Data Measurement & Reporting Advisor

Cigna Group • Chattanooga, TN

14d

About The Position

Cigna's Data Measurement and Reporting team is a dynamic, rapid and growth focused department. Attention to the execution of a strategic vision for enterprise data, and the delivery of carefully detailed analytics, strengthens our journey to become one of the most customer centric companies in the world. This role sits within the On Demand Reporting Team in Data Measurement and Reporting. The Ad Hoc team is responsible for a variety of functions including standard and custom report fulfillment, Our Team The On Demand Reporting Team supports the following reporting tools and fulfillment functions: Delivers ad hoc medical, pharmacy, clinical, and Cigna program information in the form of reports and extracts to clients, brokers, Sales, Underwriting and other partners Provides report support for CBH and EAP reports and tools Provides standard and non-standard tool and report support for our Facets Select clients Subject matter expertise HIPAA and policy/procedure workflow management for the fulfillment organization

Requirements

• Minimum of 5 years’ experience in health care/managed care with direct responsibility for analysis and data management with relational database concepts and reporting with strong preference for backgrounds with financial and utilization analysis
• BS degree in MIS, Engineering, Mathematics, Statistics, Business, Finance, Economics, Healthcare, Computer Science or equivalent mastery and training. Advance degree preferred
• In-depth understanding of managed care business processes, data (ETG, EBM, ICD10, CPT4, DRG, etc.), systems, case-mix adjustment, and applications for claims payment, providers, and utilization management.
• Expertise in the use of relational database concepts and applications, specifically use of SAS, SQL, Excel, Hyperion, Toad, Python and QMF
• Proficiency with Structured Query Language (SQL) procedure as a data retrieval tool. Specifically, the ability to write programs to perform queries on data and retrieve data from multiple tables/sources with SAS and SQL
• Ability to navigate organization, build SME relationships and assist with internal discussions and effectively represent subject matter expertise
• Demonstrate experience and complete all required testing across multiple data systems, including all testing planning and execution of pilots of new data feeds or infrastructure changes
• Experience with continuous quality improvement methods and tools
• Strong healthcare data experience and demonstrated understanding of the health delivery system.
• Proven experience in interpreting and translating complex business needs into technical requirements
• Strong data mining skills including the ability to perform research and conduct root cause analyses.
• Proven ability to effectively negotiate and solve problems in a complex organization
• Demonstrated excellent communication and interpersonal skills and ability to effectively organize/present information to various audiences to coordinate new business solutions
• Ability to quickly understand key aspects of data and applications as they relate to business functions
• Ability to work effectively independently, within a team or with matrix partners with some guidance while managing multiple tasks and meeting aggressive deadlines
• Comprehensive understanding of claim submissions claims payment processes, reporting concepts, database management, and financial concepts extremely helpful.
• Demonstrated leadership competencies with the ability to collaborate with others, establish working relationships and communicate effectively across the organization and at different levels.
• 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.

Responsibilities

• Responsible for development, assessment, monitoring, and execution phases of the data analysis process.
• Provide comprehensive consultation to business partners throughout the life cycle of a request (document business/technical requirements, create/execute test cases, and facilitate programs from beginning to end).
• Follow processes put into place regarding data governance, including but not limited to: Educating requestors on what is available based on account status Determining what constitutes minimum necessary for each request
• Perform routine and ad hoc (Drill-Down) analysis as it relates operational trending and quality processes.
• Maintain the reporting request queue, communicate with requestors, team members, and document all new requests.
• Become a subject matter expert on various Cigna products.
• Manage high complexity projects, including enhancements
• Collaborate with IT partners to ensure new development, enhancements or fixes meet business needs. This includes writing functional requirements, actively participating in system design reviews, reviewing test evidence, and participating in status meetings.
• Support management in the long-term strategy and defining of priorities
• Demonstrate and maintain deep breadth of knowledge on all product types and business processes
• Works independently with little to no guidance on complex issued. Takes initiative to create processes, procedures, or reports to help with the team/company
• Takes on new projects without being asked with little to no complaint
• Ability to answer questions with little to no guidance due to knowledge and expertise from research and contacts
• Team morale – encouragement and support of other team members. Providing guidance and knowledge.
• Cross functional awareness (SME of all trades)
• Manage the backlog of projects of medium to large complexity, including enhancements

Benefits

• For this position, we anticipate offering an annual salary of 94,600 - 157,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan.
• We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. 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.
• For more details on our employee benefits programs, visit Life at Cigna Group .

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees