Individual & Family Plans (IFP) Plan Strategy & Design Lead Analyst Remote Cigna Healthcare

Job description

**POSITION SUMMARY**

Join one of the fastest growing business segments at Cigna.

As a Plan Strategy & Design Lead Analyst you will support the development and implementation of product strategies to maximize profitable growth and membership targets within Cigna's Individual and Family Plans (IFP) segment.

As part of the IFP Product Team, you will be responsible for market and segment analysis, product definition, competitive assessment, product design and price positioning strategies, and ensuring our products deliver superior value to customers who buy their own individual health insurance.

**JOB DESCRIPTION**

The Plan Strategy & Design Lead Analyst will develop and implement health insurance plans for specific market areas and provide in-depth SME support of key initiatives and projects.

A successful person in this role has or will rapidly become a functional expert in the individual business segment.

Success will be achieved through strong, proactive partnerships with areas/individuals such as IFP Market Managers, Pricing, Risk Management, Sales/Distribution, Network/Provider Contracting, Service Operations and IT.

Individuals with experience in developing benefit & plan design strategies and/or health related products for the individual health insurance industry are preferred.

Intellectual curiosity & analytical acumen are highly desirable.

**DUTIES AND RESPONSIBILITIES**

+ Evaluate, develop and refine market level product portfolios through analysis and understanding of targeted markets, market trends, new technology, customer business issues and the competitive environment
+ Partner with matrix partners/organizations such as Network/Provider Contracting, Segment Market and distribution managers, Network, IT, Pricing, Analytics, and Service Operations to identify and implement new product and/or enhancements that will result in increased membership/earnings
+ Independently gather and summarize competitor information from publicly available sources
+ Identify tactics to maximize product advantages while aligning with the profitability and growth goals of the IFP segment
+ Guide development of and utilize performance metric reports to monitor, communicate and positively influence areas of opportunity
+ Project manage the annual product portfolio process, organize key meetings, document progress & key milestones, and manage key product artifacts
+ Collaborate with the Mental Health Parity team to ensure products meet or exceed regulatory guidelines
+ Help to manage IFP Product’s source-of-truth product data management system and improve/expand the processes to leverage and socialize the data.
+ Identify potential issues and roadblocks from a benefits/product perspective and works to mitigate risks to ensure success.
+ Maintain and/or update product policies, procedures and practices

**POSITION REQUIREMENTS**

+ BA or advanced degree in Business or a health-related field preferred; high school diploma or equivalent required
**Minimum 3 years of hands-on experience in ACA-compliant health plan strategy and benefit design, including:**

**​​** ***Plan Structure Development:** **Designing ACA-compliant benefit structures, cost-sharing models, and actuarial value validation.**

***Regulatory Compliance:** **Ensuring alignment with federal and state ACA regulations, essential health benefits, and filing requirements.**

***Market Strategy:** **Analyzing competitive landscape and optimizing plan offerings to improve affordability, enrollment, and market share.**

***Cross-Functional Collaboration:** **Partnering with actuarial, regulatory, and product teams to deliver innovative, compliant plan designs.**

***Measurable Outcomes:** **Proven track record of launching successful ACA plans or maintaining 100% compliance across filings and audits.**

+ Experience in one or more self-service data reporting tools such as: Tableau, Looker, or Cognos
+ Ability to forecast market trends based on historical information
+ Proven success in a heavily matrixed environment
+ Collaborative approach to achieving results
+ Drives resolution of issues, escalating when appropriate
+ Ability to make sound business decisions by interpreting data and key metrics
+ Excellent presentation and communication skills
+ Strong proficiency in Microsoft Word, Excel, PowerPoint, SharePoint

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 75,000 - 125,000 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.

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._

Required Skill Profession

Other General