Cigna Healthcare is dedicated to improving health and vitality, and they are seeking a senior individual contributor for their Health Utilization Management Analytics team. This role involves leading analytics for the Transparency initiative, focusing on methodology, metrics, and actionable insights while collaborating with Medical Directors and stakeholders.
Responsibilities:
- Own the end‑to‑end analytical strategy for Transparency, including metric definition, methodology design, execution, documentation, and refinement for all non-delegated authorization experience
- Develop and defend analytical logic supporting external transparency commitments, regulatory needs, and internal leadership decisions
- Perform advanced utilization, trend, and comparative analyses to assess UM program performance and future opportunities
- Apply sound analytical judgment to address data limitations, assumptions, uncertainty, and credibility
- Translate complex findings into clear, decision‑focused insights for senior leaders and clinical stakeholders
- Partner closely with Medical Directors, clinical leaders, and cross‑functional teams to ensure analyses reflect clinical and business context
- Support additional Health Utilization Management Analytics initiatives as needed
Requirements:
- Several years of experience applying advanced analytics in healthcare, with strong knowledge of utilization management and healthcare data (e.g., claims, ICD‑10)
- Demonstrated experience with trend analysis, forecasting, program evaluation, and comparative or matched analyses
- Proven ability to develop defensible methodologies and clearly communicate assumptions, limitations, and implications
- Strong data visualization and storytelling skills; ability to influence senior stakeholders through analytical credibility (Tableau experience preferred)
- Actuarial training, exams, or experience working closely with actuarial teams is highly desired
- Tableau experience preferred