Business Analytics Advisor
3 days ago
The IFP Business Analytics Advisor will play a critical role in identifying and sizing new risk adjustment opportunities that drive better health outcomes for patients and enable Cigna Healthcare to remain compliant and competitive in the dynamic federally regulated Risk Adjustment space.
This role will involve deep dives and insights into large operational activities involved in prospective outreach and retrospective chart reviews. The successful candidate will have the agency to drive real, measurable change within the healthcare ecosystem.
Key Responsibilities:- Own prospective outreach identification and impact evaluation to ensure coordination between business teams for optimal patient outcomes.
- Own retrospective targeting selection and impact to determine which medical records Cigna Healthcare clinicians should review for accuracy.
- Adapt quickly to changing business processes and new technologies, including clinical data integration and GenAI.
- Develop clear and thoughtful materials to communicate results and recommendations to varying levels of individuals and teams within the organization.
- Navigate and lead initiatives effectively in a cross-functional organization.
- Bachelor's Degree or higher in a quantitative field, such as mathematics, statistics, data science, business, or actuarial science.
- Preferred MS/MPH in public health, statistics, economics, or related fields; or ASA/FSA.
- 3-5 years of work experience in health insurance analytics or actuarial/finance analysis.
- Strong familiarity with medical claims data and experience with ACA risk adjustment scoring algorithms and targeting models.
- Strong database manipulation and SQL coding skills, or comparable programming experience.
- Ability to work with business partners in a consultative manner and communicate complex analyses effectively.
- Ability to independently prioritize and manage multiple responsibilities.
Cigna Healthcare offers a comprehensive range of 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, and a minimum of 18 days of paid time off per year.
Cigna Healthcare is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity and promotes equal opportunities for all employees.
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