Data Measurement & Reporting Advisor

Our Organization

Cigna's Data Measurement and Reporting team is a dynamic, rapid and growth focused department. Attention to the execution of a strategic vision for enterprise data, and the delivery of carefully detailed analytics, strengthens our journey to become one of the most customer centric companies in the world.

This role sits within the On Demand Reporting Team in Data Measurement and Reporting. The Ad Hoc team is responsible for a variety of functions including standard and custom report fulfillment,

Our Team

The On Demand Reporting Team supports the following reporting tools and fulfillment functions:

• Delivers ad hoc medical, pharmacy, clinical, and Cigna program information in the form of reports and extracts to clients, brokers, Sales, Underwriting and other partners
• Provides report support for CBH and EAP reports and tools
• Provides standard and non-standard tool and report support for our Facets Select clients
• Subject matter expertise
• HIPAA and policy/procedure workflow management for the fulfillment organization

Core Responsibilities

• Responsible for development, assessment, monitoring, and execution phases of the data analysis process.
• Provide comprehensive consultation to business partners throughout the life cycle of a request (document business/technical requirements, create/execute test cases, and facilitate programs from beginning to end).
• Follow processes put into place regarding data governance, including but not limited to:
  • Educating requestors on what is available based on account status
  • Determining what constitutes minimum necessary for each request
• Perform routine and ad hoc (Drill-Down) analysis as it relates operational trending and quality processes.
• Maintain the reporting request queue, communicate with requestors, team members, and document all new requests.
• Become a subject matter expert on various Cigna products.
• Manage high complexity projects, including enhancements
• Collaborate with IT partners to ensure new development, enhancements or fixes meet business needs.  This includes writing functional requirements, actively participating in system design reviews, reviewing test evidence, and participating in status meetings.
• Support management in the long-term strategy and defining of priorities
• Demonstrate and maintain deep breadth of knowledge on all product types and business processes
• Works independently with little to no guidance on complex issued.
• Takes initiative to create processes, procedures, or reports to help with the team/company
• Takes on new projects without being asked with little to no complaint
• Ability to answer questions with little to no guidance due to knowledge and expertise from research and contacts
• Team morale – encouragement and support of other team members. Providing guidance and knowledge.
• Cross functional awareness (SME of all trades)
• Manage the backlog of projects of medium to large complexity, including enhancements

Ideal Candidates Will Offer:

• Minimum of 5-7 years’ experience in health care/managed care with direct responsibility for analysis and data management with relational database concepts and reporting with strong preference for backgrounds with financial and utilization analysis
• BS degree in MIS, Engineering, Mathematics, Statistics, Business, Finance, Economics, Healthcare, Computer Science or equivalent mastery and training. Advance degree preferred
• In-depth understanding of managed care business processes, data (ETG, EBM, ICD10, CPT4, DRG, etc.), systems, case-mix adjustment, and applications for claims payment, providers, and utilization management.
• Expertise in the use of relational database concepts and applications, specifically use of SAS, SQL, Excel, Hyperion, Toad, Python and QMF
• Proficiency with Structured Query Language (SQL) procedure as a data retrieval tool. Specifically, the ability to write programs to perform queries on data and retrieve data from multiple tables/sources with SAS and SQL
• Ability to navigate organization, build SME relationships and assist with internal discussions and effectively represent subject matter expertise
• Demonstrate experience and complete all required testing across multiple data systems, including all testing planning and execution of pilots of new data feeds or infrastructure changes
• Experience with continuous quality improvement methods and tools
• Strong healthcare data experience and demonstrated understanding of the health delivery system.
• Proven experience in interpreting and translating complex business needs into technical requirements
• Strong data mining skills including the ability to pe