Senior Business Analytics Advisor, Southeast Provider Region
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Job Description
Senior Advisor providing analytical support for healthcare provider rate negotiations at Cigna. Focused on medical expense analysis and trend drivers in healthcare contracts.
Responsibilities:
- Supports the medical cost position of assigned markets through analysis of healthcare provider contracts
- Analysis of high performing network solutions
- Analysis of medical expense reports
- Data drill downs of trend drivers
- Execution of key initiatives designed to address medical expense and product pricing trends
- Partners with network management and pricing units to deliver medical expense results in line with trend/cost expectations
Requirements:
- 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
- Experience with medical cost trend analysis and health care provider contract analysis 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
- 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.
Benefits:
- medical, vision, dental, and 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
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