Back to jobs
Accredo Specialty Pharmacy

Accounting Senior Manager - Fertility - Hybrid

United States Work at HomePosted Today
Full-timeonsite

Job Description

Role Summary

The Accounting Lead – Fertility (Health Systems Services) is responsible for leading the day‑to‑day accounting operations for the Fertility platform within Cigna’s Health Systems Services organization, inclusive of Freedom Fertility and Village Fertility Pharmacy (VFP). This role serves as the primary accounting owner for Fertility and is accountable for timely, accurate, and compliant financial reporting while driving consistency with Health Systems Services and enterprise accounting standards. The role provides direct people leadership for the Fertility accountant team. The Accounting Lead will report to the Head of Accounting of Health Systems Services and partner closely with business leadership and cross‑functional teams to support close execution, control environment maturity, and ongoing operational scale.

This role is a key bridge between legacy Fertility platform accounting processes and Cigna’s enterprise accounting framework, including ongoing integration of the acquired Village Fertility Pharmacy (VFP) business.

Key Responsibilities:

Accounting Leadership & Ownership

  • Serve as the primary accounting lead for the Fertility platform (Freedom Fertility and VFP), with end‑to‑end accountability for general ledger accuracy, close execution, and financial reporting deliverables.

  • Lead and coordinate all monthly, quarterly, and annual close activities in alignment with Health Systems Services timelines and standards.

  • Own key accounting judgments and estimates, escalating complex or sensitive matters to Health Systems Services accounting leadership as appropriate.

People Leadership & Matrix Management

  • Directly manage four Fertility accountants, providing coaching, performance management, and development.

  • Establish clear roles, responsibilities, and collaboration norms across direct and matrixed resources.

  • Work closely with matrix partners primarily within Fertility including the broader finance team and business leaders.

Integration & Process Maturity

  • Support the ongoing integration of Fertility accounting processes, including Village Fertility Pharmacy (VFP).

  • Drive process standardization, documentation, and optimization across close, reconciliations, and reporting activities.

  • Partner with Health Systems Services accounting leaders to implement changes related to systems, controls, and enterprise initiatives.

Controls, Compliance & Risk Management

  • Ensure a strong internal control environment, including execution of key controls and support for SOX and SOC 1 requirements.

  • Partner with Internal Audit and enterprise controllership on walkthroughs, testing, and remediation activities.

  • Identify control gaps or operational risks and proactively implement corrective actions.

Cross‑Functional Partnership

  • Act as the primary accounting liaison for Fertility business leaders, FP&A, Tax, Treasury, and other finance partners.

  • Support business initiatives by assessing accounting implications and ensuring alignment with GAAP and enterprise policy.

  • Communicate effectively with both technical accounting partners and non‑finance stakeholders.

Qualifications & Experience

  • Bachelor’s degree in Accounting or Finance required.

  • CPA or equivalent professional certification strongly preferred.

  • 8+ years of progressive accounting experience, including people leadership strongly preferred.

  • Experience supporting healthcare, specialty pharmacy, or fertility services businesses preferred.

  • Demonstrated success operating within a complex, matrixed organization.

  • Strong knowledge of U.S. GAAP and internal control frameworks (SOX / SOC).

  • Some travel may be required.

Key Competencies

  • Accounting leadership in a post‑acquisition or evolving platform environment

  • Ability to balance operational execution with process improvement

  • Strong judgment and escalation discipline

  • Collaborative leadership across direct and matrixed teams

  • Clear communication with both finance and business stakeholders


    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 121,100 - 201,900 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 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 [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.

    See Your Match Score

    Sign up and Renata will show you how this job matches your skills and experience.

    Get Started Free
    Accounting Senior Manager - Fertility - Hybrid at Accredo Specialty Pharmacy | Renata