Clinical Analytics Advisor (Medicare Advantage) - HYBRID

Key Skills

Business Analytics, Data Analytics, Data Mining, Data science techniques, Effective communication skills, Genomic data, Large data sets, Leadership Skill, Machine Comprehension, Python Programming, R Programming, SAS, SQL, Tableau, US Healthcare Recruitment

Job Description

The Business Analytics Advisor will be responsible for supporting the analytics strategy for Medicare Health Services, performing reporting and analysis within the Clinical & Affordability Analytics team. Reporting to the Senior Manager of Clinical Data Science & Care Management Analytics, the analytics advisor will analyze healthcare claims and clinical outcomes to detect areas of clinical opportunity, identify correlations and trends, and draw insights based on relevant findings. The Clinical & Affordability Analytics team seeks to provide operational and analytical support to our partners to improve customer care and affordability for Cigna Medicare. This role will help us accomplish this through advanced analytics, strategic insights from data mining, and collaboration with our internal partners.

The Business Analytics Advisor will interface across multiple business areas, partnering with clinical leadership, care management operations, vendor clinical programs, and other departments as needed. The ideal candidate for this role will be highly motivated to independently complete technical projects, thrive in a fast-paced and dynamic working environment, effectively navigate evolving projects.

Responsibilities

• Perform data mining to identify, analyze and interpret trends, patterns, correlations, and outliers in data sets through descriptive and multivariate statistics

• Extract and analyze large healthcare claims data

• Utilize statistical software to perform data mining and analyses

• Utilize visualization tools to create advanced, interactive dashboards

• Translate technical results into actionable insights

• Present results and solutions to non-technical business partners and stakeholders to drive the decision-making process

• Independently develop project charters, timelines, and deliverables and communicate these to matrix partners

• Work collaboratively and partner with departments across the organization to ensure deliverables are accomplished

Qualifications

• 3+ years’ of healthcare-related data/analytics experience solving business problems through the application of analytic approaches

• Statistical Methodology experience (significance testing, regression analysis, etc.) required

• Proficiency with statistical programming tools such as SQL, Python, SAS/SAS EG and/or R required

• Experience with visualization software required (Tableau preferred)

• Comprehension of healthcare data (e.g., ICD-10, claims, utilization, provider information) and demonstrated understanding of health care and delivery system processes

• Experience with diverse healthcare data preferred, including claims, EHR, demographic, exercise, pharmacy, lab, biometrics, genomic, and text

• Experience working with medical cost trends and industry benchmarking preferred

• Experience in data mining large datasets for patterns, anomalies, and clinical opportunity

• Provide a strong customer focus though ability to collaborate with others and establish working relationships, communicate effectively, act strategically, influence key leaders and manage stakeholder expectations

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 89,900 - 149,800 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 The Cigna Group, we’re 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.