, including Commercial, Medicare Part D, Medicaid, and Health Care Exchange.
Stakeholder Engagement
Communicate effectively with Senior Leadership, SAM, and other business partners to present ESI opportunities and drive financial results.
Prepare and deliver strategic presentations for both internal and external audiences.
Collaboration & Project Participation
Partner with cross-functional teams to strategize and deliver optimized retail network solutions.
Participate actively in department and company-wide projects, contributing expertise and innovative thinking.
Qualifications:
Bachelor's degree in Risk Management, Economics, Statistics, Mathematics, or Finance preferred
Minimum of 2 years plus of relevant financial or analytical experience.
Preferred experience in Pharmacy Benefit Management (PBM), Managed Care, Healthcare, or Pharmaceutical industries.
Demonstrated ability to build partnerships and collaborate effectively to achieve shared objectives.
Strong analytical, quantitative, and problem-solving skills.
Proven decision-making abilities, with a solid understanding of key financial indicators.
Excellent verbal and written communication skills, including presentation capabilities.
High motivation and perseverance in the face of challenges.
Strong business acumen, leadership qualities, innovative mindset, and customer-centric approach.
Self-starter with the ability to manage multiple projects simultaneously.
We will consider qualified candidates who prefer to work 100% remote
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 88,700 - 147,800 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 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: ********************* 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.
$85k-108k yearly est. Auto-Apply 1d ago
Director - Process Re-Engineering & Data Office Change Management
Cigna 4.6
Remote or Saint Louis, MO job
Are you ready to lead transformative change at the heart of finance? As Director of Process Re-Engineering & Data Office Change Management, you'll drive innovation, standardization, and efficiency across global finance operations. In this high-impact leadership role, you'll champion new ways of working, empower teams to embrace change, and deliver strategic solutions that shape the future of our organization. If you thrive on collaboration, continuous improvement, and making a measurable difference, this is your opportunity to inspire and lead at an enterprise level.
You will report directly to the Head of the Finance Data Office overseeing teams in the U.S. and India (GCC), with enterprise-wide influence across Finance and related functions.
Responsibilities
* Lead large-scale assessment and re-engineering of core finance processes.
* Drive standardization and automation across global finance processes to improve accuracy and scalability.
* Partner with AI and Analytics leaders to implement technology-enabled forecasting, anomaly detection, and intelligent automation.
* Develop and execute change management strategies that foster adoption and empower teams to embrace transformation.
* Measure and communicate the impact of process improvements to executive stakeholders.
* Inspire and lead global teams, promoting accountability, innovation, and operational excellence.
* Serve as a trusted advisor to senior executives on change readiness and transformation outcomes.
Qualifications
Required:
* 10+ years of progressive experience in finance operations, transformation, or process excellence, with at least 5 years in leadership roles.
* Proven track record of delivering large-scale change initiatives across global, matrixed organizations.
* Expertise in finance process optimization (close, forecasting, allocations, reconciliations).
* Strong leadership skills with experience managing global teams and influencing executive stakeholders.
* Excellent communication, storytelling, and influencing skills to drive adoption and culture change.
Preferred:
* Bachelor's degree in Finance, Accounting, or related field.
* Experience in health insurance or other highly regulated industries.
* Lean Six Sigma, Prosci, or other change management/process excellence certifications.
* Exposure to AI technologies and advanced analytics tools.
Location & Work Model:
* USA-based role with a hybrid/remote work model.
* Occasional travel required to collaborate with U.S. and global teams.
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.
$112k-135k yearly est. Auto-Apply 34d ago
Advanced Analytics & Data Science Lead - Network & Product Solutions Analytics - Hybrid
The Cigna Group 4.6
Remote or Saint Louis, MO job
**Join Us to Transform Healthcare with Data-Driven Insights!** Are you passionate about using advanced analytics to make a real difference in healthcare? Join our innovative Digital and Analytics team, where your expertise will help reduce costs, improve outcomes, and shape the future of provider networks. We're looking for a strategic thinker and hands-on data scientist who thrives on solving complex problems and collaborating with diverse partners.
**What You'll Do:**
+ Lead advanced analytics and data science projects to identify high-performing healthcare providers and enable steerage, geo-access, and network adequacy.
+ Apply advanced analytical techniques to drive improvements in cost, quality, and access across provider networks.
+ Develop and implement robust, defensible methodologies for provider performance and network design.
+ Predict and monitor outcomes from provider networks, ensuring solutions are effective and scalable.
+ Partner closely with business teams (Network Strategy, Risk Management & Affordability, Provider Management) to deliver high-value analytics enhancements.
+ Present clear, actionable insights and recommendations to non-technical business partners and leadership.
+ Prototype and iterate cloud-based dashboards in collaboration with stakeholders.
+ Propose and develop KPIs, operationalizing solutions into coded prototypes or MVPs.
+ Collaborate with engineering and production teams to scale solutions.
+ Explore and implement innovative solutions to business challenges in a team environment.
**Required Qualifications:**
+ Minimum 3 years of hands-on healthcare analytics experience, including work with claims, eligibility, profiling, or EMR data.
+ Advanced degree (Master's or higher) in a quantitative field (e.g., Computer Science, Statistics, Biostatistics, Actuarial Science, Data Science, Epidemiology) or equivalent work experience.
+ Strong technical skills with SQL and Python or R; experience with cloud-based analytics platforms.
+ Experience applying advanced analytics techniques (e.g., episode groupers, provider profiling, network adequacy, steerage analytics, geo-spatial/social network analytics, risk adjustment).
+ Ability to communicate complex findings clearly to non-technical audiences.
+ Proven track record of delivering results on multiple projects in a fast-paced, matrixed environment.
+ Strong problem-solving skills and a growth mindset.
**Preferred Qualifications:**
+ Excellent verbal and written communication skills.
+ Experience with Git/Github.
+ 2+ years of direct industry experience through conferences or relationship management.
+ Deep understanding of healthcare delivery systems and clinical processes.
**Why You'll Love Working Here:**
+ You'll join a team of ambitious experts who are committed to making healthcare more affordable and effective. We value curiosity, collaboration, and innovation-and we're excited to see how you'll help us deliver on our enterprise commitments!
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 98,200 - 163,600 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._
$87k-107k yearly est. 60d+ ago
Claims Associate I
Kansas City Life Insurance Company 4.1
Kansas City, MO job
Claims Claims Associate I Kansas City Life Insurance Company, a recognized leader in the insurance industry, is seeking an energetic, self-motivated individual to join our Claims department. The ideal candidate would meet the following requirements: QUALIFICATIONS/REQUIREMENTS:
* Bachelor of Arts or Sciences degree in a business-related field or equivalent work experience.
* At least 4 years of practical insurance claim experience.
* Ability to use resources effectively, exercise good judgment, make decisions, and apply knowledge and experience to related situations to allow many types of requests to be handled independently.
* Ability to professionally interact with business people of all levels and succinctly communicate information to internal and external customers.
* General understanding of corporate multiline products, procedures, and practices.
* Demonstrated knowledge of company administrative systems and software. Familiarity with PC and Windows applications, including the ability to learn new and complex computer system applications.
* Regular and reliable attendance and punctuality is an essential function of this position
DUTIES/RESPONSIBILITIES:
* Analyze claims and determine their validity based on policy provisions, riders, waivers, operating procedures, and state regulations. Calculate benefits payable and interest due. Ensure claims are paid in a prompt and equitable manner or decline payment for losses that are not covered.
* Provide superior customer service to claimants or their representatives. Prepare tax forms, state notice forms, and state consent forms when applicable.
* Maintain working knowledge of adjudication and reporting responsibilities within department and provide assistance to other examiners to ensure claims are handled in a timely manner.
* Order investigations on suicide, homicide, and accidental death claims. Investigate abandoned property cases. Administer reinsurance reporting and communication and assure proper reconciliation.
* Determine from medical records received, approval or denial of contestable claims; request medical information from doctors and hospitals as needed. Upon receipt, review and determine whether benefits are applicable and pay or deny claims.
* Approve and request claim expense checks for outside investigations and attorney's fees.
* Continually expand knowledge of human anatomy, physiology, disease processes, and medical practices and procedures, and consult with Underwriting or Medical Director as needed.
* Continually expand knowledge of legal decisions, opinions, proper practices, and procedures, and consult with Legal department as needed. Alert to spot red flags for potential fraud instances.
Kansas City Life Insurance Company offers a competitive salary and an excellent benefits package. If you meet the above requirements and wish to join Kansas City Life's Claims department, please send resume and salary requirements in confidence to: Kansas City Life Insurance Company ATTN: Human Resources Department
3520 Broadway
P.O. Box 219139
Kansas City, MO 64121-9139
EOE/MFVH
e-mail:[email protected] Print this Close this job description
$31k-35k yearly est. 60d+ ago
Operations Senior Supervisor -Express Scripts
Cigna Group 4.6
Remote or Saint Louis, MO job
The Operations Senior Supervisor is responsible for day-to-day operations of a team of technicians, pharmacists and contract workers. Manages and improves productivity and performance standards, plans and directs workflow and project assignments. Responsible for attaining or exceeding production goals for their respective area daily. Conducts hiring, training, and evaluation of front-line team members. Responsible for team's adherence to employment policies and corporate values. Works with the Pharmacy senior leadership team to establish team and site standards and expectations, operational processes and procedures, and the business work plan for the team. Recognizes and recommends operational improvements.
Work Schedule: Shift will be Mon - Thurs 3:30pm - 2:00am
Location: 4600 North Hanley Road; St. Louis, MO 63134
What you will do:
Develop, track and monitor employee's safety, compliance to quality, service and production standards.
Monitor prescription turnaround time so that internal standards and client performance guarantees are met.
Assist Pharmacy senior leadership team in monitoring costs to ensure compliance with cost to fill goals.
Address staff concerns and day to day operational, system, customer service, quality, and professional issues.
Work in production as needed.
Implement programs and process improvements to enhance the level of internal and external customer service provided.
Work with Pharmacy senior leadership team to analyze operations and overall efficiencies of the pharmacy.
Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve.
Represents pharmacy operations in cross-functional meetings and projects.
Other special projects and tasks as assigned.
What you will need:
High school diploma or GED
BA/BS degree preferred.
Minimum of two years operations experience (i.e., pharmacy, warehouse, distribution, production, manufacturing, or engineering)
Must be eligible to maintain a pharmacy technician license issued through the Missouri State Board of Pharmacy throughout time in position.
Demonstrated leadership skills and the ability to effectively develop, train and coach less experienced team members; supervisory experience preferred.
Knowledge of lean or process improvement methodologies
Excellent oral and written communication skills
Ability to adapt in a dynamic work environment, make independent decisions.
Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve complex issues with innovative solutions.
Willingness to work a flexible schedule for peak times.
Monitors daily operations of a unit and actively assists or provides direction to subordinates as required.
May perform, especially in staff or professional groups ongoing operational tasks of organization units (typically not more than 40% of time performing the work supervised)
Ensures that projects are completed on schedule following established procedures and schedules.
General PC knowledge including Microsoft Office, Internet, and email.
Why join us?
Health coverage effective day 1 (including medical, dental, vision)
Holiday Pay and Paid Time Off (PTO)
401K with company match
Tuition reimbursement
Growth Opportunities
Fun, friendly and unique culture - bring your whole self to work every day!
This is an onsite position.
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: ********************* 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.
$39k-59k yearly est. Auto-Apply 60d+ ago
Legal Intern - Cigna - Hybrid (Bloomfield, CT OR St. Louis, MO)
The Cigna Group 4.6
Remote or Saint Louis, MO job
Make an Impact: Your Summer Starts Here! Are you ready to launch your legal career and make a real difference? At Cigna Healthcare, our Legal Internship Program is more than just a summer job-it's a chance to work on meaningful projects that shape the future of healthcare and touch millions of lives. Join a team of ambitious, compassionate experts who believe in growth, collaboration, and making every experience count.
Responsibilities: Strategic Contributions & Outcomes
+ Conduct legal research and deliver concise analysis to support business decisions and compliance initiatives.
+ Review, draft, and edit contracts and legal documents, ensuring alignment with regulatory requirements and organizational policies.
+ Contribute to the development and improvement of policies and procedures that drive legal compliance and operational excellence.
+ Engage in special projects that advance the Legal Team's strategic goals and support Cigna's mission to improve health outcomes.
+ Build professional relationships through networking with in-house counsel, business leaders, and cross-functional partners, gaining exposure to diverse legal career paths.
Required Qualifications
+ Current law school student in good academic standing at an accredited institution.
+ Minimum GPA of 2.5 on a 4.0 scale (or equivalent).
+ Completion of first year of law school by internship start date.
+ Strong written and verbal communication skills.
+ Demonstrated analytical thinking and problem-solving abilities.
+ Ability to work effectively in team environments and show professional work habits.
+ Capacity to understand situational context and respond with logical analysis.
+ Ethical use of technology to enhance productivity and achieve goals.
+ Proficiency in Microsoft Office Suite.
+ This position is open only to individuals who are eligible for employment in the United States and who would not require visa support including H-1B or CPT/OPT/STEM, etc. , now or in the future.
Preferred Qualifications
+ Experience with Excel.
+ Interest in healthcare law, compliance, or regulatory affairs.
+ Demonstrated initiative in academic, professional, or community settings.
Additional Information
+ Location: Bloomfield, CT or St. Louis, MO. In-office presence expected 3-4 days per week.
+ Schedule: Full-time (40 hours/week), starting May 18- July 24th, 2026 (10 weeks)
+ Internship Orientation: May 18-20, 2026, in Bloomfield, CT
Join us this summer and grow your skills, expand your network, and help us deliver on our promise to improve health and vitality for those we serve. Your journey starts here!
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._
Are you ready to lead and innovate in z/OS mainframe environments? Join us as a DB2 Systems Programmer and become the go-to expert for all things DB2 Related. You'll drive strategic outcomes, mentor others, and ensure our enterprise systems run at peak performance.
Responsibilities
* Install, customize, support, and maintain DB2 and related products to ensure robust, secure, and high-performing environments.
* Maintain baseline operations for DB2 test and production systems, proactively identifying and resolving issues.
* Provide expert technical support and problem determination for both systems and applications teams, using advanced tools like IPCS and Abend-aid.
* Participate in disaster recovery exercises, supporting enterprise system recovery and business continuity.
* Take ownership of and resolve highly complex or critical incidents within the mainframe DB2 environment.
* Consult on projects with business application teams, offering strategic guidance and technical expertise.
* Support off-hours product maintenance and installs as needed, ensuring minimal disruption to business operations.
Required Qualifications
* Minimum 7 years of experience as a DB2 Systems Programmer in a z/OS environment.
* Expert-level knowledge of DB2 internals and SMP/E product installs.
* Proven ability to debug system and application dumps using IPCS and Abend-aid.
* Demonstrated leadership skills; able to coach, mentor, and direct junior technical resources.
* Strong interpersonal, collaboration, and team skills.
* Effective oral and written communication abilities.
Preferred Qualifications
* Experience with z/OS, TSO/ISPF, Db2, UNIX Systems Services.
* Proficiency with Tivoli-Monitoring, Omegamon and Microsoft Office products.
* Programming skills in JCL, COBOL, Assembler, JAVA, MVS/REXX, ISPF Dialog.
* Familiarity with network protocols: TCP/IP, VTAM, LU 6.2, APPC, FTP, TN3270.
* Bachelor's degree in Computer Science, Information Systems or related field.
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 120,800 - 201,300 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.
$88k-106k yearly est. Auto-Apply 16d ago
Administration Specialist I
Forrest T Jones & Company 4.0
Forrest T Jones & Company job in Kansas City, MO
The Administration Specialist I is responsible for the maintenance of accounts within Administration in accordance to policy provisions and internal guidelines ensuring all requests are fulfilled in a timely and professional manner.
Expectations
• Processes applications and enrollments ensuring completeness and accuracy
• Interprets policy provisions to answer questions regarding benefits and eligibility
• Calculates premiums, rates, refunds and other billing information
• Collects and process premium payments and reconciles accounts
• Corresponds with clients and customers via telephone, email, and mailings
• Maintains a courteous and professional manner with internal and external customers
• Performs other duties as assigned
Competencies
• Accurate, detail oriented, and strong organizational skills
• Proficient computer skills including Microsoft Office (Word, Excel, and Outlook)
Requisites
• High School Diploma or equivalent
• Experience working with insurance products or within the insurance industry preferred
We offer comprehensive benefits to full-time employees including company-paid medical, STD, LTD and life insurance; plus voluntary dental, vision, Life/AD&D insurance, 401(k) with company matching, generous paid time off and much more.
We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age.
ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON PASSAGE OF A DRUG SCREEN AND BACKGROUND CHECK.
$32k-48k yearly est. Auto-Apply 60d+ ago
Category Management Advisor- Professional Services
Cigna Group 4.6
Remote or Saint Louis, MO job
The Category Management Advisor is responsible for procuring consulting and professional services for the Information Technology organization. This role partners with leading technology consulting firms to support multiple lines of business. The advisor manages competitive sourcing processes and guides stakeholders in selecting the most suitable suppliers and solutions to meet business objectives.
Success in this position requires expertise in navigating dynamic requirements aligned with strategic business and IT goals. The advisor must be adept at engaging suppliers and influencing stakeholders across various management levels to achieve optimal outcomes.
Key Responsibilities
Draft, redline, and negotiate master service agreements (MSAs) and statements of work (SOWs) with robust information protection provisions.
Negotiate and execute MSAs with technology service providers, ensuring compliance with Cigna's contractual standards to minimize corporate risk.
Establish and maintain supplier performance measurement and reporting mechanisms.
Analyze business requirements, supplier relationships, and processes to enhance performance and deliver greater value.
Recommend sourcing strategies, process improvements, and supplier relationship models for enterprise-wide adoption.
Evaluate supplier market rates and historical cost trends to negotiate consulting rate cards and role definitions.
Develop timelines and coordinate cross-functional teams to implement sourcing strategies and initiatives.
Oversee day-to-day execution of sourcing and contracting processes, leveraging subject matter experts as needed.
Collaborate with business stakeholders to develop RFPs and supplier evaluation tools.
Formulate negotiation strategies, including detailed financial analyses to benchmark costs against market standards.
Lead negotiations in partnership with business teams and Supply Chain Management leadership.
Monitor and report progress against sourcing objectives and performance metrics.
Qualifications
Bachelor's degree strongly preferred, ideally in Business, Supply Chain, Information Technology, or a related field.
Proficiency with SAP Ariba (or similar source-to-pay and contracting platforms) and Oracle financial systems; experience with Icertis or other contract lifecycle tools is a plus.
Exceptional communication, facilitation, and leadership skills with the ability to influence and motivate cross-functional teams.
Strong organizational and time management skills with attention to detail.
Advanced analytical skills and financial acumen.
Proven ability to solve complex problems and make sound decisions in dynamic, fast-paced environments.
Skilled in articulating solutions to senior executives and driving alignment on strategic initiatives.
Demonstrated ability to apply fact-based negotiation principles and perform total cost analyses to support ROI decisions.
Expertise in market and industry analysis, including cost structures and strategic implications of industry trends.
Commitment to enterprise vision, values, and goals.
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.
$103k-126k yearly est. Auto-Apply 18d ago
Accounting Technician III
Kansas City Life Insurance Company 4.1
Kansas City, MO job
Premium Collections Accounting Technician III Kansas City Life Insurance Company, a recognized leader in the insurance industry, is seeking an energetic, self-motivated individual to join our Premium Collections department. The ideal candidate would meet the following requirements:
QUALIFICATIONS/REQUIREMENTS:
* Business associates degree or 5 or more years of work experience in an accounting department, preferably in insurance or a related financial services industry. Candidates actively pursuing a related degree and who have strong analytical skills and industry experience will also be considered.
* Hands-on PC experience
* Strong analytical and communication skills
* Ability to manage multiple tasks with staggering deadlines
* LOMA or other industry courses preferred
* Regular and reliable attendance and punctuality is an essential function of this position.
DUTIES/RESPONSIBILITIES:
* Play a key role in maintaining operations relating to premium collections, including, workflow, monitoring, proofing and analyzing output, and troubleshooting.
* Play a key role in the initiation, research, development, and implementation of PC and mainframe automation projects, software conversions and upgrades, and enhancements that effect the Premium Collections Department.
* Play a key role in the coordination, control, and tracking of Premium Collections workflow and projects. Assists in various departmental projects when needed.
* Coordinate timely and accurate preparation, proofing, and distribution of certain intermediate level premium collections and compliance reports and/or schedules.
* Review and critically examine premium collections transactions, reconciliations, schedules, and provide assistance to correct any errors or omissions.
* Play a key role in the research, design, and implementation of projects and programs to improve customer service and the operating efficiency of the Premium Collections Department.
* Communicate effectively with peers, senior management, vendors, auditor/examiners, and other internal and eternal customer. Provide clear, concise, accurate, and thorough responses to questions, inquiries, and research/analysis requests, some of which may be non-routine in nature.
Kansas City Life Insurance Company offers a competitive salary and an excellent benefits package. If you meet the above requirements and wish to join Kansas City Life's Premium Collections department, please send resume and salary requirements in confidence to: Kansas City Life Insurance Company ATTN: Human Resources Department
3520 Broadway
P.O. Box 219139
Kansas City, MO 64121-9139
EOE/MFVH
e-mail:[email protected] Print this Close this job description
$32k-40k yearly est. 41d ago
Underwriter Coordinator
Forrest T Jones & Company 4.0
Forrest T Jones & Company job in Kansas City, MO
Forrest T. Jones & Company, Inc., and its affiliates (“FTJ”), provide insurance and insurance-related services to clients, corporations, employers and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets.
Position Summary
In the role of Underwriter Coordinator, you will work closely with the company who is contracted to analyze risk selection for individually issued life, disability and health coverages on behalf of Fidelity Security Life Insurance Company. In addition, this position will be required to work with various insurance companies that contract with Forrest T. Jones & Company for insurance administrative services. In this position you will be responsible for coordinating submission of applications, assisting with ordering medical information when needed, work with MIB, Datafied and a variety of other vendors to obtain information as needed.
Expectations
Assists proposed insureds with special problems encountered (such as waiver removals).
Answers reinsurance companies' questions regarding proposed insureds, and medical questions referred from Customer Service.
Assists Executive and Marketing Departments with special cases.
Determines by interpreting Medical Information Bureau (MIB) codes if additional medical requirements are necessary.
Audits MIB codes to ensure compliance.
Evaluates claims history for risk adverse selection, and determines morbidity and mortality by reviewing claim files.
Orders requirements needed to evaluate risk.
Assists Underwriting Support by providing staff with answers to questions from proposed insureds.
Composes letters to physicians explaining and insureds medical condition and the reason for an underwriting decision.
Performs other related duties as assigned and required.
Competencies
Proficient knowledge of Individual Underwriting procedures/practices.
Proficient knowledge of Word and Excel.
Proficient knowledge of computer systems.
Comprehensive understanding of medical coding and medical terminology.
Extremely detailed oriented with proficient organizational skills.
Excellent customer skills in handling insureds, outside vendors and Insurance Companies.
Requisites
Prior Underwriting experience helpful
Advanced analytical skills and medical knowledge
We offer comprehensive benefits to full-time employees including company-paid medical, STD, LTD and life insurance plus voluntary dental, vision, life/AD&D insurance, 401(k) with company matching, generous paid time off and much more.
We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age.
ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON THE PASSING OF A DRUG SCREEN AND BACKGROUND CHECK.
$54k-82k yearly est. Auto-Apply 60d+ ago
Backend Software Engineer, DentaQuest
Sun Life of Canada 4.3
Kansas City, MO job
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.
Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.
Job Description:
Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week.
The Opportunity:
Software engineer will Support IT Objectives by supporting business processes, systems and clients (under limited supervision) specifically with UI, middleware and system integrations related technologies and applications, carries out these responsibilities by providing information technology (IT)
How you will contribute:
Supports existing applications, monitors systems performance and work based on the impact to the business. May coordinate cross-functional IT departments to resolve issues
Uses troubleshooting skills to identify, research and propose solutions to problems and accommodate necessary changes or corrective action, as needed
Execute full lifecycle software development
Write well designed, testable, efficient code
Produce specifications and determine operational feasibility
Integrate software components into a fully functional software system
Develop software verification plans and quality assurance procedures
Document and maintain software functionality
Tailor and deploy software tools, processes and metrics
Serve as a subject matter expert
Comply with project plans and industry standards
Other duties as assigned.
What you will bring with you:
3+ years of total experience of developing API's - .NET (C#) and Python, Java.
Demonstrates sound technical skills with a strong working knowledge of the client's business in order to effectively translate business needs to IT solutions.
Fast learner who adapts quickly to changing business needs and evolving technology landscapes.
Bachelor's or Master's degree in computer science or related field.
Deep understanding of Azure and AWS, with experience in designing cloud-native applications using serverless and containerized architectures.
Extensive experience with BFF design patterns, API Gateway, and middleware solutions.
Strong experience with authentication and security using Okta, OAuth2, OpenID Connect, and JWT.
Strong knowledge of DevOps, CI/CD, containerization (Docker, Kubernetes), and infrastructure as code (Terraform, ARM templates).
Extensive experience with some of the following monitoring and alerting tools (ELK, Datadog, Dynatrace, Splunk)
Experience working in agile development environments, leading technical discussions, and mentoring junior engineers.
Extensive knowledge of building REST and GraphQL APIs
Effective oral and written communication skills
Required to attend additional training as requested/deemed necessary
Salary:
Salary Range: $79,300 - $119,000
At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.
Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!
We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.
Life is brighter when you work at Sun Life
At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.
We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
We do not require or administer lie detector tests as a condition of employment or continued employment.
Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Job Category:
IT - Application Development
Posting End Date:
29/01/2026
$79.3k-119k yearly Auto-Apply 7d ago
Regulatory & Compliance Analyst
Forrest t Jones & Company 4.0
Forrest t Jones & Company job in Kansas City, MO
Forrest T. Jones & Company, Inc., and its affiliates (“FTJ”), provide insurance and insurance related services to clients, corporations, employers, and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets.
Position Summary
Responsible for the following regulatory and compliance issues and support:
Legislative Review :
Assist with monitoring and analysis of new laws and regulations. Areas of regulatory review may include rate and form filing requirements, health insurance mandated benefits, Guaranty Association notices, fraud, claims practices, escheat, same sex and non-discrimination laws, privacy, life and health insurance replacement, Annuity suitability, Anti-money Laundering, Advertising requirements, underwriting restrictions, and periodic reporting.
Compliance Procedures and Communication updates : Assist with identifying and incorporating needed updates to the Company's various Standard Practice Memorandum (SPMs) and Third-Party Administrator Compliance Bulletins.
Advertising Review and Compliance : Assist with the review and tracking of all life and health insurance advertising generated internally and by outside marketers.
Expectations
Assist with the monitoring and analysis of new laws and regulations that impact existing and new life and supplemental health insurance products
Areas of regulatory review may include rate and form filing requirements, health insurance mandated benefits, Guaranty Association notices, fraud, claims practices, escheat, same sex and non-discrimination laws, privacy, life and health insurance replacement, Annuity suitability, Anti-money Laundering, Advertising requirements, underwriting restrictions, periodic reporting and other topics as assigned.
Assist with ongoing monitoring and updates to the Company's various SPMs and Compliance Bulletins.
Assist with the review and tracking of all life and health insurance advertising generated internally and by outside marketers.
Assist with the review of privacy matters related to unauthorized disclosures and/or breaches.
Provides support to facilitate compliance with Anti-Money Laundering processes and procedures.
Performs miscellaneous research of compliance issues.
Performs other related duties as required and assigned.
Competencies
Superior oral and written communication skills to successfully interact with internal and external contacts at all levels
Ability to coordinate projects among multiple departments and clients
Detail oriented, ability to prioritize, self-starter, and capable of working independently
Ability to function at a high level in a fast-paced environment with changing priorities and willing to work beyond normal business hours when needed
Requisites
Bachelor's Degree preferred
5-10 years' experience with life and supplemental health insurance products
Solid understanding of group and individual insurance policy form requirements and state insurance department requirements
Previous experience in reviewing life and health insurance product advertising a plus
Successful completion of insurance industry courses such as Life Office Management Association (LOMA) a plus
We offer comprehensive benefits to full-time employees including company-paid medical, STD, LTD and life insurance; plus voluntary dental, vision, life/AD&D insurance, 401(k) with company matching, generous paid time off and much more.
We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age.
ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON THE PASSING OF A DRUG SCREEN AND BACKGROUND CHECK.
$55k-76k yearly est. Auto-Apply 13d ago
Senior IT Project Manager
Forrest T Jones & Company 4.0
Forrest T Jones & Company job in Kansas City, MO
Forrest T. Jones & Company, Inc., and its affiliates (“FTJ”), provide insurance and insurance related services to clients, corporations, employers and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets.
Position Summary
As a Senior IT Project Manager, you will be responsible for multiple projects using multiple methodologies such as Waterfall, Agile and/or Kan Ban to manage projects. You will be responsible for working with subject matter experts and IT teams to manage demand, organize and ensure prioritized backlog/s, and effectively communicate delivery plans to multiple groups within and outside of IT. The projects will range from small to large and simple to complex. These projects will compete for the same resources and will have varying levels of requirements and timeline sensitivities. You will establish and implement project management processes and methodologies for the I.T. PPMT group to ensure projects are delivered on time, within budget, adhere to high quality standards and meet customer expectations.
Responsibilities
Become intimately familiar with applications currently in use for FTJ and FSL.
Coordinate with Application Development and Business teams to ensure that proper care is given in development and testing of all products created by or maintained by IT.
Document projects using the FTJ Enterprise Work Management toolset.
Review business and functional requirements to compile a full understanding of deliverables within a project.
Continuously maintain and update project management plans as products evolve both during the initial development phases and post implementation add-on / break fix scenarios.
Ensure that schedules are met and proactively address these issues with management.
Continuously review project performance, update PPMT tools and brief management on progress.
Develop reporting and dashboards as needed to give enterprise view of project status and report to management.
Interact with stakeholders to communicate status.
Mentor other Project Managers.
Qualifications
Non-Technical
Project Management Expertise: Experience and working knowledge of “best practices” in developing and leading/managing projects to create solutions, plan, budget, and execute projects in support of customer objectives/goals. This includes the ability to work across the organization to plan for the supporting project/activities needed to successfully implement customer programs/projects.
Leadership: Willing to “take a position vs. managing a position;” ability to drive change within the organization; ability to build consensus/coalitions amongst divergent interests; acts with integrity; takes the initiative; exercises sound judgment; sets the example.
Analytical/Problem Solving: Intellectual capacity and ability to gather, sort and analyze data and then develop logical conclusions; critical thinking skills; familiar with problem solving tools/techniques and able to communicate options, conclusions, and recommendations to both the business and the technology teams.
Interpersonal/Communication: articulate and capable of conveying ideas clearly/concisely; sensitive to needs of the audience; ensures the customer, as well as service areas within IT are kept informed of plans, status, and current problems/challenges; manages around internal politics; empathetic, good listener.
Technical
Experience and working knowledge of industry “best practices” related to insurance brokerage, Third Party Administration (TPA), and underwriting systems.
High level of technical acumen
High level of business acumen as it relates to the insurance industry.
Quickly understands the overall business strategy, analyzes the business processes, and develops technical solutions to support the business strategy.
Ability to mentor others through issues and if needed, facilitate resolution.
Must be a constant learner. Staying up to date on industry knowledge and striving to learn about new and emerging technologies and trends in the Insurance and Securities space, as well as business practices and trends (including regulatory and compliance requirements).
BS in Computer Science, or equivalent experience in substantially similar position.
5+ years of Project Management within a software development organization.
Strong analytical skills are a must.
Ability to create and execute plans given minimal written instructions.
Ability to liaise with Development, business owners and internal stakeholders.
Best if experienced with:
Insurance Industry experience.
EDI processing.
Payment Card Industry data security standards (PCI DSS).
Personal Health Information security standards (PHI).
Insurance industry IT support and security.
Laws, policies, procedures, or governance relevant to cybersecurity.
We offer comprehensive benefits to full-time employees including company-paid medical, STD, LTD and life insurance; plus voluntary dental, vision, life/AD&D insurance, 401(k) with company matching, generous paid time off and much more.
We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age.
ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON THE PASSING OF A DRUG SCREEN AND BACKGROUND CHECK.
$76k-111k yearly est. Auto-Apply 60d+ ago
Head of Enterprise Architecture (Managing Director), Evernorth Health Services (Hybrid)
Cigna 4.6
Remote or Saint Louis, MO job
We are seeking a strong leader (Band 6) in Enterprise Architecture to own and advance the end‑to‑end architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star architectural vision, guides multi‑year platform and data strategies, and influences senior leaders across technology and the business to accelerate transformation. The position requires executive presence to engage senior leadership, balancing high enterprise influence with support from a talented and focused team reporting to role. This is not a "keep-the-lights-on" role-this is for a transformational leader who thrives on challenging the status quo, building modern architecture, and enabling innovation across teams.
Key Outcomes (first 12-18 months)
* North‑Star Architectural Vision for PBS & Pharmacy: Publish a business‑aligned target state and pragmatic multi‑wave sequence (platforms, data, integration, security), with measurable runway for core products and operations.
* Governance that Accelerates Delivery: Stand up/strengthen EA governance (principles, guardrails, decision logging) that reduces decision latency, aligns portfolio spend to goals, and increases adoption of reference patterns across Pharmacy/PBS domains.
* AI‑First Patterns in Priority Journeys: Operationalize responsible AI/GenAI patterns for experience enablement, digital personalization, and create new levels of efficiency in partnership with partners across technology and business.
* Step Function Change on Costs: Find roadmap to create new levels of effectiveness from operational and technology functions, creating lasting differentiation in client value proposition.
* Executive Advising & Alignment: Provide clear trade‑off narratives (cost, risk, velocity) to SLT/CIO partners; create durable alignment at major forks (build/buy/retire; sequencing; investment cases); become a trusted partner across enterprise, leading with vision and influence.
* Security & Compliance by Design: Ensure architectures and golden paths conform to Cigna Information Protection (CIP) standards and policies without burdening delivery teams.
Key Responsibilities
* Strategy & Roadmap: Leveraging talent on team, define and maintain PBS and Pharmacy capability maps, platform strategy (buy/build/retire), reference architectures (cloud, data, API/eventing, streaming), and modernization waves tied to business outcomes.
* Governance & Decisioning: Establish and chair/participate in pragmatic architecture reviews; codify principles and decision records; instrument decision SLAs to remove bottlenecks and improve transparency.
* AI‑First Enablement: Embed responsible AI/GenAI designs (safety, observability, model governance) in pharmacy and PBS operations (e.g., clinical capabilities), digital experiences, and analytics products.
* Security, Risk & Compliance: Integrate CIP standards (e.g., change management, supplier security, data handling) into architecture guardrails and developer‑facing guidance; track adoption and exceptions.
* Delivery Partnership: Ensure architectures ship: define golden paths, reusable assets, and tooling; pair with engineering on first implementations; measure adoption and outcome impact.
* Talent & Community: Mentor principal architects and high‑potential ICs; curate communities of practice; maintain a living pattern library and decision log for learn‑once/use‑many scale.
Qualifications
* 10+ years in enterprise architecture/technology strategy experience.
* Depth in modern architectures: public cloud (Azure/AWS), data platforms (warehouse/lake/lakehouse; streaming), API & event‑driven integration, zero‑trust, resilience/observability. (Market‑norm for distinguished‑level EA.)
* Demonstrated record designing and landing multi‑year platform and data strategies at enterprise scale.
* Executive presence with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a lean direct span).
* Experience operationalizing corporate security & compliance standards within engineering practices (e.g., CIP).
* Excellent storytelling, facilitation, and stakeholder management with SLT and cross‑functional leaders.
* Experience in high-growth or transformational environments (startups, M&A, platform rebuilds).
* Systems thinker who balances ideal-state architecture with real-world execution.
Nice to Have
* Prior PBM/specialty pharmacy platform knowledge (e.g., claims/benefit management, care coordination, specialty workflows).
* Earlier hands‑on engineering (software, data, or platform) before moving into architecture leadership.
* Industry credentials (e.g., TOGAF, Azure/AWS architecture) and/or published architecture patterns.
Leadership Competencies
* Strategic Mindset, Drives Results, Collaborates, Instills Trust, Manages Complexity, Tech Savvy
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 203,500 - 339,100 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 and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That's why 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) with company match, 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, visit Life at Cigna Group.
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.
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Forrest T. Jones & Company may also be known as or be related to FIDELITY SECURITY LIFE INSURANCE COMPANY, Fidelity Security Life Insurance Company, Forrest T. Jones & Company and Forrest T. Jones & Company, Inc.