Cigna Healthcare · 1 day ago
Program Management Lead Analyst - Encore Program - Remote
Cigna Healthcare is dedicated to improving health and vitality, and they are seeking a Program Management Lead Analyst to support their Client Growth & Innovations Clinicians. This role involves transforming complex clinical and claims data into actionable insights to enhance provider partnerships and client decision-making.
Hospital & Health Care
Responsibilities
Deliver timely, high-quality clinical and claims insights that enable CGI Clinicians to support client and broker engagements
Analyze, investigate, and summarize HCC data, including TC131 and TC56 reports, to inform Total Health Insight deliverables and external clinician meetings
Conduct comprehensive clinical summary reviews for high-cost claimants in alignment with established clinical and corporate guidelines
Interpret medical records and claims data to identify trends, risks, and opportunities that support strategic recommendations
Synthesize findings into clear, executive-ready summaries for Market Medical Executives and Nurse Executives
Lead or contribute to small- to mid-sized projects focused on improving processes, quality, and efficiency
Partner effectively across a matrixed organization, building trust and momentum in a fast-paced, evolving environment
Apply a working knowledge of core clinical programs, products, and systems (e.g., ICMS, CCMS, HEV, OneView, TruCare) to support business outcomes
Qualification
Required
3+ years of clinical or clinical support experience
Strong analytical and research skills with the ability to interpret complex clinical and claims information
Experience reviewing medical records and summarizing clinical findings
Effective written and verbal communication skills, with the ability to convey insights clearly to diverse stakeholders
Strong organizational and time management skills, with comfort managing multiple priorities
Preferred
Bachelor's degree in a related field
5+ years of clinical or related healthcare experience
Experience with CPT and ICD-10 coding
Proficiency in Microsoft Office and healthcare technology platforms
Demonstrated ability to influence, collaborate, and drive outcomes across cross-functional teams
Company
Cigna Healthcare
We are a health benefits provider that advocates for better health through every stage of life.
H1B Sponsorship
Cigna Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (442)
2024 (335)
2023 (324)
Funding
Current Stage
Late StageLeadership Team
Recent News
Hartford Business Journal
2025-10-07
2025-10-06
Company data provided by crunchbase