Clinical Insights & Strategy Lead
Clinical Insights & Strategy Lead
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Job Description
The Role of Medical Economics
Here at Cigna the IH Medical Economics responsibility is to transform data into strategic insights that drive affordability and impact. By linking interventions to financial outcomes it enables informed decision-making supports ROI analysis and ensures initiatives align with organizational goals. Through collaboration and continuous performance tracking Med Econ maximizes value across the enterprise.
Job Summary
We are seeking a strategic and analytical leader to drive actionable insights and decision support across Clinical functions. This role will lead the Actionable Data Insights (ADI) framework enabling Medical Directors and Clinical leadership to make data-informed decisions that improve affordability efficiency and patient outcomes. The ideal candidate will be a proactive collaborator skilled in data story telling and experienced in managing cross-functional portfolios.
Key Responsibilities
- Clinical Project Prioritization: Assess and prioritize Clinical initiatives across all markets. Collaborate with Clinical leads to ensure alignment and transparency in decision-making.
- Cross-Functional Collaboration: Partner with the Insights Lead for Medical Economics to align on priorities and support enterprise-wide initiatives.
- Market Intelligence & Cost Containment: Support the Clinical function to demonstrate benefits to markets engaging with the at affordability and actuarial forums. Share insights with the broader Medical Economics team to evaluate and refine cost containment strategies.
- Dashboard Development: Design and maintain self-service dashboards for TCC (Total Cost of Care) leads to track team effectiveness cost-benefit outcomes and efficiency metrics.
- Strategic Consultation: Advise Clinical teams on market trends initiative performance and strategic direction to support planning and execution.
- Savings & Impact Sizing: Quantify the financial impact of new and existing Clinical programs to support planning and decision-making.
- Portfolio Management:
Manage the Medical Economics project portfolio for Clinical including intake coordination with Data & Analytics and Technology teams. - Stakeholder Engagement: Present insights and recommendations to stakeholders driving action and alignment across Clinical and Medical Economics domains.
Required Skills & Qualifications
- Bachelors or Masters degree in Health Economics Data Science Public Health Business Analytics or related field.
- 7 years of experience in healthcare analytics medical economics or clinical strategy.
- Strong analytical experience with healthcare claims data.
- Proven stakeholder management skillswith the ability to influence and collaborate across functions.
- Medical knowledgeincluding understanding of clinical procedures terminology and coding standards (e.g. ICD-10 CPT).
- Proficiency inExcel SQL Tableau and Qlik Sense; experience withAlteryxis advantageous.
- Strongcritical thinkingcommunication anddocumentationskills.
- Experience working in matrixed cross-functional environments.
About Cigna Healthcare
Cigna Healthcare a division of The Cigna Group is an advocate for better health through every stage of life. We guide our customers through the health care system empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.
Employment Type
Full-Time
