Quality Review and Audit Data Measurement & Reporting Lead Analyst- Remote- Cigna Healthcare
Job Summary:
Provides advanced professional input to complex Data Measurement & Reporting assignments/projects. Provides analytical and operational reporting, business performance measurement and management dashboards, and fulfills data and measurement requests from business partners, and assists in project management for the Risk Adjustment Quality and Audit teams. Responsible for managing advanced data/analytics projects that are used to develop actionable insights and recommendations. Supports and provides direction to more junior professionals. Works autonomously, only requiring expert level technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Data Measurement & Reporting. Manages data projects across multiple teams throughout the risk adjustment organization.
Core... Responsibilities:
Extract and analyze large healthcare data using SAS, SQL, R, Python, Teradata, Hadoop, Excel etc.
Identify, analyze and interpret trends or patterns in data sets through descriptive and multivariate statistics.
Develop actionable insights and present results to non-technical business partners and stakeholders to drive the decision-making process.
Collaborate with matrix partners to understand project developments, assess impacts to data and analytics.
Develop methods for improving internal techniques and processes with expertise in creating highly effective, visual graphics that tell complex stories in formats that can be easily conveyed to leadership and executive clients.
Maintain audit performance dashboards from external data sources, leveraging and improving on existing templates
Minimum Qualifications:
3+ years of healthcare-related data/analytics experience solving business problems through the application of analytic approaches.
Experience with diverse healthcare data preferred, including claims, EHR, demographic, pharmacy, lab, biometrics, genomic, and text.
Previous experience conducting program evaluation/outcomes research methods, predictive modeling and data mining is required.
Experience with statistical software program such as SQL, SAS/SAS EG, R and/or Python is required.
Comprehension of healthcare data (e.g., claims, utilization, provider information) and demonstrated understanding of health care and delivery system processes.
Leadership competencies including the ability to collaborate with others and establish working relationships, communicate effectively across the organization and at different levels, think and act strategically, and influence key leaders with a strong customer focus and management of stakeholder expectations.
Knowledge of Risk Adjustment HCC methodology is required
HCC coding experience/exposure is preferred
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 74,600 - 124,400 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. Thats why youll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, youll 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 Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
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 StateCheck More Finance & Banking Jobs
Apply Now
Provides advanced professional input to complex Data Measurement & Reporting assignments/projects. Provides analytical and operational reporting, business performance measurement and management dashboards, and fulfills data and measurement requests from business partners, and assists in project management for the Risk Adjustment Quality and Audit teams. Responsible for managing advanced data/analytics projects that are used to develop actionable insights and recommendations. Supports and provides direction to more junior professionals. Works autonomously, only requiring expert level technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Data Measurement & Reporting. Manages data projects across multiple teams throughout the risk adjustment organization.
Core... Responsibilities:
Extract and analyze large healthcare data using SAS, SQL, R, Python, Teradata, Hadoop, Excel etc.
Identify, analyze and interpret trends or patterns in data sets through descriptive and multivariate statistics.
Develop actionable insights and present results to non-technical business partners and stakeholders to drive the decision-making process.
Collaborate with matrix partners to understand project developments, assess impacts to data and analytics.
Develop methods for improving internal techniques and processes with expertise in creating highly effective, visual graphics that tell complex stories in formats that can be easily conveyed to leadership and executive clients.
Maintain audit performance dashboards from external data sources, leveraging and improving on existing templates
Minimum Qualifications:
3+ years of healthcare-related data/analytics experience solving business problems through the application of analytic approaches.
Experience with diverse healthcare data preferred, including claims, EHR, demographic, pharmacy, lab, biometrics, genomic, and text.
Previous experience conducting program evaluation/outcomes research methods, predictive modeling and data mining is required.
Experience with statistical software program such as SQL, SAS/SAS EG, R and/or Python is required.
Comprehension of healthcare data (e.g., claims, utilization, provider information) and demonstrated understanding of health care and delivery system processes.
Leadership competencies including the ability to collaborate with others and establish working relationships, communicate effectively across the organization and at different levels, think and act strategically, and influence key leaders with a strong customer focus and management of stakeholder expectations.
Knowledge of Risk Adjustment HCC methodology is required
HCC coding experience/exposure is preferred
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 74,600 - 124,400 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. Thats why youll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, youll 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 Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
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 StateCheck More Finance & Banking Jobs
Apply Now