Business Analytics Advisor - Evernorth

Evernorth Health Services; Morris Plains (NJ); On-site; USD 80,000 - 120,000; Full time

Job summary

Evernorth Health Services is seeking a Business Analytics Advisor to join its Express Scripts pharmacy pricing team. This role focuses on the redesign of the Apollo Claims Engine, requiring strong analytical skills and experience in Python. The ideal candidate will have a background in Actuarial Science, Economics, or related fields, and will contribute to innovative solutions in healthcare.

Qualifications

• 4+ years relevant experience in financial and business analysis.
• Ability to work through ambiguity.
• Strong communication, analytical, and leadership skills.

Responsibilities

• Develop and maintain core functionality within the Apollo Claims Engine.
• Collaborate with matrix partners for financial impact assessments.
• Work with Cigna Pricing & Underwriting teams to meet ACE needs.

Skills

Python

OCL

Strategic thinking

Problem-solving skills

Process efficiency

Collaboration

Effective communication

Education

Bachelor’s degree in Actuarial Science

Bachelor’s degree in Economics

Bachelor’s degree in Statistics

Bachelor’s degree in Mathematics

Bachelor’s degree in Finance

Tools

Advanced Excel

Job description

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Position Summary

The Business Analytics Advisor role will be a member of the Express Scripts pharmacy pricing organization's dedicated Engine Redesign team. This team is responsible for developing and executing a successful solution for revolutionizing the Cigna Group's pharmacy underwriting engines.

This role will initially focus on the redesign project (i.e., Project Apollo), transitioning to maintenance and support after project completion in 2026.

Essential Functions

1. Develop and maintain core functionality within the Apollo Claims Engine (ACE), a Pharmacy Claims projection tool written using OCL code and eventually Python.
2. Design and develop methodologies used in the Apollo Claims Engine, acting as a trusted advisor.
3. Collaborate with matrix partners to determine the complexity level to add to the engine, informed by financial impact assessments.
4. Work cross-functionally with Cigna Pricing & Underwriting teams to ensure ACE meets their needs.
5. Design tools and processes for setting assumptions and testing ACE code updates.

Competencies & Skills

• Experience with Python and/or OCL
• Strategic thinking
• Problem-solving skills
• Focus on process efficiency
• Collaborative mindset
• Effective communication

Qualifications

• Bachelor’s degree in Actuarial Science, Economics, Statistics, Mathematics, or Finance
• Experience with Python/OCL and advanced Excel
• 4+ years relevant experience in financial and business analysis
• Ability to work through ambiguity
• Strong communication, analytical, and leadership skills

If working remotely, internet must be via cable broadband or fiber with speeds of at least 10Mbps download/5Mbps upload.

About Evernorth Health Services

Evernorth, a division of The Cigna Group, creates pharmacy, care, and benefit solutions to improve health and vitality. We innovate to make health services more accessible. Join us to drive growth and improve lives.

Qualified applicants will be considered regardless of race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran status, religion, national origin, or other protected characteristics.

For accommodations, email: [e-mail]. Do not email for application updates or resumes.

The Cigna Group is tobacco-free and may not hire tobacco/nicotine users in certain states unless participating in a cessation program.

Applicants with criminal histories will be considered per applicable laws.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job functions: Consulting, IT, Sales
• Industries: Healthcare