• Analyzes and refines business requirements using Agile frameworks, creating detailed user stories and functional specifications that guide the development of software solutions. • Participates in the product development lifecycle, ensuring thorough documentation and adherence to best practices in system design and user experience. • Responsible for facilitating collaboration among stakeholders, gathering critical insights to enhance product functionality, and leading validation efforts to ensure solutions meet both technical and user needs. • Drives the analysis and redesign of existing processes to improve efficiency and output quality. • Analyze system requirements and business processes; codes, test, debug and implement software solutions. • Develop comprehensive user stories and functional specifications to meet business needs. • Lead integration efforts and ensure that software and systems are fully compatible across multiple platforms. • Collaborate with project managers and software architects to plan development projects and to ensure solutions meet long-term business goals. • Conduct regular stakeholder meetings to gather detailed product and technical requirements and to maintain business process documentation throughout the project lifecycle.

Role Description The contracted resource will be responsible for: - Managing test runs, jobs, and calendars - Reviewing software requirements and user stories; preparing test scenarios - Designing and developing manual test scripts - Executing system, integration, regression, and related test cycles - Detecting, documenting, and tracking software defects and inconsistencies - Producing support documentation for defects, test results, and testing activities - Preparing comprehensive testing reports for the design team - Engaging with clients and vendors to understand product requirements - Participating in design reviews and providing input on requirements and potential risks - Delivering timely reviews, test designs, solutions, and documentation - Applying quality engineering principles throughout the Agile lifecycle - Performing other related duties as assigned This is a remote position. Qualifications - Experience with manual software testing - Experience with ALM Octane or similar workflow and tracking tools - Experience with debt collection - Experience with FICO/Jonas C&R Software Debt Manager Requirements - Remote role but only current Ohio residents will be considered

The Senior Continuous Improvement / Business Process Engineer plays a key role in improving how healthcare call center and claims operations work. In this role, you’ll lead complex, cross‑functional initiatives, take on ambiguous, enterprise‑wide challenges, and deliver meaningful, measurable improvements through smarter processes, data‑driven insights, and automation. This is a senior, hands‑on individual contributor role with full ownership from idea to impact—it’s not an advisory position. You’ll be trusted to set priorities, make decisions, and drive execution, partnering with teams across the organization and influencing outcomes without formal authority. Responsibilities Process Improvement & Operational Excellence • Identify and frame high value improvement opportunities, defining problems to solve based on business value, risk, and scalability—not solely assigned initiatives • Lead end to end improvement initiatives across functions and teams, from problem definition through implementation, adoption, and sustainability • Navigate high complexity environments with competing priorities, unclear requirements, and multiple stakeholders • Quantify, validate, and track benefits including cost savings, capacity creation, quality improvement, and risk reduction, ensuring value realization is achieved and sustained • Serve as a change leader, addressing resistance, aligning stakeholders, and ensuring improvements stick beyond implementation Business Process Engineering & Documentation • Lead enterprise level current state and future state process design, spanning multiple functions, handoffs, and systems • Facilitate complex working sessions to uncover root causes, systemic constraints, and interdependencies • Redesign and standardize processes to improve clarity, consistency, scalability, and operational readiness • Translate complex workflows into clear, consumable artifacts tailored for frontline teams, operational leaders, and executives • Establish and evolve process standards in partnership with business and technology leaders Automation, AI & Technology Enablement • Proactively integrate automation, AI, and product thinking into improvement solutions rather than treating automation as a downstream add on • Evaluate operational feasibility, change impact, and scalability of proposed solutions • Partner with technology, product, and automation teams to shape solutions that balance speed, risk, and long term sustainability • Contribute to business cases by clearly articulating expected benefits, tradeoffs, and implementation considerations • Support requirements definition, testing strategy, and implementation readiness as needed Data Analysis, Measurement & Insight Generation • Use data to identify opportunities, validate hypotheses, and inform prioritization decisions • Define success metrics upfront and own ongoing benefit validation and reporting • Translate complex data into clear, actionable recommendations for senior operational leaders • Ensure measurement approaches support enterprise level decision making, not just project reporting Stakeholder Partnership, Influence & Leadership • Serve as a trusted improvement partner to directors, VPs, frontline leaders, technology partners, and external vendors • Make and own strategic and tactical decisions within initiatives, escalating only when appropriate • Influence outcomes through credibility, judgment, and strategic framing, not positional authority • Coordinate multiple initiatives and teams simultaneously, aligning work to enterprise priorities • Mentor and coach junior CI/BPE practitioners, raising overall CI maturity and capability across the organization Success Measures • Demonstrated enterprise‑level cost savings, capacity creation, or risk reduction • Sustainable adoption of improvements with clear operational ownership • Reduction in manual effort, rework, and cycle time across multiple processes • Measurable value realization tied to defined success metrics • Successful integration of automation and AI into operational workflows • Strong executive leader trust, satisfaction, and repeat engagement Qualifications - Minimum of 8 years experience in continuous improvement, process engineering or operational excellence - High School Diploma required, Bachelors Degree preferred - Proven ability to own and lead ambiguous, cross‑functional initiatives to measurable outcomes Advanced application of Lean and/or Six Sigma methodologies, including adapting approaches to fit business context - Strong end‑to‑end process mapping, redesign, and documentation skills - Data‑driven decision‑maker with experience defining and validating benefits (Excel required; BI/SQL a plus) - Demonstrated ability to influence senior stakeholders without formal authority - Preferred - Healthcare, pharmacy, claims processing, or call center operations experience - Prior authorization or utilization management exposure - Experience integrating or supporting automation, workflow tools, RPA, or AI solutions - Familiarity with generative AI or emerging automation technologies - Proficiency with Visio, SharePoint, Confluence, or similar documentation platforms Candidates who reside within 50 miles of the following locations may be asked to work in person on a hybrid schedule (three days per week): Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ. 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 and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 job profile for this position is Operating Effectiveness Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. The Continuous Improvement / Business Process Engineer (CI/BPE) supports operational improvement initiatives across healthcare call center and claims operations. This role focuses on executing well‑defined improvement work, documenting and analyzing processes, and supporting the implementation of efficiency, quality, and capacity improvements through structured continuous improvement methodologies, data analysis, and automation enablement. This is a hands‑on individual contributor role that partners closely with operations leaders, frontline subject matter experts, and technology teams. This role will work within scoped initiatives and priorities, applying standard tools and playbooks while developing deeper continuous improvement and process engineering skills. Responsibilities Process Improvement & Operational Execution - Support identification of inefficiencies, bottlenecks, and sources of rework within defined processes or functional areas - Apply Lean, Six Sigma, and continuous improvement tools as taught to reduce waste, cycle time, and operational friction - Execute assigned improvement initiatives from problem definition through implementation with guidance from senior practitioners or leaders - Assist in tracking benefits such as cost savings, capacity gains, quality improvements, and risk reduction - Participate in cross functional improvement efforts and support change adoption activities Business Process Documentation & Analysis - Conduct current state and future state process mapping using standard modeling techniques and templates - Participate in interviews, working sessions, and observations to understand operational workflows - Document and standardize processes to improve clarity, consistency, and handoff effectiveness - Maintain process documentation in partnership with business and technology stakeholders - Translate process information into clear, usable documentation for frontline and operational audiences Automation & Technology Support - Identify opportunities where automation, workflow tools, or AI may reduce manual effort or errors, with guidance - Partner with technology and automation teams to support solution design and feasibility assessment - Assist with operational impact analysis of proposed tools or process changes - Contribute to business case inputs by documenting effort, assumptions, and expected benefits - Support requirements documentation, testing, and implementation readiness activities as needed Data Analysis & Reporting - Use operational and performance data to support analysis and validate improvement opportunities - Develop and maintain basic metrics, trackers, and reporting to measure outcomes - Summarize findings and insights into clear, factual updates for project teams and leaders - Support benefits tracking and post implementation measurement activities Stakeholder Partnership & Communication - Partner primarily with frontline SMEs, supervisors, and project team members - Communicate progress, risks, and dependencies to project leads and senior CI/BPEs - Escalate key issues, decisions, or tradeoffs appropriately - Prepare written and verbal updates, including meeting materials and status summaries, with guidance Success Measures - Timely and accurate delivery of assigned improvement tasks and deliverables - Clear, usable process documentation that supports operational readiness - Demonstrated reductions in manual effort, rework, or cycle time within scoped initiatives - Accurate tracking and reporting of improvement metrics and benefits - Positive feedback from project leads, frontline partners, and senior CI/BPEs - Continued development of CI, process engineering, and analytical skills Qualifications - High School diploma required, Bachelors degree preferred - Minimum of 5 years experience in continuous improvement within operations, preferably healthcare - Foundational knowledge of Lean and/or continuous improvement methodologies with practical application - Experience with basic process mapping, documentation, and analysis - Comfort using data to support analysis and reporting (Excel required; BI tools a plus) - Ability to manage assigned tasks and priorities in a structured project environment - Willingness to learn, apply feedback, and build CI/BPE capability over time - Healthcare, pharmacy, claims processing, or call center operations exposure preferred - Prior authorization or utilization management familiarity preferred - Exposure to automation or workflow tools (RPA, low‑code, AI‑enabled tools) - Experience using Visio, SharePoint, Confluence, or similar documentation platforms - Detail‑oriented, execution‑focused, and collaborative working style Candidates who reside within 50 miles of the following locations may be asked to work in person on a hybrid schedule (three days per week): Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ. 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 93,200 - 155,400 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. For more details on our employee benefits programs, click here. 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.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.