Cigna
Business advisor - network design
Cigna, Bloomfield, Connecticut, us, 06002
Overview
Digital and 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. Advanced Supply Analytics & Design drives the vision and delivery of solutions to maximize healthcare affordability through the provider profiling and 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.
Maximise your chances of a successful application to this job by ensuring your CV and skills are a good match.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:Champion advanced analytics as a strategic capabilityInfluence business partners using analytic insightsPrototype analytics, methodology, modeling, and reporting to be deployed to productionCollaborate with production/engineering teams during deployment and monitoring phasesRole Summary
This person will be an individual contributor responsible for conducting advanced network & provider profiling analytics, generating actionable insights and resources while working with agile development teams to scale solutions for maximum business impact.Responsibilities Include:
Execute effective and externally defensible provider performance methodologies to drive steerageExecute and apply advanced analytical techniques to deploy robust valuation improvement focused on cost, quality and accessExecute on effective prediction and monitoring of results from our provider networksClosely partner with business (Clinical and Product) to set and deploy high value analytics enhancementsPresent analytic findings and recommendations to non-technical business partners and leadership to drive data driven strategiesExplore innovative solutions to business questions/problemsQualifications & Competencies Required
This position requires healthcare and insurance content knowledge, advanced analytics expertise, and leadership ability. This position will drive market value by participating in a highly matrixed structure with business stakeholders and Agile model that enables and evolves new concepts and ideas to supercharge Evernorth's Affordability strategy.Minimum of an advanced degree in a quantitative field such as Computer Science, Statistics, Biostatistics, Actuarial Science, Data Science, Epidemiology or equivalent work experience3-5 years' of healthcare analytics industry experience solving business problems through the application of descriptive, diagnostic and prescriptive analytics approaches. Ability to think from statistical perspective - significance testing, confidence intervals, bias and variance - is requiredHealthcare Analytics expertise - 3+ years of hands-on experience with healthcare data (e.g., claims, eligibility, profiling, EMR), statistical and observational studies, 1+ years of 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.Technical expertise - Strong technical skills and hands on experience required to extract, transpose, and analyze data housed in cloud-based Analytics Platform using advanced tools including, but not limited to, R/Python, Tableau, ArcGIS and Geo-spatial tools; model governance experience will be preferred, hands on experience with at least one object-oriented language is preferred as willingness to learn Git/GithubHealthcare subject matter expertise - 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 analyticsAbility to execute graph and social network analysis to define provider networksAbility to consistently deliver on-time while managing multiple projects at the same timeAbility to successfully navigate and contribute in a highly matrixed environment with multiple stakeholders from across the organizationStrong 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.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 95,200 - 158,600 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.Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
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Digital and 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. Advanced Supply Analytics & Design drives the vision and delivery of solutions to maximize healthcare affordability through the provider profiling and 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.
Maximise your chances of a successful application to this job by ensuring your CV and skills are a good match.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:Champion advanced analytics as a strategic capabilityInfluence business partners using analytic insightsPrototype analytics, methodology, modeling, and reporting to be deployed to productionCollaborate with production/engineering teams during deployment and monitoring phasesRole Summary
This person will be an individual contributor responsible for conducting advanced network & provider profiling analytics, generating actionable insights and resources while working with agile development teams to scale solutions for maximum business impact.Responsibilities Include:
Execute effective and externally defensible provider performance methodologies to drive steerageExecute and apply advanced analytical techniques to deploy robust valuation improvement focused on cost, quality and accessExecute on effective prediction and monitoring of results from our provider networksClosely partner with business (Clinical and Product) to set and deploy high value analytics enhancementsPresent analytic findings and recommendations to non-technical business partners and leadership to drive data driven strategiesExplore innovative solutions to business questions/problemsQualifications & Competencies Required
This position requires healthcare and insurance content knowledge, advanced analytics expertise, and leadership ability. This position will drive market value by participating in a highly matrixed structure with business stakeholders and Agile model that enables and evolves new concepts and ideas to supercharge Evernorth's Affordability strategy.Minimum of an advanced degree in a quantitative field such as Computer Science, Statistics, Biostatistics, Actuarial Science, Data Science, Epidemiology or equivalent work experience3-5 years' of healthcare analytics industry experience solving business problems through the application of descriptive, diagnostic and prescriptive analytics approaches. Ability to think from statistical perspective - significance testing, confidence intervals, bias and variance - is requiredHealthcare Analytics expertise - 3+ years of hands-on experience with healthcare data (e.g., claims, eligibility, profiling, EMR), statistical and observational studies, 1+ years of 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.Technical expertise - Strong technical skills and hands on experience required to extract, transpose, and analyze data housed in cloud-based Analytics Platform using advanced tools including, but not limited to, R/Python, Tableau, ArcGIS and Geo-spatial tools; model governance experience will be preferred, hands on experience with at least one object-oriented language is preferred as willingness to learn Git/GithubHealthcare subject matter expertise - 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 analyticsAbility to execute graph and social network analysis to define provider networksAbility to consistently deliver on-time while managing multiple projects at the same timeAbility to successfully navigate and contribute in a highly matrixed environment with multiple stakeholders from across the organizationStrong 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.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 95,200 - 158,600 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.Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
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