The Cigna Group
Business Analytics Lead Analyst; IFP Risk Adjustment - EDGE Operations (Remote)
The Cigna Group, Bloomfield, Connecticut, us, 06002
The job profile for this position is Business Analytics Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
The Business Analytics Lead Analyst will be a critical member of Cigna's Individual and Family Plan Risk Adjustment – EDGE Operations Team. This role will drive improvements across Cigna's participation and compliance with the Centers for Medicare and Medicaid Risk Adjustment Programs. The Business Analytics Lead Analyst is a hands‑on data role that will be relied upon to use data to answer business critical questions surrounding Cigna's current and future participation in the government business space. Some of the risk operation related initiatives impact Cigna's customers directly, and the Business Analytics Lead Analyst will be expected to put the customer “first” in these situations – always keeping a strong customer focus while improving Cigna's position in the marketplace.
This individual will be specifically responsible for:
Development & deployment of EDGE processes, reporting solutions and analytics
Creation and oversight of key control reporting processes and metrics to ensure data quality and mitigate emerging risks
Oversight of performance metric reports used to monitor, communicate and positively influence areas of opportunity
Collaborating with matrix partners across Business, Operations and IT to ensure priorities are aligned and goals are achieved
Compliance with all applicable regulatory policies and standards
Creating and/or updating policies, procedures and practices to ensure compliance across all processes
Continually improving process quality and efficiencies
Technical accountability for the Risk operational platforms including new IT development, releases, and support
QUALIFICATIONS
3+ years of health care industry and informatics experience
Bachelors in Data Science, Informatics, Public Health, Management Information Systems or related field a plus
Experience in healthcare delivery environment, including operations, financial management, quality management, risk management, informatics and business development
Experience working in a large highly matrixed organization, with proven ability to develop strong internal enterprise relations
Excellent communication and documentation skills
Ability to make sound business decisions by analyzing data and key metrics
Strong proficiency with data mining tools including SQL, SAS, SAS Data Integration Studios, Oracle, Data Bricks, Teradata or similar software
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 77,300 - 128,800 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.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
The Business Analytics Lead Analyst will be a critical member of Cigna's Individual and Family Plan Risk Adjustment – EDGE Operations Team. This role will drive improvements across Cigna's participation and compliance with the Centers for Medicare and Medicaid Risk Adjustment Programs. The Business Analytics Lead Analyst is a hands‑on data role that will be relied upon to use data to answer business critical questions surrounding Cigna's current and future participation in the government business space. Some of the risk operation related initiatives impact Cigna's customers directly, and the Business Analytics Lead Analyst will be expected to put the customer “first” in these situations – always keeping a strong customer focus while improving Cigna's position in the marketplace.
This individual will be specifically responsible for:
Development & deployment of EDGE processes, reporting solutions and analytics
Creation and oversight of key control reporting processes and metrics to ensure data quality and mitigate emerging risks
Oversight of performance metric reports used to monitor, communicate and positively influence areas of opportunity
Collaborating with matrix partners across Business, Operations and IT to ensure priorities are aligned and goals are achieved
Compliance with all applicable regulatory policies and standards
Creating and/or updating policies, procedures and practices to ensure compliance across all processes
Continually improving process quality and efficiencies
Technical accountability for the Risk operational platforms including new IT development, releases, and support
QUALIFICATIONS
3+ years of health care industry and informatics experience
Bachelors in Data Science, Informatics, Public Health, Management Information Systems or related field a plus
Experience in healthcare delivery environment, including operations, financial management, quality management, risk management, informatics and business development
Experience working in a large highly matrixed organization, with proven ability to develop strong internal enterprise relations
Excellent communication and documentation skills
Ability to make sound business decisions by analyzing data and key metrics
Strong proficiency with data mining tools including SQL, SAS, SAS Data Integration Studios, Oracle, Data Bricks, Teradata or similar software
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 77,300 - 128,800 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.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
#J-18808-Ljbffr