Job Description

As a member of theProcess Optimization team , you will play a key role in shaping the future of PBM operations through customer-focused service delivery, operational excellence, and strategic process improvement. This is an exciting opportunity to lead initiatives that drive meaningful change while improving the experience of members, clients, and providers.

In this role, you will have the opportunity to showcase your ability to lead, influence, and facilitate complex business process improvement efforts across the organization. Your passion for solving problems, identifying opportunities, and implementing innovative solutions will directly contribute to achieving quality, efficiency, and service excellence goals.

You will collaborate with senior operational leaders and cross-functional partners on high-impact initiatives, gain visibility across the business, and help drive transformational change. If you thrive in a fast-paced, agile environment and enjoy turning challenges into opportunities, PBM Operations offers an exciting and rewarding career path.

What you'll do to make a difference :

• Lead and manage cross-functional process improvement initiatives, leveraging best practices along with a variety of methodologies, tools, and techniques.
• Analyze and measure the effectiveness of existing business processes and design sustainable, repeatable, and quantifiable future-state solutions.
• Document current-state processes and conduct root cause analysis to identify operational pain points and improvement opportunities.
• Partner with business stakeholders to prioritize opportunities and recommend solutions that enhance quality, efficiency, and service delivery.
• Communicate project status, key milestones, risks, and recommendations to stakeholders and leadership teams.
• Contribute to the development and enhancement of work instructions, job aids, training materials, and process documentation.

What you need to be successful:

• High School Diploma or GED required; Bachelor's Degree in Business, Healthcare Administration, Finance, or a related field preferred.
• Lean Six Sigma Green/ Black Belt certification or 8+ years of experience applying process improvement methodologies.
• Strong analytical skills with the ability to perform data analysis, summarize findings, and use insights to support business recommendations.
• Proven critical thinking and strategic problem-solving abilities, with a track record of identifying, assessing, and resolving complex business challenges.
• Strong business acumen with the ability to quickly learn new business areas, concepts, and operational processes.
• Excellent organizational and time management skills with the ability to manage multiple priorities effectively.
• Ability to navigate ambiguity, embrace change, and work collaboratively with stakeholders at all levels of the organization.
• Exceptional written and verbal communication skills.
• Strong presentation and facilitation skills with experience influencing diverse stakeholder groups and leadership audiences.

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 111,000 - 185,000 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, 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.

Job Tags

Full time, Local area, Remote work

Similar Jobs