Business Analytics Advisor – Commercial National Contracting
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Job Location:
Bloomfield, CT - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Role Overview
The Payment Integrity and Affordability Governance organization delivers innovative analyticsdriven solutions that reduce healthcare costs improve outcomes strengthen financial security and support datainformed decisionmaking across the enterprise. Within this organization the National Affordability Initiatives Team leads measurement and analytics for national ancillary and utilization management (UM) programs.
This role supports the aggregation analysis and reporting of program results and the development of scalable data tools that enable timely actionable insights for internal and external partners. The position focuses on vendordelegated utilization management programs helping stakeholders understand performance cost trends and opportunities to improve affordability and competitiveness.
Key Responsibilities:
Analytics & Performance Measurement
Monitor and analyze performance of national utilization management and ancillary programs identifying trends risks and opportunities.
Perform impact analysis to assess the effect of utilization management programs on claims and cost trends.
Integrate and analyze data from multiple sources to identify root causes variances and improvement opportunities.
Develop and automate reporting and analytics that improve transparency and decisionmaking.
Financial Modeling & Strategic Insights
Build forwardlooking financial models to support business cases for proposed affordability initiatives.
Support national provider contract negotiations through performance monitoring trend analysis and financial insights.
Develop targets and strategies that enhance competitiveness and support national affordability objectives.
Stakeholder Partnership & Communication
Communicate performance results insights and affordability opportunities to partners across National Ancillary Clinical Product Local Markets and Risk & Affordability Outcomes.
Translate complex analytical findings into clear actionable insights for both technical and nontechnical audiences.
Collaborate with matrix partners to improve operational efficiency mitigate risk and drive aligned outcomes.
Operational Excellence
Apply critical thinking to streamline analytical processes and optimize outcomes.
Effectively manage multiple workstreams in a fastpaced dynamic environment.
Demonstrate a continuous improvement mindset and a commitment to developing subject matter expertise in national affordability and industry levers impacting results.
Qualifications:
4 years of experience in financial analysis planning or modeling with demonstrated ability to analyze data at both macro and micro levels.
Proficiency in Excel and SQL.
Strong analytical and problemsolving skills with high attention to detail.
Solid understanding of analytical systems processes and methodologies.
Strong verbal and written communication skills with the ability to summarize and present insights to diverse stakeholders.
Proven ability to prioritize and manage multiple initiatives simultaneously.
Selfstarter with a demonstrated commitment to continuous learning and technical growth.
Experience with SAS Databricks and/or Tableau.
Knowledge of healthcare analytics including claims and authorization data.
Familiarity with provider reimbursement fee schedules and contract modeling or the ability to learn quickly.
Experience supporting utilization management affordability or payment integrity initiatives in a healthcare or payer environment
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 98200 - 163600 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.
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 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 need a reasonable accommodation to complete the online application process please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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
Key Skills
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.
