Business Analytics Advisor – Payment Integrity, Risk & Affordability
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Job Description
Business Analytics Advisor leading analytics on medical cost savings initiatives for Cigna. Collaborating cross-functionally to develop insights and strategies for cost management.
Responsibilities:
- Lead end-to-end analytics to evaluate medical cost savings initiatives, including medical policy changes and other cost containment programs
- Own savings estimates by developing accurate, auditable financial impact assessments grounded in historical and current medical expense patterns
- Partner cross-functionally with Clinical Operations, Network, Coverage Policy, project managers, and medical directors to align assumptions, methodologies, and measurement strategies
- Identify trends and cost drivers through exploratory, longitudinal, and ad hoc analysis to surface emerging patterns and anomalous utilization
- Design and maintain analytical routines (tools, algorithms, monitoring) to track medical forecasts and savings performance over time
- Apply advanced analytics (statistical techniques and scalable methods) to generate insights that support medical cost trend reduction and assess the impact to providers, clients and customers
- Tell the story behind the data by translating complex findings into concise, executive-ready summaries and recommendations for stakeholders at multiple organizational levels
Requirements:
- Bachelor's degree in quantitative field (e.g., Statistics, Mathematics, Economics, Health Policy Analysis, Finance, Actuarial, Public Health, Business) or equivalent practical experience
- 5+ years of experience in healthcare or finance cost analysis
- Knowledge of standard medical coding systems (e.g., DRG, ICD-10, HCPCS) and the ability to translate analytical results into actionable business insights for senior and executive stakeholders
- Technical proficiency with data and BI and AI tools such as SQL, SAS, Tableau, Databricks, Calude and Excel
Benefits:
- Health insurance
- Vision insurance
- Dental insurance
- Well-being and behavioral health programs
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
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