Program Management Lead Analyst/Data Analyst - Cigna Healthcare - Remote

The Cigna Group is dedicated to improving the health and vitality of those they serve. They are seeking a Data Analyst to provide technical support for their Pre/PostPay Edit editing program, focusing on development, implementation, and monitoring to enhance claim accuracy and operational efficiency.

Responsibilities:

• Act as technical analyst for Proactive Claim Intervention projects and daily tasks for all aspects of our Pre/PostPay Edit editing program
• Data Analyst for the development, installation, execution and maintenance of our Pre/PostPay Edit editing program
• Develop and maintain editing on regular and ad-hoc basis, primarily using SAS, Microsoft SQL Server and internally developed ARM rule-based claim editing platform
• Responsible for data mining activities and technology integration of Pre/PostPay Correction Program to support our Pre/PostPay Edit editing program
• Evaluates and appropriately utilizes various approaches to data mining to narrow in on trends and drivers that directly impact outcomes
• Makes well-thought-out decisions on complex or ambiguous IT architecture issues
• Participate in all phases of Pre/PostPay Edit program IT architecture process testing and implementation
• Ensures that system improvements are successfully implemented and monitored to increase efficiency
• Works closely with matrix business partners to define data needs, opportunities for improvement and effectively communicates results of analysis and solutions
• Acts as a resource for mentorship, training and guidance for junior staff

Requirements:

• 5+ years of experience in healthcare data analytics required
• 5+ years of experience in healthcare data with proficient skills in medical analysis and project management
• Strong data investigation skills to mine healthcare data required
• Strong data analysis skills with the ability to analyze large amounts of healthcare data to translate complex data into meaningful, actionable insights
• Strong project management skills and comfort in ability to create and achieve success in highly matrixed environment
• Exceptional verbal and written communication skills with demonstrated ability to research, problem solve, trouble shoot, influence and partner across the organization to a drive toward resolution for the client, provider and organization
• Strong presentation skills. Able to prepare, deliver, and ensure understanding of information regarding any customer-related or process improvement topic across audiences
• Demonstrated ability to work independently and drive to objectives
• Bachelor's degree or higher strongly preferred in Business Analytics, Data Science, Information Systems, or a related field, or equivalent work experience required
• 5+ years coding experience required, with proficient skills using SAS and Microsoft SQL Server highly preferred
• Experience with rule-based editing platforms desired
• Experience with Word, Outlook, PowerPoint, Teams, Webex, Excel (pivot tables/VLOOKUP preferred)