went through cigna's full interview loop last fall for a senior ops/program management role. the behavioral rounds were two separate 45-minute sessions and i genuinely think they're harder to prepare for than the technical rounds if you've never worked in healthcare or insurance.
here's what they asked or some version of what they asked:
round 1 (with two individual contributors): tell me about a time you had to navigate a complex stakeholder situation with multiple competing priorities describe a project where the requirements changed significantly mid-execution. how did you handle it? give me an example of when you had to push back on a deadline or scope that felt unrealistic tell me about a time you failed to meet an expectation. what did you do differently afterward?
round 2 (with a senior manager): why healthcare? (not a throwaway question, they really want to know) tell me about a time you had to communicate something technical to a non-technical audience how do you handle situations where two senior stakeholders disagree on direction and you're stuck in the middle? what does "customer-first" mean to you in a healthcare context?
some observations:
the STAR format isn't just preferred, it seems like they're explicitly scoring against it. one interviewer literally wrote down headers on their notepad as i was talking.
the healthcare context matters. "why healthcare" isn't a soft opener, it's a filter. cigna wants people who actually care about the member experience and understand what's at stake. i spent time before the interviews thinking about someone i know who had a frustrating insurance claim experience and used that as my grounding. it made my answers feel real because they were.
they care a lot about handling ambiguity. multiple questions were designed to probe whether you get paralyzed when you don't have all the info or whether you make a reasonable call and move.
prepare for the "why healthcare" question even if it's not obvious from your role. every single person i talked to at cigna mentioned their mission ("improving health, well-being and peace of mind") in a way that felt genuine, not scripted.