Business Analytics Advisor - Pacific Northwest Markets

The Cigna Group is dedicated to improving health and vitality through innovative healthcare solutions. They are seeking a Business Analytics Advisor to provide expert analysis and strategic support in healthcare provider contracts and cost management for the Pacific Northwest. This role involves collaboration with business leaders to drive analytics-driven decision making and operationalize solutions for impactful results.

Responsibilities:

• Provide analytical and strategic support of health care provider rate negotiations
• Identify opportunities for medical cost reduction, develop action plans, and drive execution
• Assess the cost and quality efficiency of health care providers
• Collaborate with local network team to develop and maintain high performing network solutions
• Assess competitiveness of standard and high performing network products
• Analyze reports and present findings to business partners at various levels of the organization
• Support business partners and team members on an ad hoc basis as needed to support various integral business needs
• Maintain strong communication with other analysts to identify new opportunities and share best practices
• Mentor/train business partners and other analysts

Requirements:

• Bachelor's degree in Statistics, Mathematics, Economics, Health Policy Analysis, Finance, or related field strongly preferred
• 5+ years of experience with health care data analysis strongly preferred
• Experience with medical cost trend analysis and health care provider contract analysis preferred
• Strong analytical and problem solving skills with a proven track record of success
• Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines
• Strong ability to validate and interpret results
• Ability to influence and drive strategic planning, action plan development, and execution of plans through engagement of business partners, education on key drivers and actionable levers, and thorough understanding of market-level dynamics
• Strong communication skills to include written, oral, and group presentation
• Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management
• Technical sophistication with various data mining and business intelligence tools such as SAS, SQL, Microsoft Access, or similar products, advanced Microsoft Excel skills
• Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS