The Cigna Group-posted 4 months ago
$96,000 - $160,000/Yr
Senior
CO

The job profile for this position is Business Analytics Advisor, which is a Band 4 Senior Contributor Career Track Role with Cigna-Evernorth Services Inc. We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success.

  • Conduct advanced and exploratory analytics, generate actionable insights and resources to strategically design and/or enhance pay for performance programs.
  • 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 and Prometheus), statistical modeling, power analysis, and matched case control studies.
  • Build financial models for new FFV 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.
  • Support IM/IT to deploy the actionable insight into accessible solutions for our provider/clinical partners.
  • Present analytic findings and recommendations to non-technical business partners and leadership to drive data driven strategies.
  • Explore innovative solutions to business questions/problems.
  • Bachelor's degree or foreign equivalent in Business Analytics, Information Science, or a related degree.
  • 5 years of experience in a related occupation.
  • Experience working with healthcare and insurance industry, analytics/data science expertise and value-based program expertise required to support Pay-for-performance strategy.
  • Experience conducting healthcare analytics or value-based care research.
  • Experience extracting, transposing, manipulating, and analyzing Big Data (databases may contain millions to hundreds of millions of records) housed in Teradata and Databricks using SQL and SAS/R/Python and output through advanced visualization tools including, but not limited to, Tableau/R/Python.
  • Experience with ACO, bundles, and episodes.
  • Experience with Statistics (formulating and executing appropriate confidence intervals, power analysis, bootstrapping, and regression modeling).
  • Experience with Medical Economics and healthcare financial modeling.
  • Hands on experience (medical claims data, clinical data, pharmacy data, and eligibility data,) including working with healthcare coding systems (CPT, ICD-9-10, HCPCS, LOINC, DRG, and APC).
  • Experience developing self-service dashboards including but not limited to AWS, Databricks, Tableau, R, Python.
  • Experience supporting and enhancing analytics Data Warehouses.
  • Experience consistently delivering on-time while managing multiple projects at the same time.
  • Experience successfully navigating and contributing to a highly matrixed environment.
  • Experience using advanced analytic techniques including but not limited to risk adjustment, episode analytics (ETG and Prometheus), statistical modeling, power analysis, and matched case control studies.
  • 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.
  • Annual bonus plan eligibility.
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