The Clinical Analyst serves as a specialized operational and strategic support partner within Commercial Clinical Strategy, translating client clinical program requests into executable clinical deliverables and supporting enterprise initiatives that impact Commercial Division clients. Analysts work across account management, clinical operations, product, underwriting, and finance teams to support program implementation, clinical modeling, reporting, regulatory compliance, and client-specific benefit requests.
Responsibilities:
•Create and maintain clinical addendums, drug lists, program documentation, and client-specific clinical deliverables.
•Support implementation of clinical programs for Commercial Division clients.
•Execute benefit setup requests, clinical enrollments, formulary updates, and operational follow-up activities.
•Develop clinical and financial models to evaluate program impacts, utilization trends, and client-specific scenarios.
•Produce standard and custom reporting to support client requests and business initiatives.
•Partner with Account Teams, Clinical Operations, Product, Underwriting, Finance, and other stakeholders to resolve complex client and operational issues.
•Serve as a liaison between business partners and operational teams to ensure successful implementation of client requests
•Identify opportunities to improve operational efficiency, consistency, and quality.
•Support development and maintenance of SOPs, process documentation, job aids, and training materials.
•Participate in initiatives focused on automation, workflow optimization, governance, and operational controls.
Requirements:
•Strong analytical and problem-solving abilities
•Experience managing multiple priorities in a fast-paced environment
•Ability to interpret complex clinical, operational, and financial information
•Excellent written and verbal communication skills
•Experience with Excel, reporting tools, and business systems
•Ability to collaborate effectively across matrixed organizations
•Process improvement and operational excellence mindset
•Bachelor’s degree preferred in 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 78,200 - 130,300 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, paid holidays, and leaves of absence. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community. We relentlessly challenge ourselves to partner and innovate solutions for better health.
The Cigna Group includes products and services marketed under Cigna Healthcare, Evernorth Health Services or its subsidiaries. The Cigna Group maintains sales capabilities in more than 30 countries and jurisdictions, and has more than 190 million customer relationships around the world.
