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- Administrative Services/General Management
Provide services that support business operations.
- Administrative – Support business operations by performing general administrative functions such as clerical, data entry, mail, administrative assistant, etc.
- Corporate Services – Provide general business services for the company such as aviation, conference management, mail/distribution, real estate, travel, security, transportation, strategic sourcing, etc.
- General Management – Directs and coordinates a broad range of activities and functions to ensure effective operations and the achievement of business objectives in accordance with policies.
- Business Operations
Manages business operation functions in relation to a business line, market segment, and/or product.
- Claims – Examine and process claims and adjustments and/or handle escalated claim issues. Review, analyze, investigate, and authorize payment of claims within established guidelines. May communicate with sales force, members, beneficiaries, medical authorities, attorneys, and other involved parties.
- Contracts – Review implementation materials to create documents, policies, certificates, riders or prepare summaries of coverage. May represent Cigna as consultant to sales, employers, and brokers regarding the interpretation of benefits.
- Customer Service – Respond to customer/member questions and/or problems; may investigate issues through matrix partners; and/or resolve escalated problems.
- Employer Services – Support a range of employer services related to case installation, structure, enrollment, billing, ID cards, and benefits administration.
- Operations Management (Business) – Direct the operations activities for a significant functional area of the organization in compliance with the organization’s and government policies. Reviews operations systems and procedures, and recommends improvements to increase efficiency.
- Project Management (Business) – Manage or participate in time-limited projects from the business perspective.
- Quality Assurance/Audit – Audit and review the accuracy of case processing activities such as claim or commission payments, premium collection and accounting, or system structure and data entry, etc. to ensure compliance with administrative procedures.
Technical/professional roles associated with direct patient care.
- Allied Health – Allied Health roles licensed or certified in a particular specialty to perform direct patient care, e.g., Radiology Technician, Physician Assistant, Dentist.
- Clinical Management – Manage clinical operations responsible for providing direct patient care.
- Nursing – Roles that require a license in Registered Nursing (RN) or for Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) and perform direct patient care.
- Pharmacy – Roles licensed in Pharmacy that dispense and control drugs and/or supervise pharmacy operations.
- Physicians – Licensed Medical Doctor, responsible for general or specialty direct patient care.
Supports the business through managing and reporting on the corporation’s finances, creating and maintaining risk assessment and management control processes, providing specific financial services, and guiding in relation to business planning.
- Accounting & Financial Reporting – Perform accounting/financial reporting & analysis activities relating to the maintenance of a complete and accurate general ledger and the preparation and analysis of managerial reports and financial statements. Develop and/or maintain internal accounting controls and provide accounting expertise to the business.
- Actuarial – Assess the risk of certain events occurring and formulate policies that minimize the cost of that risk. Assemble and analyze data to determine insurance rates, reserves, and dividends and advise the business on financial issues.
- Audit – Partner with the business in the development, monitoring, and maintenance of strong risk assessment and control processes (focus on business risk). Develop and execute audit programs with emphasis on high-risk areas; manage ethics violations and compliance; and develop and execute fraud prevention and detection programs.
- Controllers – Work with business partners in planning to identify and control operating issues and provide input and staffing to key corporate or business segment projects.
- Financial Analysis – Identify financial risks and opportunities and review critical issues that impact financial results. Work with internal business partners to identify issues and recommend adjustments to financial plan. May establish financial controls for functional area and develop/implement operational efficiency improvements using automation. May promote Cigna's corporate, operational and strategic development by identifying, evaluating and implementing, new business opportunities and other projects.
- Tax – Prepare and file federal, state, and local tax returns for all Cigna legal domestic entities. Provide operational and strategic tax planning and participate in industry groups to influence federal and state and local tax legislation.
- Treasury/Banking – Responsible for overseeing Cigna's cash and maximizing cash flows. Provide treasury and related banking services to support the business. Manage Cigna's relationship with banks and other financial institutions. Manage Cigna's capital position and raise the capital required to meet the needs of Cigna's operating businesses.
- Human Resources
Ensures that Cigna is able to attract, retain, and develop the people resources necessary to develop and execute the business strategy; and design and implement HR policies and programs to support business objectives.
- HR Centers of Expertise – Develop and/or execute strategy or programs/policies and procedures associated with compensation and benefits, diversity, employee development (leadership programs, succession planning), employee engagement and retention, staffing, learning, workforce effectiveness, and compliance with government requirements at the enterprise strategy level. Acts as a highly skilled internal consulting practice with strong external focus to develop programs and strategies that advance the business through a robust integrated people strategy.
- HR Generalists – Understand and participate in defining and implementing business strategy and priorities. Identify strategic HR solutions for business problems. Understand the business issues and deploy the talent management strategies in a manner to increase organizational effectiveness. Work with business management and the COE’s in implementing core HR strategies and program management.
- HR Operations – Deliver an efficient, streamlined and low cost enterprise delivery system for all processes that are transactional in nature with a primary focus on manager/employee self-service. Solutions are responsive and timely to all employees balancing service and costs.
- Information Technology
Responsible for the technical infrastructure of the business.
- Application Development and Management – Responsible for development, testing, and maintenance of business applications.
- Architecture – Provide data management strategy, direction and plan/design support to business systems delivery and maintenance. Design and deliver application data architecture, logical/physical data models and databases. Set corporate computing standards to align IT investments with the business.
- Infrastructure Operations and Support – Responsible for the design, analysis, engineering, and implementation of the technical infrastructure along with oversight of the enterprise operations & support services. Also responsible for operational delivery, product management, production and technical support, change release management, output management, help desk, and all aspects of Information Protection.
- Project Management (Systems) – Manage time-limited projects of various sizes and complexities from the systems perspective to deliver defined projects on time and within budget to meet business needs.
Responsible for setting investment policy and perform portfolio management, research, trading, investment strategy, and investment risk management functions.
- Fixed Income Investments – Responsible for marketable fixed-income securities portfolio management, research, and trading.
- Investment Operations – Roles involved in the responsibilities for the investment organization’s operations and related support activities, e.g., trade processing, clearance and settlement, and other related operations functions for securities products.
- Performance and Investment Risk – Measure and evaluate investment performance results for the insurance investment segments. Prepares total return results. Compare results to market benchmarks and competition.
- Real Estate Debt/Equity Originations – Responsible for managing either direct investments, REITS, equity investments or debt investments (e.g., mortgages).
Supports the business by providing legal advice and services to achieve business objectives and manage risks effectively.
- Compliance – Ensure compliance with state and federal laws and regulations. Support product development/maintenance, providing technical advice on language and regulatory issues, accomplish language development, issue resolution, regulatory approval and implementation in connection with Cigna products.
- Counsel – Roles that require an advanced degree in law and provide legal counsel for Cigna.
- Legal Administration/Paralegal – Support legal counsel in activities and may require the completion of Paralegal training.
Develops the overall business strategies and framework for the execution of business operations; and/or focus on the development and execution of marketing programs to profitably grow Cigna's revenue and membership.
- Business Strategy – Identify key business segment strategies, distribution channels and operating issues. Provides consultative support to key business partners, sales and senior management in regard to non-standard benefits. Balance growth objectives, account profitability, and administrative complexity to determine the best outcome for both business and the customer.
- Market Communications – Develop methodologies for executing strategic marketing communications plans. Propose, implement and monitor brand/product marketing plans to achieve sales and profit objectives for allocated brands/products. Coordinate with clients and/or outside agencies in developing and preparing promotional campaigns, selecting media and formats to inform potential customers, special target groups, and/or employees of products, programs, or specific message.
- Market Research – Design, collect, analyze and interpret marketing research data and provide ongoing competitive intelligence. Creates, maintains and analyzes market database resources.
- Product Development/Management – Support and execute strategies (i.e., market and segment analysis, product definition, competitive assessment, and underwriting/pricing strategies) to develop/implement product development and/or enhancements to existing products designed to maximize profitable growth and revenue targets.
- Medical Management
Primarily responsible for medical services but do not provide direct patient care. For direct patient care, see Clinical.
- Case Management – Maintain/contribute to comprehensive programs that address areas where medical management can impact and facilitate the appropriate delivery and use of services. Establish and maintain a collaborative relationship with plan participant, family, physician(s), and other providers to assess the options for care and use of benefits and community resources especially for high risk, high cost, or chronic cases.
- Clinical Quality Management – Establish and maintain a system that evaluates the quality of member care and facilitate quality improvement efforts for clinical, service, and administrative operations within the healthplan(s)/hospital setting.
- Medical Review and Appeals – Provide medical review/consulting for escalated claims, appeals etc. and/or manage/handle appeals and grievances in relation to medical services.
- Medical Services – Responsible for medical services for a geographic area or function. Responsible for program development and the evaluation and assessment of medical programs, products and services.
- Utilization Management – Manage prospective, concurrent, and retrospective review programs for physician, hospital, ancillary care, and case management
- Provider Services
Manage provider relationships, orientation and inquiry, service area analysis, data maintenance and network development.
- Provider Contracting – Manage, evaluate, and/or negotiate contracts for medical providers, hospitals, pharmacy and/or ancillary providers.
- Provider Network and Data Management – Develop, manage and/or implement provider, hospital, pharmacy and/or ancillary networks and/or manage/maintain associated data.
- Provider Relations – Develop and maintain relationships with assigned healthcare providers.
- Public Affairs
Responsible for pro-actively enhancing the image of the company among key external and internal constituencies.
- Business Communications – Develop, execute and monitor corporate or business specific segment programs and activities designed to communicate the critical business information necessary to internal and external audiences to achieve business objectives.
- Government Relations – Monitor federal and/or state legislative and regulatory developments and advocate on behalf of Cigna's business interests.
- Public Relations – Develop, implement and communicate strategies and programs that enhance the company's image among its key internal and external constituencies including liaison to the community welfare and liaison with investors to further Cigna's image.
- Sales/Sales Support
Responsible for direct sales and/or provide support to direct sales.
- Direct Sales/Account Management – Work to achieve/exceed assigned sales product plan and profitability goals. Roles have overall account management responsibility for assigned clients including responsibility for financial results, persistency results, membership and revenue growth, and the cultivation of producer/broker relationships.
- Sales Management – Oversee either or both new and existing sales planning processes, manage the performance of new and existing sales staff, and achieve sales and persistency goals.
- Sales Support and Client Services – Provide pre-sales and/or post-sales support for new and existing sales. Roles have client facing responsibility for service and service strategy issues. Design activities to communicate the critical business information necessary to external audiences to achieve business objectives.
- Underwriting Operations
Develop and implement pricing and underwriting practices and policies to achieve organization’s goals and establish and maintain accounts accordingly.
- Underwriting – Execute the financial management of a book of business focused on attaining profitable growth, persistency, and earnings. Perform case-specific risk assessments and develop and conduct customer negotiations with Sales. Develop recommendations related to market competition, products and pricing.
- Underwriting Support – Provide underwriting data analysis, reporting, and account management support to sales, clients, and matrix partners.