Sr. Healthcare Analytics Engineer- Hybrid- MD Live

Join MD Live by Evernorth a leader in virtual healthcare and technology innovation. As a Sr. Healthcare Analytics Engineer you will help architect and scale our next-generation analytics platform that will power our reporting advanced analytics and real-time data insights. You will own and maintain the enterprise analytics data model ensuring scalability accuracy and alignment with business requirements.

What youll do to make a difference:

• Analytics Architecture: Design and implement robust cloud-native data architectures and models that serve as the single source of truth for clinical and operational data.

• Pipeline Engineering:Implement and maintain logic that transforms raw healthcare data (claims EHR) utilized in reporting and advanced analyticsmodels.

• API & Integration Strategy:Lead the engineering of high-throughput data exchanges using modern standards and APIs for internal and external partners.

• Validation & Governance:Work closely with data advisors to test and validate pipelines and enforce rigorous data quality standards.

What youll need to succeed:

• Bachelors degree Actuarial Science Data Science Computer Science Engineering or related field required. Masters degree preferred.

• 7 yearsof experience in data engineering analytics engineering or a related field.

• 5 yearsof hands-on experience with cloud platforms and modern data stacks.

• 5 yearsof functional leadership experience including mentoring junior engineers and driving technical strategy.

You will use many the following tools frameworks and platforms daily with high proficiency:

• Cloud & Data Platforms:AWS or Azure; Databricks.

• Data Modeling: Relational Dimension Entity Graph Semantic

• Data Analytics:SQL (Window functions CTEs Stored Procedures) & Python (Pandas NumPy SciPy Duck DB).

• Data Integration:FHIR HL7 Kafka

• Transformation & Orchestration:dbt (Data Build Tool); Prefect or Airflow

• Workflow & DevOps:GitHub Azure DevOps and Jira.

You live and breathe the world of healthcare data and have exposure to many of the following terminologies applications and metrics:

• Data Sources:Medical Claims Rx/Pharmacy Claims EHR/Clinical Data ADT Feeds Eligibility Premium

• Coding Standards:ICD-10 CPT DRG HCPCS Revenue Codes APC NDC RxNorm POS NPI TIN Taxonomy RVU.

• Reimbursement Models:MPFS OPPS and IPPS.

• Key Metrics:Member Months PMPM U/K MLR RAF LOS Churn and Attribution.

• Risk & Quality:HEDIS MIPS eCQM HCC

What Sets You Apart:

• Analyst DNA:You have worked as an analyst so you understand the frustration of messy data and build the clean reliable tables you wish you had.

• Collaborative Core:You view cross-functional partnerships (data engineering product and reporting) as key to success ensuring infrastructure works seamlessly between groups.

• Resilient Design:You create robust and adaptable data modelsthat are flexible enough to evolve quickly with the business yet stable enough for enterprise reporting.

• Documentation:You understand that analytics without documentation is incomplete maintaining pristine data lineage and metric definitions.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group 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) 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 click here.

About Evernorth Health Services

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.