The job profile for this position isBusiness Analytics Advisorwhich is a Band 4 Contributor Career Track Role with Accredo Health Group Inc.
Responsibilities-
Gather analyze and interpret complex data sets to uncover trends opportunities and issues;
Conduct comprehensive analysis of business processes related to pharmacy benefit management including claims processing formulary management and utilization review to identify inefficiencies and areas for improvement;
Develop dashboards visualizations and reports using tools like Tableau and Power BI;
Develop and implement data-driven solutions to translate data into actional business insights for senior leadership and other stakeholders;
Lead efforts to define measure and monitor key performance indicators (KPIs) and performance metrics to evaluate business performance;
Manage and prioritize multiple analytics initiatives using tools like Wrike or Jira to track project milestones dependencies and resource allocation;
Develop detailed business requirements documents (BRDs) that clearly define project scope functionality and user stories to ensure alignment between business needs and technical execution;
Work with technical teams (e.g. developers designers) to translate business requirements into technical specifications;
Ensure data accuracy completeness and compliance with privacy regulations;
Contribute to the development and enforcement of data standards and documentation in tools like Alation or Confluence;
Participate in meeting with customers to refine requirements; and
Translate many data projects into business presentations and key findings that can be told effectively to stakeholders and leadership.
Partial work from home benefit available.
The base annual salary for this position is $111925 with standard company benefits.
Qualifications-
Masters degree (or foreign equivalent) in Information Systems Computers & Engineering Analytics Business Public Health or a related field;
1 year of experience as a Business Analyst Data Analyst or a related occupation;
Or in the alternative a Bachelors degree and 3 years of experience;
Experience using data visualization tools (e.g. Tableau Power BI Advanced Excel) to display advanced interactive dashboards and reporting;
Experience extracting and analyzing large healthcare claims data using Oracle SQL Microsoft SQL Server MySQL SAS Teradata Databricks;
Experience identifying analyzing and interpreting trends or patterns in data sets through descriptive and multivariate statistics;
Experience using MS project Confluence and JIRA;
Experience using cloud platforms such as AWS or MS Azure;
Experience managing project documentation and tracking issues changes and requirements;
Experience staying informed about industry trends emerging technologies and regulatory changes affecting the Pharmacy Benefits Management (PBM) landscape and proposing innovative solutions;
Experience working collaboratively and partnering with departments across a matrixed organization to ensure deliverables are accomplished;
Experience leading or supporting cross-functional projects aimed at improving operational workflows reducing costs and enhancing service delivery to clients and members; and
Experience developing actionable insights from reporting and analytics and presenting to non-technical business partners and stakeholders.
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
Evernorth Health Services a division of The Cigna Group creates pharmacy care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction prevention and treatment of illness and disease more accessible to millions of people. 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.