Senior Manager, Medical Cost Analytics

🕒 June 18

🇺🇸 United States – Remote

💵 $130.9k - $218.1k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 45%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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The Cigna Group

WebsiteLinkedInAll Job Openings

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

• Lead a team of analysts supporting Payment Integrity initiatives • Identify medical cost drivers, trends, risks, and affordability opportunities • Develop and execute enterprise-level analysis and AI for Payment Integrity strategies • Drive alignment across business units to support enterprise financial goals and priorities • Translate analytical findings into clear, executive-ready insights • Own financial business cases for affordability initiatives, including forecasts, variance analysis, and recommendations • Oversee analytics for initiatives, policy changes, and ongoing performance monitoring • Improve reporting and visualization capabilities and advance self-service analytics solutions • Use AI tools to optimize quality, accuracy, and reporting • Modernize analytics through scalable methods and automation • Research affordability, AI, business trends, and qualitative performance measures to advise senior management • Manage and develop analysts, set priorities, ensure high-quality output, and support skill development • Prioritize and delegate work across multiple initiatives • Implement data quality checks, controls, and processes • Advise senior leaders on insights, risks, and emerging trends affecting affordability strategy • Partner with finance, operations, clinical, product, and network teams

🎯 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 • Master’s degree preferred • 7+ years of progressive experience in medical claims predictive analytics, financial modeling, and healthcare economics • People Leader experience • Strong analytical and technical skills • Hands-on experience using SQL, Excel, SAS, Databricks, Tableau, or similar platforms • Experience with and knowledge of medical claim coding and provider reimbursement • Cable broadband or fiber optic internet service with at least 10 Mbps download/5 Mbps upload for occasional or permanent work from home • 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 • Orientation toward continuous improvement, ownership, and impact

🏖️ 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 • Tobacco-free policy • Reasonable accommodation support for the application process