Business Analytics Advisor

Summary

We are looking for an individual with a background in medical, financial or actuarial analysis to join our Healthcare Economics team. This role will be responsible for collaborating with Client Management on strategy, client presentations, and interpreting data. This individual will also oversee and assist in the design, development, analysis and reporting of claims data using business intelligence tools, statistical and analytical techniques to better understand healthcare trends, report on overall program results as well as identify opportunities in support of the sales team to expand our product offering to new and existing customers. This individual will work closely with our Account Management team, Finance, Informatics, Medical, Sales and Marketing staff, including direct involvement with customers in the form of written and verbal presentations to support corporate-wide strategic decision-making that impacts revenue, medical expense and product growth.

Responsibilities

• Work with IT and data warehousing counterparts to develop and design deliverables to support the economics team and customer reporting needs
• Conduct baseline and trend analyses for targeted medical cost categories, geographies and segments
• Calculate baseline and trend metrics (e.g., PMPM and Utilization per 1000)
• Apply actuarial concepts and tools to enhance understanding of utilization and cost trends across networks, products and geography
• Validate findings against established benchmarks
• Use baseline metrics and trends to establish Savings Forecast and Pricing
• Deliver results in an accurate and timely manner to both internal and external customers
• Effectively communicate results to key stakeholders and policy makers by utilizing well organized presentations to reflect analytic methods used, key decision points with sufficient detail to support comprehension and replication of the analysis
• Provide additional analyses that support New Sales and Product Development by being able to manipulate and analyze claims data to perform IBNR calculations, Provider Network Overlap, Fee Schedule Pricing, trend mitigation and population mix-shifts
• Relate analytic findings to business questions and objectives which includes learning to integrate information from multiple sources, discern implications for future analysis and identify opportunities for enhancing the integrity of data results

Qualifications

• BA/BS degree in finance, economics, statistics or other quantitative background; Masters degree preferred
• 6+ years of progressive, analytical experience in a healthcare setting
• Experience working in an ACO, IPA or MCO setting and/or with bundled payments preferred
• Knowledge of using big data and data warehouses, data extractions, manipulations, dimension, fact, and reference tables in order to obtain necessary information
• Extensive experience using data directly from a SQL or similar database, not just through a present reporting GUI
• Strong understanding of managed care metrics (PMPM, Utilization/K and Average Cost)
• Ability to work independently as well as in a group environment
• Ability to influence internal stakeholders in order to accomplish objectives
• Strong communication and presentation skills
• Ability to present highly technical concepts to technical and non-technical audiences
• Strong organizational and time-management skills
• Demonstrated problem solving and critical thinking skills
• Exceptional attention to detail

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 94,300 - 157,100 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 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: [email protected] for support. Do not email [email protected] 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.