Nurse Case Management Lead Analyst – Accredo – Work at Home

Nurse Case Management Lead Analyst

This role leads the PACE sleep therapy queue and supports day-to-day operations to promote efficient workflow, strong team performance, and high-quality service delivery. The position is responsible for reviewing work in progress, ensuring adequate queue coverage, providing coaching and guidance to staff, managing escalations, and assisting with data analysis to identify trends and improvement opportunities.

Responsibilities

• Lead the PACE team and support daily management operations of the sleep therapy queue.
• Review work in progress to ensure timely completion and alignment with team priorities.
• Monitor team workload and ensure adequate queue coverage to maintain service levels.
• Provide coaching, guidance, and day-to-day support to team members to encourage strong performance and professional development.
• Manage escalations by identifying issues, coordinating resolution, and communicating updates as needed.
• Assist with data analysis to identify workflow trends, gaps, and opportunities for operational improvement.
• Collaborate with leadership and cross-functional partners to support process consistency and efficient care coordination.

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.
• Minimum one year PACE processes and sleep medications experience.
• Ability to review active work, prioritize tasks, and support coverage across team queues.
• Strong analytical skills with the ability to interpret operational or healthcare data and apply insights to improve performance.
• Excellent communication, leadership, coaching, and problem-solving abilities.
• Ability to manage escalated issues in a professional, timely, and solution-oriented manner.
• Ability to manage multiple priorities in a fast-paced environment.
• Ability to multi-task effectively while maintaining accuracy and meeting deadlines.

Preferred:

• Bachelor’s degree in Nursing or related field.
• 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 and paid holidays. 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.