Individual & Family Plans (IFP) Risk Adjustment Program Management Advisor - Remote - Cigna Healthcare

The Program Management Advisor is a key operational and strategic contributor responsible for managing multiple interrelated projects for the Individual & Family Plans (IFP) Risk Adjustment (RA) team while overseeing end-to-end financial tracking and budgetary processes which ensure operational goals are met, budget constraints are considered, and regulatory compliance is maintained. This role combines financial controller expertise with project management skills to drive successful outcomes across the organization.

Essential Functions

• Financial Planning & Oversight
  • Responsible for developing financial/budgetary strategies, including risk minimization plans, opportunity forecasting, identification of financial risks, and development of mitigation strategies and/or corrective actions
  • Develop and manage annual budget and monthly projection process in conjunction with the annual planning cycle in accordance with Finance Partner timelines, including identification of risk and support of risk mitigation strategies
  • Track and control expenditures to ensure projects stay within budget
  • Manage reconciliation & approval of all supplier and other related invoices
  • Collaborate with Operational/Business owners to oversee all vendor invoicing, reconciliation against projection, and contracts to support payment;
  • Support all business case development and cost benefit analysis as requested
  • Prepare and present financial reports to leadership and key stakeholders, as requested

• Project Execution & Oversight, Supplier and Compliance Management; Stakeholder Engagement
  • Create project plans, timelines, and milestones
  • Coordinate cross-functional teams as applicable
  • Report to leadership as defined
  • Monitor project progress and adjust financial plans as needed
  • Supports all supplier contracting for team; both from financial and business consultative perspective
  • Manage supplier intake process for Risk Adjustment Leadership Team, coordinating with Global Procurement
  • Manage and oversee compliance related activities, including TPV and Delegated Entity oversight, facilitation of internal Risk Adjustment Advisory Board, coordination of critical attestations with Senior Leadership and other related activities, as requested
  • Supports RA Leadership Team and organization to ensure government related requirements are met.
  • Collaborate with internal and external stakeholders to align financial goals.
  • Cultivate strong relationships within organization, matrix partners and suppliers

Qualifications

• Bachelor’s degree in Business Administration, Finance, Project Management, or a related field preferred
• 5+ years relevant work experience required
• Healthcare industry experience and/or HHS Risk Adjustment experience highly preferred
• Strong understanding of financial processes, including forecasting, variance analysis, and reporting required
• Excellent communication, negotiation, and interpersonal skills, with the ability to influence at all levels of the organization
• Strong Leadership, Detail Oriented Organizational, and Analytical skills

• Proven ability to work in a fast paced – dynamic environment and adapt to changing priorities

• Excellent relationship building and cross functional skills
• Excellent written and verbal communication skills 
• Ability to work independently while managing multiple tasks and meeting deadlines
• Strong analytical and problem-solving skills, with the ability to anticipate challenges and drive resolution
• Computer competency with Excel, MS Word, Power Point
• Ability to work independently, with strong collaboration and relationship 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 93,300 - 155,500 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.

We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group.

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.