Business Analytics Senior Advisor (Uniform Data Submission Team) - Remote

Summary

We are seeking a self-motivated business analytics or actuarial professional with a passion for problem solving and a strong desire to learn, lead and innovate to join our growing team. This role will work collaboratively with Network Analytics, Contracting, Competitive Intelligence, IT, and other matrix partners to support our uniform data submissions (UDS) and workstreams. This individual should be an inquisitive learner and a strong team player who enjoys working in a dynamic environment.

The Uniform Data Submission (UDS) team supports Cigna's semi-annual discount submission and annual risk adjusted PMPM submission to consultants, who then use the information to evaluate carriers for both prospective and existing client RFP’s.  The UDS information is also used for several internal processes including competitive benchmarking and setting discount or trend guarantees. The candidate will lead the exploration and implementation of data quality strategies and improved capabilities. This will include partnering with internal stakeholders to identify opportunity areas, researching and exploring opportunities for potential changes to our submission/process, conducting detailed data analysis and testing, translating results into recommendations, and providing communication and support to internal and external stakeholders.

Responsibilities

• Provide analytical and strategic support to Cigna's UDS Discount & Risk Adjusted PMPM submissions

• Identify opportunities to improve our UDS submissions, lead action plan development, and drive execution

• Partner with internal stakeholders to better understand Cigna claim systems, programs, and initiatives to identify opportunity areas and innovate new capabilities

• Develop and maintain a tracking tool to capture all opportunities and ideas to improve the quality and effectiveness of our UDS submissions, including broker specific ideas

• Lead detailed testing of and assess the impact of all potential changes to the UDS submissions including instituting data validation and documentation processes for all changes

• Analyze results and present findings and recommendations to business partners at various levels of the organization

• Review tools and reports available to matrix partners (Network Analytics, Competitive Intelligence, Contracting, Pricing and Market Actuaries), gather feedback on current gaps, and lead efforts to update/overhaul current toolset to be more accurate, interactive, and user-friendly

• Support the development and execution of various stakeholder reporting needs (e.g., C/I’s Cost Access process, Pricings Translation Factor setting process)

• Support business partners and team members on an ad hoc basis as needed to support various integral business needs (e.g., Underwriting Discount Guarantee support, Network Analytics/Med Econ review process)

• Assist in the development of uniform data submissions (discounts and risk adjusted PMPM), reports, models and tools

• Assist in the education and training of new team members

• Maintain strong communication with other analysts to identify new opportunities and share best practices

Qualifications

• 5+ years’ experience in healthcare analytics, finance, data analysis, or actuarial functions leveraging data analytics to drive business decisions

• Technical sophistication with various data mining and business intelligence tools such as SAS and/or SQL and advanced Microsoft Excel skills, experience with Databricks and GitHub a plus

• Knowledge of Cigna claims systems and/or standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS strongly preferred

• Strong analytical and problem-solving skills with a proven track record of success

• Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines

• Highly organized and detail-oriented, with strong project management and documentation skills

• Strong ability to validate and interpret results

• Strong verbal/written communication and leadership skills to work with various matrix partners

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 109,500 - 182,500 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.

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