Business Analytics Lead Analyst (Mid America Market) - Hybrid
Business Analytics Lead Analyst (Mid America Market) - Hybrid
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Salary Not Disclosed
1 Vacancy
Job Description
Summary
We are seeking a highly motivated and innovative team member to join our growing and dynamic Network Analytics team as a Business Analytics Lead Analyst (Provider Contract Analytics) for the Mid America Market. In this role you will support the medical cost position of assigned markets through analysis of healthcare provider contracts data drill downs of contract trend drivers and execution of key initiatives designed to address unit cost and competitive discount. You will partner with contracting network management medical management and pricing business units to deliver contract analysis 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
Effectively influence contracting in a strategic fashion and offer meaningful options during negotiations with a healthcare provider
Proactively identify opportunities for unit cost improvement and engage contracting to build these into negotiations and plan where appropriate
Provide ad-hoc analysis and deep dives into data as appropriate to support negotiations and provide value to our contracting partners
Analyze reports and present findings and recommendations to business partners at various levels of the organization
Contribute to the provider unit cost planning process. Influence contractors to establish targets that meet or exceed corporate objectives and ensure strong competitive positioning
Keep management informed as to the progress of financial planning and proactively identify risk and opportunities for meeting the plan results
Maintain strong communication with other analysts to identify new opportunities and share best practices
Mentor and train business partners and other analysts
Qualifications
2 years of experience with health care data analysis preferred. Experience with trend analysis and health care provider contract analysis preferred
Familiarity with various data mining and reporting tools such as Microsoft Excel Microsoft Access or SAS/SQL language
Knowledge of standard medical coding including CPT-IV ICD-10 DRG revenue codes and HCPCS preferred
Strong analytical and problem-solving skills with the ability to validate and interpret results
Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines
Ability to influence and drive strategic planning action plan development and execution of plans through engagement of business partners education on key drivers and actionable levers and thorough understanding of market-level dynamics
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
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
