Business Analytics Manager – Clinical/Healthcare Analytics - Remote

Summary:

The Clinical Analytics unit of Evernorth’s Data & Analytics organization is searching for an innovative business analytics manager to bring best in class solutions to shape the future of Cigna’s Custom High Acuity Model (CHAM) for large, strategic national accounts. This person will be a member of a dynamic and pioneering team that will help lower total medical costs and maintain or improve clinical quality and outcomes. You will be responsible for the day-to-day management of an analytical staff as well as the primary analytical lead for the largest client account. You will collaborate with other data and analytics teams and medical management business leads to assess existing analytic tools and refine or develop new tools to perform client- and market- level clinical opportunity analytics, test and measure innovative solutions to customer identification and engagement, help classify and prioritize clinical opportunities and leverage provider and market solutions.

Responsibilities:

The ideal candidate is someone with strong data analytics and visualization background, previous experience in the healthcare industry, statistical acumen, and the ability to effectively communicate data insights and recommendations to business stakeholders. The responsibilities are as follows:

• Responsible for the day-to-day management of an analytical staff (3 Business Advisors and 1 Senior Business Advisor)

• Perform complex data research and analysis to support business operations and decision making, which includes: creating data mining architectures/models/protocols, and data analysis methodologies to identify trends in large data sets, and assess impacts resulting from an evolving data environment

• Responsible for executing healthcare client, market, and customer level analytics and visualizations in support of Care Coordination and CHAM clinical functions

• Closely collaborate with client-dedicated Medical Director and Clinical Program Manager to identify and prioritize high value clinical and network opportunities for a client

• Perform analytics processes, including data and analytic development and interpretation. Ensure code and outputs are appropriately documented and can be understood by other analysts

• Collaborate with partners in Account Management, Operations, Clinical Program, Product, Network Analytics, and others to align on features of work in required focus areas and execute on new initiatives

• Effective communication of analytic strategies, opportunities, timelines, and outcomes to internal and external stakeholders

• Influence key matrix partners to ensure goals and targets are met

• Drives change initiatives to improve CHAM value

• Identify cross-CHAM opportunities for improvements and collaboration and help develop automated, scalable solutions to capture enhanced value

Qualifications:

• Bachelor’s degree or higher required in preferred fields of Statistics, Biostatistics, Econometrics, Economics, Actuarial Science, or Data Science or equivalent work experience

• 3+ years of health insurance or health system related data/analytics experience solving business problems through the application of analytic approaches.

• Previous experience managing an analytical team and/or extensive demonstrated leadership experience required

• Experience with diverse healthcare data preferred, including claims, provider, network, FFV, EHR, demographic, exercise, pharmacy, lab, biometrics, genomic, and text. Provider and/or network analytics experience is highly preferred

• Strong analytical, critical thinking, and problem solving skills with understanding of predictive and evaluative statistical modeling, machine learning, and data mining concepts, and a track record of solving business problems with these methods

• Ability to understand the business model and provide valid and actionable insights to our customers (e.g., clients, internal matrix partners) with written, oral, and group presentations. 

• Proven ability to work collaboratively in complex matrix organizations and agile teams.

• Expert-level analytics experience providing content/professional leadership on complex assignments/projects; exercising considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives; uses deep analytics knowledge and acumen to advise functional leaders;