Senior Business Analytics Manager – Payment Integrity, Risk & Affordability

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

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 strategic analytics by identifying medical cost drivers and trends, risks, and affordability opportunities. • Develop and execute analysis and AI to support Payment Integrity strategies at the enterprise level driving alignment across various business unites to ensure enterprise financial goals & priorities • Tell the story behind the data, translating analytical findings into clear, executive‑ready insights that influence decisions across technical, operational, and senior leadership audiences. • Own financial business cases for new affordability initiatives, including forecasts, variance analysis, and recommendations to improve performance. • Support Payment Integrity by overseeing analytics for initiatives, policy changes, and ongoing performance monitoring. • Improve reporting and visualization by assessing current capabilities and advancing self‑service analytics solutions, utilizing AI to optimize quality, accuracy and reporting (e.g., Databricks, Tableau, Claude, Cursor or similar tools). • Modernize analytics through scalable methods, automation, and thoughtful use of AI‑enabled tools where they add value. • Monitors and conducts research of related affordability, AI, business trends, using data and qualitative performance measures, to advise senior management relative to Payment Integrity strategy. • Manage and develop a team of analysts, setting clear priorities, ensuring high‑quality output, and supporting continuous skill development. • Balance multiple initiatives by prioritizing and delegating work effectively in a fast‑paced, dynamic environment. • Ensure data quality and accuracy by implementing appropriate checks, controls, and processes. • Act as a trusted thought partner to senior leaders by proactively identifying insights, risks, and emerging trends that inform near‑ and long‑term affordability strategy.

🎯 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 predictive analytics, financial modeling, healthcare economics, or related fields, including experience leading or mentoring analysts • Strong analytical and technical skills, with hands‑on experience using tools such as SQL, Excel, SAS, Databricks, Tableau, or similar platforms • Experience with and knowledge of medical claim coding, and provider reimbursement.

🏖️ Benefits

• medical, vision, dental, and 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