Medical Economics Lead Analyst

Cigna Health and Life Insurance Company

Bengaluru

On-site

INR 1,200,000 - 1,800,000

Full time

29 hours ago
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Job summary

The Cigna Group is seeking a Medical Economics Lead Analyst to analyze drivers of medical cost and utilization across international markets, using large-scale claims and eligibility data. You will work with Network, Clinical, and Fraud, Waste & Abuse teams to translate insights into actions that improve affordability and health outcomes.

You will develop scalable analytical solutions, build self-service dashboards in Qlik Sense, and present findings to senior stakeholders.

Qualifications

  • 7+ years of experience in health insurance analytics.
  • Strong understanding of healthcare claims data (diagnosis, procedure, provider, utilization, pricing).
  • Proficiency in SQL and data visualization tools; Qlik Sense preferred.

Responsibilities

  • Identify drivers of medical cost and utilization across international markets.
  • Perform root-cause analysis of pricing, utilization, and population health impacts on medical cost trends.
  • Evaluate interventions and quantify realized impact on costs and outcomes.
  • Develop repeatable analytical frameworks to speed opportunity identification.
  • Present findings and recommendations to senior stakeholders in a concise format.
  • Design and develop self-service Qlik Sense dashboards to enable quick identification of opportunities and trends.

Skills

Healthcare analytics
SQL
Data visualization

Education

Bachelor's degree in Finance/Statistics/Actuarial or equivalent

Tools

Qlik Sense

Job description

Medical Economics Lead Analyst Position Summary

The International Health Medical Economics team is seeking a Medical Economics Lead Analyst to help identify the drivers of medical cost and utilization trends and convert data into actions that improve affordability and health outcomes. This role offers the opportunity to work with large-scale healthcare claims and eligibility datasets across international markets while partnering with Network, Clinical, and Fraud, Waste & Abuse teams to influence key business decisions. The successful candidate will combine healthcare claims expertise, advanced analytics, and data visualization to identify savings opportunities, evaluate intervention effectiveness, and develop scalable analytical solutions that drive measurable business impact.

Responsibilities
  • Investigate drivers of medical trend across utilization, unit cost, provider mix, disease burden, and benefit design.
  • Perform root-cause analysis to distinguish between pricing, utilization, and population health impacts on medical cost trends.
  • Evaluate the effectiveness of implemented Network, Clinical, and FWA interventions and quantify realized impact.
  • Develop repeatable analytical frameworks that improve the speed and consistency of opportunity identification.
  • Present findings and recommendations to senior business stakeholders in a concise and action-oriented format.
  • Design and develop self-service Qlik Sense dashboards that enable stakeholders to quickly identify opportunities and trends Quantify the financial impact of new and existing savings initiatives to support annual planning process Contribute to the development of new analytical approaches, tools, and methodologies
Qualifications
  • Bachelor’s degree required (Finance, Statistics, Actuarial or equivalent) 7+ years of experience in health insurance analytics
  • Strong understanding of healthcare claims data, including diagnosis, procedure, provider, place-of-service, utilization, pricing, and member-level information.
  • Proficiency in SQL, data manipulation tools and data visualization platforms (Qlik Sense preferred)
  • Excellent analytical, stakeholder management and presentation skills required
About The Cigna Group

The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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