Strategic Analysis Senior Advisor (ACA HHS Risk Adjustment Analytics) Work at Home
Strategic Analysis Senior Advisor (ACA HHS Risk Adjustment Analytics) Work at Home
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Salary Not Disclosed
1 Vacancy
Job Description
Individual & Family Plans (IFP) is a fast-paced Cigna Healthcare business unit serving the Affordable Care Act (ACA) this role you will join the IFP Analytics team responsible for identifying and sizing new risk adjustment opportunities that not only create better health outcomes for patients but also enable Cigna Healthcare to remain compliant and competitive in the dynamic federally regulated Risk Adjustment space.
Responsibilities
Consult independently with stakeholders across the IFP business to prioritize define and conduct key strategic analyses
Monitor and identify member cohorts in need of healthcare intervention to drive engagement
Evaluate and recommend improvements to the risk adjustment suspecting and targeting models
Pilot cutting edge technology applications and models inclusive of GenAI (LLM backed techniques)
Develop clear and thoughtful materials to communicate results/recommendations to varying levels of individuals and teams within the organization
Navigate and lead initiatives effectively in a cross functional organization
Qualifications
6 years work experience in healthcare analytics
Strong database manipulation and SQL scripting skills
Strong experience with medical claims data (CPT/ICD10)
Experience with HHS ACA (or Medicare) risk adjustment models; Healthcare Actuarial Modeling or financial modeling background preferred
Ability to work with business partners in consultative manner
Strong communication skills (e.g. experience translating complex analyses into easy-to-follow slides/materials)
Ability to independently prioritize and manage multiple responsibilities
MS/MPH in public health statistics economics or FSA is 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 109500 - 182500 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:
Senior IC
Employment Type
Full-Time
