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Morris, United States The Cigna Group Full time
Overview

The Digital and Analytics division provides cutting-edge solutions that deliver actionable insights to both internal and external business partners, aimed at reducing healthcare costs, enhancing outcomes, ensuring financial security, and measuring or forecasting business performance. The Advanced Supply Analytics & Design team is dedicated to shaping and implementing solutions that optimize healthcare affordability through the profiling of providers and network products designed for directing patients to high-performing providers. This position will spearhead advanced analytics initiatives that focus on identifying superior providers to facilitate patient direction, geographic access, network adequacy, and the design of competitively priced network products. Additionally, this role will collaborate on the advanced analytics roadmap, working alongside the Data Science Center of Expertise to enhance technical and methodological capabilities utilizing the Analytics Platform. This position will provide insights, influence business strategies, and execute initiatives in partnership with stakeholders, product management, and IT through agile delivery teams.

Are you ready to embrace this challenging opportunity and become a vital member of our team? Let's explore if you meet the qualifications:

  • Advocate for advanced analytics as a key strategic asset
  • Influence business partners with analytical insights
  • Develop prototypes for analytics, methodologies, modeling, and reporting to be implemented in production
  • Collaborate with production and engineering teams during deployment and monitoring phases

Role Summary

This individual contributor role is responsible for conducting advanced analytics related to network and provider profiling, generating actionable insights and resources while collaborating with agile development teams to scale solutions for maximum business impact.

Key Responsibilities:

  • Implement effective and defensible methodologies for provider performance to drive patient direction
  • Apply advanced analytical techniques to enhance valuation focused on cost, quality, and access
  • Monitor and predict outcomes from our provider networks effectively
  • Collaborate closely with business units (Clinical and Product) to establish and implement high-value analytics enhancements
  • Present analytical findings and recommendations to non-technical business partners and leadership to promote data-driven strategies
  • Investigate innovative solutions to business challenges

Qualifications & Competencies Required

This position necessitates a strong foundation in healthcare and insurance knowledge, advanced analytics proficiency, and leadership capabilities. The role will contribute to market value by engaging in a highly matrixed environment with business stakeholders and an Agile model that fosters the evolution of new concepts and ideas to enhance The Cigna Group's Affordability strategy.

  • A minimum of an advanced degree in a quantitative discipline such as Computer Science, Statistics, Biostatistics, Actuarial Science, Data Science, Epidemiology, or equivalent work experience
  • 3-5 years of experience in healthcare analytics, addressing business challenges through descriptive, diagnostic, and prescriptive analytics approaches. A statistical mindset, including significance testing, confidence intervals, bias, and variance, is essential
  • Healthcare Analytics Expertise – 3+ years of practical experience with healthcare data (e.g., claims, eligibility, profiling, EMR), statistical and observational studies, and at least 1 year of experience with advanced analytics techniques such as episode groupers, provider profiling, network adequacy, and risk adjustments.
  • Technical Expertise - Strong technical skills and hands-on experience in extracting, transposing, and analyzing data within cloud-based Analytics Platforms using advanced tools, including R/Python, Tableau, ArcGIS, and geo-spatial tools; experience with model governance is preferred, along with proficiency in at least one object-oriented programming language and a willingness to learn Git/Github.
  • Healthcare Subject Matter Expertise – 2+ years of direct industry experience through conferences and relationship management, with a strong understanding of healthcare and/or health plan business acumen to develop actionable guidance using key metrics communicated clearly, along with a demonstrated understanding of healthcare delivery processes and clinical knowledge applicable to relevant analytics.
  • Ability to perform graph and social network analysis to define provider networks
  • Proven ability to consistently deliver on time while managing multiple projects simultaneously
  • Capability to navigate and contribute effectively in a highly matrixed environment with various stakeholders across the organization
  • Strong verbal and written communication skills to collaborate with diverse matrix partners, including clinical, actuarial, medical economics, contracting, business, marketing, and IT/IM.