Business Analytics Advisor (Provider Network) - Hybrid
Business Analytics Advisor (Provider Network) - Hybrid
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Salary Not Disclosed
1 Vacancy
Job Description
Summary
Supports the medical cost position of assigned markets through analysis of healthcare provider contracts analysis of high performing network solutions analysis of medical expense reports data drill downs of trend drivers and execution of key initiatives designed to address medical expense and product pricing trends. Partners with network management and pricing units to deliver medical expense results in line with trend/cost expectations to ensure strong competitive positioning within the marketplace.
Responsibilities
Provide analytical and strategic support of health care provider rate negotiations
Identify opportunities for medical cost reduction develop action plans and drive execution
Assess the cost and quality efficiency of health care providers
Collaborate with network team to develop and maintain high performing network solutions
Assess competitiveness of standard and high performing network products
Analyze reports and present findings to business partners at various levels of the organization
Support business partners and team members on an ad hoc basis as needed to support various integral business needs
Maintain strong communication with other analysts to identify new opportunities and share best practices
Mentor/train business partners and other analysts
Own tracking tool maintenance and institute data validation processes
Collaborate with tool developers on tool enhancements
Qualifications
5 years experience with health care data analysis required.; medical cost trend analysis and health care provider contract analysis preferred
Technical sophistication with various data mining and business intelligence tools such as SQL Tableau and advanced Microsoft Excel skills
Knowledge of standard medical coding including CPTIV ICD10 DRG revenue codes and HCPCS
Strong analytical and problemsolving skills with a proven track record of success
Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines
Strong ability to validate and interpret results
Ability to influence and drive strategic planning and execution through engagement of business partners
Strong communication skills to include written oral and group presentation
Understanding of managed care business processes data systems and applications for claims payment enrollment benefit design and utilization management are strong pluses
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 ofUSD / 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. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several healthrelated benefits including medical vision dental and wellbeing 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 were 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 tobaccofree 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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
