Business Analytics Advisor

7 days ago

West Bloomfield Township, Michigan, United States The Cigna Group Full time
Profile Summary:

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 working closely with the IFP Analytics team to develop and maintain targeting analytics inputs and outputs that inform clinical business operations decisions.

Key Responsibilities:
  • Own prospective outreach identification and impact evaluation to ensure coordination between business teams for optimal patient outcomes.
  • Develop and maintain retrospective targeting selection and impact models to determine which medical records Cigna Healthcare clinicians should review for accuracy.
  • Stay up-to-date with changing business processes and new technologies, including clinical data integration and GenAI.
  • Communicate results and recommendations effectively to various stakeholders within the organization.
  • Lead initiatives effectively in a cross-functional organization.
Qualifications:
  • 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 ACA risk adjustment scoring algorithms.
  • Experience with database manipulation and SQL coding, or comparable programming skills.
  • Ability to work with business partners in a consultative manner and communicate complex analyses effectively.
  • Ability to independently prioritize and manage multiple responsibilities.
Benefits:

Cigna Healthcare offers a comprehensive range of benefits, including medical, vision, dental, and well-being and behavioral health programs. Additionally, employees enjoy 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. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions, 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.

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