14 days old

Business Analytics Advisor (Advanced Network Analytics & Provider Profiling) - Evernorth

Cigna
Bloomfield, CT 06002
  • Job Code
    21010142
Summary

Health Plan Analytics offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure/forecast business performance. The Provider Contracting and Network Performance Experience Group drives the vision and delivery of solutions to maximize healthcare affordability through the provider profiling and tiered network products for steerage to high performing providers. This role will lead advanced analytics focused on the identification of higher performing providers to enable steerage, geo-access, network adequacy & design of competitively affordable network products. Additionally this role will collaborate on advanced analytics roadmap including working with the Data Science Center of Expertise to progress technical and methodological capabilities using the Analytics Platform. This role will provide insights, influence business strategy, and execute in partnership with stakeholders, product management and IT via agile delivery teams.

So, you're excited and motivated to take over this challenging role by becoming the newest member of this team? Great choice! Let's check some boxes to see if you fit the bill:

  • Provide vision and thought leadership to achieve healthcare affordability
  • Champion advanced analytics as a strategic capability
  • Influence business partners using analytic insights
  • Assemble and nurture high performing team
  • Drive value through Agile development patterns

This position is with Evernorth, a new business within the Cigna Corporation.

Responsibilities

  • Execute effective and externally defensible provider performance methodologies to drive steerage
  • Execute and apply advanced analytical techniques to deploy robust valuation improvement focused on cost, quality and access
  • Execute on effective prediction and monitoring of results from our provider networks
  • Closely partner with business (Clinical and Product) to set and deploy high value analytics enhancements
  • Present analytic findings and recommendations to non-technical business partners and leadership to drive data driven strategies
  • Explore innovative solutions to business questions/problems

Qualifications

  • 3+ years of healthcare analytics industry experience solving business problems through the application of descriptive, diagnostic and prescriptive analytics approaches
  • 3+ years of hands on experience with healthcare data (e.g., claims, eligibility, profiling, EMR), statistical and observational studies
  • Experience and training with advanced analytics techniques like episode groupers (Optum ETG, EBM, ERG, Prometheus etc.), provider profiling, network adequacy, steerage analytics, geo-spatial & social network analytics, risk adjustments etc.
  • Strong technical skills and hands on experience required to extract, transpose, and analyze Big Data housed in Teradata, Hadoop, cloud based Analytics Platform using SAS/R/Python
  • Experience with advanced visualization tools including, but not limited to Tableau/R/Python, Dash app, ArcGIS and Geo-spatial tools; ML/AI, deep learning, model governance experience will be preferred, hands on experience with at least one object oriented language and version control software
  • 2+ years of experience of direct industry experience through conferences and relationship management, strong healthcare and / or health plan business acumen for developing actionable guidance using key metrics communicated in an easy to understand manner, demonstrated understanding of health care and delivery system processes, strong clinical knowledge and applications into relevant analytics
  • Ability to consistently deliver on-time while managing multiple projects at the same time
  • Ability to successfully navigate and contribute in a highly-matrixed environment
  • Go Getter who enjoys problem solving and creating innovative solutions and visions working with various business stakeholders
  • Strong verbal/written communication and leadership skills to work with various matrix partners, including but not limited to clinical, actuarial, medical economics, contracting, business, marketing, and IT/IM.
  • Emerging track record of presentations / publications and thought leadership
  • Advanced degree in a quantitative field such as Computer Science, Statistics, Biostatistics, Actuarial Science, Data Science, Epidemiology highly preferred

This position is not eligible to be performed in Colorado.

About Evernorth

Evernorth, Cigna Corporation's health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't. Join us. What difference will you make?

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.





Posted: 2021-06-08 Expires: 2021-07-07
Sponsored by:
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Business Analytics Advisor (Advanced Network Analytics & Provider Profiling) - Evernorth

Cigna
Bloomfield, CT 06002

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