Summary

The Health Utilization Management Analytics (HUMA) team is seeking a senior individual contributor to lead analytics for the Transparency initiative—a high‑visibility effort supporting executive commitments, regulatory requirements, and strategic decision making related to UM programs.

This role is ideal for a seasoned healthcare analytics professional with strong quantitative judgment, methodological rigor, and an actuarial‑minded approach to trend analysis, assumptions, and credibility. The advisor will serve as the analytical lead for Transparency, owning methodology, metrics, and interpretation, while partnering closely with Medical Directors and enterprise stakeholders to ensure insights are clear, defensible, and actionable.

Key Responsibilities

Own the end‑to‑end analytical strategy for Transparency, including metric definition, methodology design, execution, documentation, and refinement for all non-delegated authorization experience

Develop and defend analytical logic supporting external transparency commitments, regulatory needs, and internal leadership decisions

Perform advanced utilization, trend, and comparative analyses to assess UM program performance and future opportunities

Apply sound analytical judgment to address data limitations, assumptions, uncertainty, and credibility

Translate complex findings into clear, decision‑focused insights for senior leaders and clinical stakeholders

Partner closely with Medical Directors, clinical leaders, and cross‑functional teams to ensure analyses reflect clinical and business context

Support additional Health Utilization Management Analytics initiatives as needed

Qualifications

Several years of experience applying advanced analytics in healthcare, with strong knowledge of utilization management and healthcare data (e.g., claims, ICD‑10)

Demonstrated experience with trend analysis, forecasting, program evaluation, and comparative or matched analyses

Proven ability to develop defensible methodologies and clearly communicate assumptions, limitations, and implications

Strong data visualization and storytelling skills; ability to influence senior stakeholders through analytical credibility (Tableau experience preferred)

Actuarial training, exams, or experience working closely with actuarial teams is highly desired

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 112,800 - 188,000 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.