Nurse Case Management Lead Analyst - Accredo - Work at Home

Nurse Case Management Lead Analyst

Join us in shaping the future of patient care! As a Nurse Case Management Lead Analyst, you’ll guide care strategies that improve lives and create lasting impact. We believe in compassion, innovation, and teamwork—and we’re looking for someone who shares our vision to make healthcare more connected and effective.

Responsibilities

• Lead case management initiatives that enhance patient outcomes and streamline care delivery.
• Develop and implement strategies to reduce hospital readmissions and improve quality metrics.
• Collaborate with cross-functional teams to ensure seamless coordination of care plans.
• Analyze data trends to identify opportunities for process improvement and cost efficiency.
• Mentor and support nursing staff to foster professional growth and excellence in care.

Qualifications

Required:

• Current RN license in good standing. License must be in state of primary residence.
• Minimum 2 years of clinical nursing experience, including 2 years in case management or care coordination or prior authorization.
• Strong analytical skills with ability to interpret healthcare data and apply insights.
• Excellent communication and leadership abilities.

Preferred:

• Bachelor’s degree in Nursing.
• Experience with value-based care models and population health strategies.
• Proficiency in case management software and electronic health records (EHR).

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 77,500 - 129,100 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 [email protected] 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.