Job Description

About the Role
Title:
Program Management Advisor - Out-of-Network Protection Team - Cigna Healthcare - Remote
Location:
Remote USA
Job Description:
The
Program Management Advisor
is a key member of the Non‑Par Management / Out‑of‑Network Protection Team (ONPT). This role develops and maintains knowledge management tools, capabilities, best practices, policies, procedures, and repeatable processes across multiple lines of business, products, and Cigna companies.
This position drives operational reporting, controls, audits, and tools with a focus on delivering high‑value initiatives. The Advisor identifies and prioritizes operational issues, pain points, and process gaps that impact provider, client, and customer experience. The role regularly partners with vendors, internal teams, and matrix stakeholders to improve the ONPT operating model and downstream service experience.
The Advisor serves as a subject-matter expert across segments, products, and claim engines and is a key driver of business-process improvement initiatives. Using analytics, the Advisor delivers ongoing solutions to recurring issues and trends and supports the resolution of high‑priority, high‑impact escalations across lines of business.
Duties and Responsibilities
Develop, execute, and maintain the ONPT knowledge management strategy, including tools, best practices, policies, procedures, and reusable processes
Create and maintain tools, reports, and job aids that drive operational improvements, including operating manuals and centralized data repositories
Recommend and lead the development of systemic monitoring tools, controls, and processes to detect and address defects
Manage operational readiness for ONPT projects, including requirements gathering, prioritization, testing, and implementation; partner with Development and IT teams
Analyze and translate data to identify improvement opportunities, with a focus on efficiency and automation
Perform vendor security activities, including onboarding, access management, equipment issuance, and returns
Act as a subject matter expert liaison between IT and the business for system releases impacting non‑par operations
Provide actionable insights and recommendations to leadership related to people, process, and technology
Deliver consistent operational performance reporting across ONPT operations
Monitor efficiency and recommend improvements related to claims flow between Service Operations, ONPT, and vendors
Identify and prioritize issues and process gaps that contribute to customer abrasion
Position Requirements
Bachelor’s degree or equivalent relevant work experience
Strong background in Medicare and Commercial lines preferred
Experience with reporting and/or automation tools preferred
Experience leading operational readiness activities or managing multi‑component initiatives across teams
Experience in benefits and claims administration and/or project or relationship management preferred
Strong knowledge of non‑par programs preferred
Advanced knowledge of Cigna products, lines of business, and claim systems required
Demonstrated ability to take ownership and deliver results with minimal supervision
Strong written and verbal communication skills; ability to work in a highly matrixed environment
Proven analytical, problem‑solving, and project management skills
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 95,400 - 159,000 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.
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: 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.