Business Analytics Advisor; Affordability - HYBRID

This position will help to assist in complex data research and analytics to support affordability improvement, enterprise Oncology and Medical Specialty Pharmacy strategy. The candidate filling this position will require a strategic, collaborative mindset that will help support the existing landscape and must also possess tech savvy, data management and reporting skills. The analyst will apply fundamental clinical knowledge combined with understanding the unit cost variation, utilization levels, and mix of services to identify new initiatives to lower the overall cost of care.

RESPONSIBILITIES

• Support Affordability and Earnings for the Organization through innovative solutions

• Provide affordability tracking to matrix partners monthly

• Support Network development and impacts to affordability as network changes occur

• Ensure accuracy of Pathwell specific rates through claim auditing

• In addition to Pathwell, will help manage complexity and ambiguity within MSRX, Oncology and overall claim analytics

• Create and maintain large-scale data extraction, transformation, analysis, and data visualizations

• Build suites of tools, designed to assist with a variety of management functions including dashboards, data visualizations, reports, data-extracts, and in-depth analyses

• Partner with cross-functional teams focused on targeted Oncology or Special Pharmacy. Participate in meetings to elevate analytic findings across enterprise oncology stakeholders

• Perform complex data research and analysis to support business operations including: creating data mining architectures/models/protocols, and data analysis methodologies

• Exercise considerable creativity, foresight, and judgment in planning, and delivering on analytic projects

• Exhibit full understanding of data and leverage data in an appropriate way (correct sources, clear assumptions, approved by business)

• Understanding of existing data structures in enterprise environment and segment environment

REQUIREMENTS

• 3+ years' experience in health insurance payer analytics using healthcare data (claims, provider, membership enrollment) for medical, pharmacy, and behavioral care

• Required experience in Advanced SQL and/or SAS/SAS EG as well as Excel based reporting

• Required experience with Tableau data visualization

• Experience with Alation, Thoughtspot, Python and/or R highly desired

• Advanced level analytics experience providing creative insights based on documented, efficient, and repeatable analytic processes

• Preferred understanding of basic biology and clinical drivers of health care utilization: anatomy, physiology, preventive care, condition treatment, medical terminology, etc.

• Demonstrated experience in challenging problems and driving outstanding results

• Strong verbal/written communication skills to work with various enterprise partners

• Bachelor’s degree required in preferred fields of Statistics, Biostatistics, Econometrics, Economics, Actuarial Science, Data Science or equivalent experience solving business problems through the application of analytic approaches

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 10

Mbps download/5

Mbps upload.

For this position, we anticipate offering an annual salary of 89, 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.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll 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…