Business Analytics Advisor - Healthcare Economics - EviCore

Cigna Healthcare•Franklin, TN

About The Position

EviCore is seeking a Business Analytics Advisor to join its Healthcare Economics team. The role oversees and assists with the design, development, analysis, and reporting of claims data using business intelligence tools and statistical and analytical techniques. The work supports understanding healthcare trends, reporting program results, and identifying opportunities to expand product offerings for new and existing customers. The advisor works with Account Management, Finance, Informatics, Medical, Sales, and Marketing teams, and participates directly in customer interactions through written and verbal presentations. The analysis informs strategic decisions affecting revenue, medical expense, and product growth. The position reports to the Business Analytics Senior Manager. The ideal candidate has experience in managed care, insurance, actuarial work, or a hospital setting and is results-oriented and comfortable in a fast-paced environment. For employees working from home occasionally or permanently, internet service must be cable broadband or fiber optic with speeds of at least 10 Mbps download and 5 Mbps upload.

Requirements

BA/BS degree in finance, economics, statistics, or another quantitative field.
At least 8 years of progressive analytical experience in a healthcare setting.
Knowledge of big data and data warehouses, data extractions and manipulations, and dimension, fact, and reference tables.
Extensive experience using data directly from SQL or a similar database, rather than solely through a reporting GUI.
Strong understanding of managed care metrics, including PMPM, utilization per 1,000, and average cost.

Nice To Haves

Master's degree.
Experience working in an ACO, IPA, or MCO setting and/or with bundled payments.

Responsibilities

Influence internal stakeholders to accomplish objectives.
Present highly technical concepts to technical and non-technical audiences.
Work with IT and data warehousing counterparts to design and develop deliverables for the economics team and customer reporting needs.
Conduct baseline and trend analyses for targeted medical cost categories, geographies, and segments.
Calculate baseline and trend metrics, including PMPM and utilization per 1,000.
Apply actuarial concepts and tools to analyze utilization and cost trends across networks, products, and geographies.
Validate findings against established benchmarks.
Use baseline metrics and trends to establish savings forecasts and pricing.
Deliver accurate and timely results to internal and external customers.
Communicate results to stakeholders and policy makers through clean, organized presentations that explain analytic methods and decision points in sufficient detail to support understanding and replication.
Manipulate and analyze claims data to support new sales and product development, including IBNR calculations, provider network overlap, fee schedule pricing, trend mitigation, and population mix-shifts.