The job I interviewed for and the job description were not the actual job in any way, shape, or form. If they had been honest, I would've not accepted. Additionally, the recruiter was either wrong or lied about the compensation (bonus structure) and Cigna refused to make it right.
My manager was unethical, lied regularly, berated people on team meetings, made comments about my body, had zero leadership skills, threw actual tantrums, and was generally a low quality human being. When I raised concerns, I was told "Cigna doesn't really train managers well."
The company is a dinosaur. It has zero agility and is about 10 years behind the times in terms of industry standards. Their growth is all through acquisition of other companies and technologies. They pretend to care about patient care, access to care, and costs, but what they care about is maximizing profits and minimizing quality of care. Then they laugh at their quarterly townhalls about how great their million dollar vacations were. Then they laid off a bunch of people.
Getting any work done takes about 2 years and is like trying to steer the titanic. Teams are heavily siloed and almost all work is done by more than one team at a time, and then they spend a lot of time fighting about whose approach was better, so nothing is ever accomplished.
Benefits are terrible, except the 401k. They know how to stay rich. But as an employee, this is not you. Salary is fine, but you will pay a lot to have Cigna insurance, which comes with its own issues. PTO, holidays, and sick time are sub industry standard,