Business Analytics Sr. Advisor

4 weeks ago

Remote, Oregon, United States The Cigna Group Full time

Summary

Digital and Analytics 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. Advanced Supply Analytics & Design drives the vision and delivery of solutions to maximize healthcare affordability through the provider profiling and network products for steerage to high performing providers. This role will lead advanced analytics focused on the identification of higher performing providers to enable steerage, geo-access, network adequacy & design of competitively affordable network products. Additionally, this role will collaborate on advanced analytics roadmap including working with the Data Science Center of Expertise to progress technical and methodological capabilities using the Analytics Platform. This role will provide insights, influence business strategy, and execute in partnership with stakeholders, product management and IT via agile delivery teams.

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:

  • Provide vision and thought leadership to achieve healthcare affordability
  • Influence business partners using advanced analytic insights
  • Assemble and nurture high performing team
  • Drive value through Agile development patterns
  • Advance Cigna Group's affordability and analytics strategies

This person will be a senior individual contributor who is responsible for conducting advanced network & provider profiling analytics, generating actionable insights and resources while working with agile development teams to scale solutions for maximum business impact

Responsibilities

  • Setting strategic analytics direction to optimize results from our network of provider partners
  • Execute effective and externally defensible provider performance methodologies to drive steerage
  • Execute and apply advanced analytical techniques to deploy robust valuation improvement focused on cost, quality and access
  • Execute on effective prediction and monitoring of results from our provider networks
  • Closely partner with business (Clinical and Product) to set and groom high value priorities & roadmap
  • Focus on providing thought leadership and technical expertise across multiple disciplines
  • Lead proactive industry research and pre-test assessment of relevancy to Evernorth's strategy

Qualifications

  • 5+ years of healthcare analytics industry experience solving business problems through the application of descriptive, diagnostic and prescriptive analytics approaches using statistical methodologies
  • Healthcare Analytics expertise - 3+ years of hands-on experience with healthcare data (e.g., claims, eligibility, profiling, EMR), statistical and observational studies, 3+ years of experience and training with advanced analytics techniques like episode groupers (Optum ETG, EBM, ERG, Prometheus etc.), provider profiling, network adequacy, steerage analytics, geo-spatial & social network analytics, risk adjustments etc.
  • Technical expertise - Strong technical skills and hands on experience required to extract, transpose, and analyze data housed in cloud-based Analytics Platform using advanced tools including, but not limited to, R/Python, Tableau/, ArcGIS and Geo-spatial tools; model governance experience will be preferred, hands on experience with at least one object-oriented language is preferred as willingness to learn Git/Github
  • Healthcare subject matter expertise - 2+ years of experience of direct industry experience through conferences and relationship management, strong healthcare and / or health plan business acumen for developing actionable guidance using key metrics communicated in an easy to understand manner, demonstrated understanding of health care and delivery system processes, strong clinical knowledge and applications into relevant analytics.
  • Experience with ARCGIS and Geo-spatial tools and analytics is highly preferred
  • Expert-level analytics professional providing content/professional leadership on complex assignments/projects; exercising considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives; uses deep analytics knowledge and acumen to advise functional leaders; focuses on providing thought leadership within own discipline but works on broader projects, which require understanding of wider business.

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.For this position, we anticipate offering an annual salary of 109, ,800 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.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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