Business Analytics Advisor (Value Based Care) - Remote

Cigna Healthcare

115d • $96,000 - $160,000

About The Position

Evernorth’s Digital & Analytics unit offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure/forecast business performance. The Value Based Care (VBC) Design Analytics team, within the Analytics & Data Science vertical, works with its business stakeholders to drive the vision and delivery of solutions to maximize healthcare affordability through value-based population health and specialty referral initiatives. This role will be responsible for conducting advanced analytics and research activities in efforts to design and develop VBC programs and make recommendations supporting affordability initiatives. This individual will work independently and collaboratively with key technical and non-technical matrix partners within organization. So, you’re excited and motivated to take over this challenging role by becoming the newest member of this team? Great choice! Let’s check some boxes to see if you fit the bill: Perform exploratory and advanced analytics to answer “what happened?” Conduct root cause statistical analyses to answer “why did this happen?” Mine data to answer “where are the opportunities?” Deploy innovative value-based solutions to answer “how can we improve affordability and quality of care?” Rabid desire to learn new techniques and enjoy problem solving?

Requirements

• Bachelor's degree or equivalent experience in Statistics, Biostatistics, Epidemiology, Health Outcomes Research, Actuarial Science, or Data Science.
• At least 5+ years of experience in related healthcare analytics or value-based care research.
• Experience technical skills required to extract, transpose, and analyze Big Data housed in Databricks, Teradata, and Hadoop using SQL and SAS/R/Python and output through advanced visualization tools including, but not limited to, Tableau/R/Python.
• Experience with an understanding of modular code design and variable parameterization.
• Experience with Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data).
• Knowledge of ACO, bundles, episodes, etc. is required.
• Statistical training in school or through work (ability to formulate and execute appropriate confidence intervals, power analysis, bootstrapping, regression modeling, etc.).
• Medical Economics and healthcare financial modeling experience preferred.
• Experience to consistently deliver on-time while managing multiple projects at the same time.
• Experience in successfully navigating and contributing in a highly matrixed environment.
• Enjoys problem solving and creating innovative solutions.
• Strong verbal/written communication skills.

Responsibilities

• Collaborate and work closely with stakeholders to design and evaluate Value Based Payment programs.
• Apply robust and appropriate statistical and clinical rigor using advanced analytic techniques including but not limited to risk adjustment, episode analytics (ETG, Prometheus etc.), statistical modeling, power analysis, matched case control studies etc.
• Build financial models for new VBC programs and build and manage annual reconciliation for pilot programs.
• Derive actionable insights from healthcare data (claims, clinical, pharmacy, externally sourced) to engage and enable our provider/clinical partners.
• Closely collaborate with engineering partners to deploy actionable insights into accessible solutions for our provider/clinical partners.
• Present analytic findings and recommendations to technical and non-technical business partners and leadership to drive data driven strategies.
• Explore innovative solutions to business questions/problems.

Benefits

• Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• 401(k) with company match.
• Company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year and paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees