Summary
We are looking for a candidate to conduct advanced and exploratory analytics generating actionable insights and resources to strategically design and/or enhance pay for performance programs.
Responsibilities
Design and build financial models under supervision for new VBC programs and build and manage annual reconciliation for pilot and mature programs.
Apply robust and appropriate statistical and clinical rigor using advanced analytic techniques including but not limited to risk adjustment episode analytics statistical modeling power analysis matched case control studies etc.
Derive actionable insights from healthcare data (claims clinical pharmacy externally sourced) to engage and enable our provider/clinical partners. Work with IT partners to deploy actionable insight into accessible solutions for our provider/clinical partners.
Present analytic findings and recommendations to technical and non-technical business partners and leadership to drive data driven strategies.
Explore innovative solutions to business questions/problems
Qualifications
This position requires healthcare and insurance content knowledge analytics expertise with a focus on data extraction data analytics and financial modeling and VBC expertise to support Cignas affordability strategy
5 years experience in related healthcare analytics or VBC research
Strong technical skills required to extract transpose and analyze Big Data housed in Databricks and Teradata using SQL and Python SAS or R
Strong Healthcare data knowledge and hands on experience (medical claims data clinical data pharmacy data and eligibility data)
Strong medical economics and healthcare financial modeling experience
Knowledge of ACO bundles episodes etc. is required
Statistical training in school or through work (ability to formulate and execute appropriate confidence intervals power analysis bootstrapping regression modeling etc.) required
Advanced visualization skills using Tableau Python or R preferred
Ability to consistently deliver on-time while managing multiple projects at the same time
Ability to work under supervision as well as independently based on project requirements
Ability to successfully navigate and contribute in a highly matrixed environment
Enjoys problem solving and creating innovative solutions
Strong verbal and written communication skills
Advanced degree or equivalent experience in Statistics Biostatistics Economics Epidemiology Health Outcomes Research Actuarial Science or Data Science is highly desirable
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:
Unclear Seniority
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.