The Cigna Group-posted 17 days ago
$96,000 - $160,000/Yr
Full-time • Mid Level
Remote • Bloomfield, CT

We are looking for a candidate to conduct advanced and exploratory analytics, generating actionable insights and resources to strategically design and/or enhance pay for performance programs.

  • Collaborate and work closely with stakeholders to design and evaluate VBC programs with a focus on Specialty VBC. Example areas include Nephrology, hospital Accountable Care Organization (ACO) programs, Episodes of Care/Bundle programs, Oncology Medical Home, etc.
  • Design and build financial models under supervision for new VBC programs and build and manage annual reconciliation for pilot and mature programs.
  • Apply robust and appropriate statistical and clinical rigor using advanced analytic techniques including but not limited to risk adjustment, episode analytics, statistical modeling, power analysis, matched case control studies etc.
  • Derive actionable insights from healthcare data (claims, clinical, pharmacy, externally sourced) to engage and enable our provider/clinical partners. Work with IT partners to deploy actionable insight 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
  • 5+ years’ experience in related healthcare analytics or VBC research
  • Strong technical skills required to extract, transpose, and analyze Big Data housed in Databricks and Teradata using SQL and Python, SAS or R
  • Strong Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data)
  • Strong medical economics and healthcare financial modeling experience
  • 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.) required
  • Ability to consistently deliver on-time while managing multiple projects at the same time
  • Ability to work under supervision as well as independently based on project requirements
  • Ability to successfully navigate and contribute in a highly matrixed environment
  • Enjoys problem solving and creating innovative solutions
  • Strong verbal and written communication skills
  • 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.
  • Advanced visualization skills using Tableau, Python or R preferred
  • Advanced degree or equivalent experience in Statistics, Biostatistics, Economics, Epidemiology, Health Outcomes Research, Actuarial Science, or Data Science is highly desirable
  • 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
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