Senior Manager, Medical Cost Analytics

🔥 15 minutes ago

🇺🇸 United States – Remote

💵 $130.9k - $218.1k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• 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