Senior Manager, Medical Cost Analytics

🕒 il y a 3 jours

🇺🇸 États-Unis – Télétravail

💵 $130 900 - $218 100 / an

⏰ Temps Plein

🟠 Senior

👔 Manager

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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The Cigna Group

Site WebLinkedInTous les Emplois

10 000+ employés

🏥 Santé

🛡️ Assurance

Healthcare • Insurance

Le Groupe Cigna est une entreprise mondiale de services de santé qui propose des produits et avantages d'assurance médicale, dentaire, pharmaceutique, comportementale et complémentaire aux particuliers, familles, employeurs, courtiers, prestataires de soins et bénéficiaires de Medicare. Il offre des plans de groupe parrainés par l'employeur, des plans individuels et familiaux (y compris les offres d'Inscription Ouverte), Medicare, une assurance maladie internationale couvrant plus de 200 pays, et des services numériques aux membres via la plateforme myCigna (y compris la télésanté et la gestion des réclamations). Ses produits sont fournis par le biais de filiales opérationnelles telles que Cigna Health and Life Insurance Company et d'autres affiliés régionaux.

Description

• Lead a team of analysts supporting Payment Integrity initiatives • Identify medical cost drivers, trends, risks, and affordability opportunities • Develop and execute analysis and AI supporting enterprise-level Payment Integrity strategies • Drive alignment across business units toward enterprise financial goals and priorities • Translate analytical findings into executive-ready insights • Own financial business cases, forecasts, variance analyses, and performance recommendations for affordability initiatives • Oversee analytics for Payment Integrity initiatives, policy changes, and ongoing performance monitoring • Assess reporting capabilities and advance self-service analytics solutions using AI and tools such as Databricks, Tableau, Claude, and Cursor • Modernize analytics through scalable methods, automation, and AI-enabled tools • Research affordability, AI, and business trends to advise senior management on Payment Integrity strategy • Manage and develop analysts, set priorities, ensure quality output, and support skill development • Prioritize and delegate work across multiple initiatives • Implement data-quality checks, controls, and processes • Identify insights, risks, and emerging trends to inform affordability strategy • Partner with finance, operations, clinical, product, and network teams to evaluate trends and support proposals

🎯 Exigences

• Bachelor’s degree or equivalent in a quantitative field such as Economics, Finance, Data Science or Analytics, Business, Applied Mathematics, Public Health, Actuarial Science or similar • 7+ years of progressive experience in medical claims predictive analytics, financial modeling, or healthcare economics • People Leader experience • Strong analytical and technical skills • Hands-on experience with SQL, Excel, SAS, Databricks, Tableau, or similar platforms • Experience with and knowledge of medical claim coding and provider reimbursement • Ability to translate complex analyses into actionable business insights • Experience presenting to senior and executive audiences • Experience managing multiple priorities and leading teams in a matrixed environment • Strong attention to analytical accuracy • Ability to work independently and collaborate with cross-functional partners • Internet connection obtained through cable broadband or fiber optic service with minimum speeds of 10Mbps download/5Mbps upload when working from home

🏖️ Avantages

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • 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 • Leaves of absence • Remote work arrangement • Cable broadband or fiber optic internet requirement with at least 10Mbps download/5Mbps upload for home working