Business Analytics Lead Analyst (Mountain States Market) - Hybrid
Business Analytics Lead Analyst (Mountain States Market) - Hybrid
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Salary Not Disclosed
1 Vacancy
Job Description
Summary
Supports the medical cost position of assigned markets through analysis and tracking of health care provider contracts analysis of medical expense reports data drill downs of trend drivers and execution of identified key initiatives designed to mitigate medical cost trends. Partners with the network management unit 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
Summarize and communicate analytical findings and recommendations to business partners
Effectively influence contractors by offering meaningful solutions during negotiations
Provide ad hoc analysis and drill down reports as necessary to support negotiations and other initiatives contributing to medical cost improvement
Assess the cost and quality efficiency of health care providers
Assess the competitiveness of health care provider rate exhibits
Contribute to the provider unit cost planning process. Influence contractors to establish targets that meet or exceed corporate objectives and ensure strong competitive positioning
Identify risks and opportunities for meeting targets and inform management about potential and actual plan variances
Collaborate with other analysts and contractors to maintain accuracy of forecasting tools
Update health care provider rate schedules trends and other details in tracking databases
Lead data validation efforts
Collaborate with tool developers on tool enhancements
Mentor and train business partners and other analysts
Qualifications
3 years of experience with health care analysis
Experience with health care provider contract analysis
Strong analytical and problem-solving skills with the ability to validate and interpret results
Strong communication skills including written oral and group presentation
Ability to work independently while managing multiple tasks and meeting strict deadlines
Exposure to various data mining and business intelligence tools such as Tableau Microsoft Excel and Access preferred
Knowledge of standard medical coding including CPT-IV ICD-10 DRG revenue codes and HCPCS preferred
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 77300 - 128800 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. 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 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 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 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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.
Required Experience:
IC
Employment Type
Full-Time
