Business Analytics Senior Advisor (Southeast Provider Region) - Remoteact Analyst jobs in United States
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The Cigna Group · 1 day ago

Business Analytics Senior Advisor (Southeast Provider Region) - Remoteact Analyst

The Cigna Group is dedicated to improving health and vitality, and they are seeking a Business Analytics Senior Advisor to support medical cost positions through various analyses. This role involves collaborating with network management and pricing units to ensure competitive medical expense results and driving initiatives for cost reduction.

CommercialHealth CareHospitalInsuranceMedical

Responsibilities

Provide analytical and strategic support of health care provider rate negotiations
Identify opportunities for medical cost reduction, lead action plan development, and drive execution
Assess the cost and quality efficiency of health care providers
Collaborate with network team to develop and maintain high performing network solutions
Assess competitiveness of standard and high performing network products
Analyze reports and present findings to business partners at various levels of the organization
Support business partners and team members on an ad hoc basis as needed to support various integral business needs
Maintain strong communication with other analysts to identify new opportunities and share best practices
Mentor/train direct report, other analysts and business partners
Own tracking tool maintenance and institute data validation processes
Collaborate with developers on tool enhancements

Qualification

Healthcare data analysisSASSQLAdvanced Microsoft ExcelMedical coding knowledgeManaged care processesMedical cost trend analysisAnalytical skillsProblem-solving skillsCommunication skills

Required

5+ years' experience with health care data analysis required
Technical sophistication with various data mining and business intelligence tools such as SAS, SQL and advanced Microsoft Excel skills
Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS
Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management
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
Strong ability to validate and interpret results
Ability to influence and drive strategic planning and execution through engagement of business partners, education on key drivers and actionable levers, and thorough understanding of market-level dynamics
Strong communication skills to include written, oral, and group presentation

Preferred

Experience with medical cost trend analysis and health care provider contract analysis

Benefits

Medical
Vision
Dental
Well-being and behavioral health programs
401(k)
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays

Company

The Cigna Group

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The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.

Funding

Current Stage
Late Stage

Leadership Team

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David Cordani
Chairman and Chief Executive Officer
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Michele Berg
CEO Communications
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Company data provided by crunchbase