Business Analytics Advisor – Clinical & Affordability Trend Analytics

🕒 August 12

⛰️ Colorado, Connecticut, +5 more states – Remote

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💵 $98.2k - $163.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 23%

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Logo of The Cigna Group

The Cigna Group

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Design and build clinical risk indicators, projection insights, and key performance indicators within the CHC Risk Ecosystem • Partner with clinical, finance, analytics, affordability, technical, and visualization teams to create practical analytic capabilities • Translate relationships across authorizations, claims, diagnostic categories, service categories, and episodes of care into clear clinical and financial insights • Lead end-to-end development of clinical insights and affordability opportunities • Use internal and external data to connect clinical performance, marketplace trends, and cost-of-care drivers • Build partnerships across matrixed teams and present complex findings clearly to clinical and non-clinical stakeholders

🎯 Requirements

• 5+ years of experience in health plan or health system data analytics, affordability analytics, clinical analysis, or a related healthcare analytics function • Strong knowledge of healthcare data, including claims, provider data, clinical information, diagnosis codes, authorizations, cost, quality, and health plan performance measures • Advanced SQL skills and experience using database management systems to analyze large datasets • Ability to translate clinical findings into financial impact estimates and clear recommendations for non-clinical stakeholders • Strong analytical, storytelling, collaboration, and business partnership skills in a matrixed environment • Experience with Databricks or similar cloud-based data platforms • Experience using AI-enabled tools to improve analytics, code development, documentation, or insight generation • Familiarity with clinical coding concepts, clinical operations, affordability programs, or predictive analytics methods • Familiarity querying and using EPIC platform data • Home internet connection, if working remotely, through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload • Bachelor’s degree in analytics, healthcare, business, finance, informatics, or a related field (preferred)

🏖️ 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

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