Just finished a 4-round process for a Healthcare Operations Program Manager role at Cigna. Took about five weeks start to finish.
Round 1 was a 30-minute recruiter screen. Pretty standard, but the recruiter was organized and actually told me what the next steps would be, which was a relief.
Round 2 was a 45-minute call with the hiring manager. More behavioral than I expected. Questions focused on managing cross-functional initiatives and working with regulated teams. She asked one specific thing: "Tell me about a time you had to align stakeholders who had different compliance requirements." That told me a lot about the culture.
Round 3 was a written case. They gave me 48 hours to respond to a scenario about health program rollout, member engagement metrics, and cost efficiency. I spent about 3 hours on it. They wanted a structured recommendation with tradeoffs, not a polished deck.
Round 4 was a panel with three people: the hiring manager again, a peer, and someone from the analytics team. All behavioral. They went deep on follow-ups, so have second and third layers in your examples ready.
Offer came 10 days after round 4. The comp was in line with what the recruiter mentioned early, which I appreciated.
For me coming from a nonprofit background, the healthcare mission framing helped a lot. Being able to say "I care about health outcomes" with real evidence landed better than I expected in a large corporate setting.