Business Analytics Advisor (Value Based Care) - Remote

The Cigna Group; Bloomfield (CT); Remote; USD 96,000 - 160,000; Full time

Job summary

A leading healthcare company in Bloomfield seeks an experienced analytics professional to conduct advanced and exploratory analytics. The role involves collaborating with stakeholders to design and evaluate Value Based Payment programs. Ideal candidates have at least 5 years in healthcare analytics and possess strong technical skills in SQL, SAS, R, and Python. Competitive salary with comprehensive health benefits is offered.

Benefits

Comprehensive health benefits

401(k) with company match

Tuition reimbursement

Minimum of 18 days paid time off annually

Paid holidays

Qualifications

• At least 5+ years of experience in related healthcare analytics.
• Experience navigating a highly matrixed environment.
• Hands-on experience with healthcare data.

Responsibilities

• Conduct advanced and exploratory analytics.
• Collaborate closely with stakeholders on Valued Based Payment programs.
• Present analytic findings to business partners.

Skills

Exploratory and advanced analytics

Root cause statistical analyses

Data mining

Statistical modeling

Health data analysis

Verbal/written communication

Education

Bachelor's degree in Statistics or equivalent

Tools

SQL

SAS

R

Python

Tableau

Databricks

Teradata

Hadoop

Job description

Overview

Evernorth’s Digital & Analytics unit offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure/forecast business performance. The Value Based Care (VBC) Design Analytics team, within the Analytics & Data Science vertical, works with its business stakeholders to drive the vision and delivery of solutions to maximize healthcare affordability through value-based population health and specialty referral initiatives. This role will be responsible for conducting advanced analytics and research activities in efforts to design and develop VBC programs and make recommendations supporting affordability initiatives. This individual will work independently and collaboratively with key technical and non-technical matrix partners within organization.

So, you’re excited and motivated to take over this challenging role by becoming the newest member of this team? Great choice! Let’s check some boxes to see if you fit the bill:

• Perform exploratory and advanced analytics to answer “what happened?”
• Conduct root cause statistical analyses to answer “why did this happen?”
• Mine data to answer “where are the opportunities?”
• Deploy innovative value-based solutions to answer “how can we improve affordability and quality of care?”
• Rabid desire to learn new techniques and enjoy problem solving?

Role Summary

This person will be conducting advanced and exploratory analytics, generating actionable insights and resources to strategically design and/or enhance pay for performance programs.

Responsibilities Include

• Collaborate and work closely with stakeholders to design and evaluate Value Based Payment programs. Example areas include hospital and physician Accountable Care Organization (ACO) programs, Episodes of Care/Bundle programs, Nephrology, Oncology Medical Home, etc.
• Apply robust and appropriate statistical and clinical rigor using advanced analytic techniques including but not limited to risk adjustment, episode analytics (ETG, Prometheus etc.), statistical modeling, power analysis, matched case control studies etc.
• Build financial models for new VBC programs and build and manage annual reconciliation for pilot programs.
• Derive actionable insights from healthcare data (claims, clinical, pharmacy, externally sourced) to engage and enable our provider/clinical partners.
• Closely collaborate with engineering partners to deploy actionable insights into accessible solutions for our provider/clinical partners.
• Present analytic findings and recommendations to technical and non-technical business partners and leadership to drive data driven strategies.
• Explore innovative solutions to business questions/problems.

Qualifications

This position requires healthcare and insurance content knowledge, analytics/data science expertise and value based program expertise to support Cigna on Pay-for-performance strategy.

• Bachelor's degree or equivalent experience in Statistics, Biostatistics, Epidemiology, Health Outcomes Research, Actuarial Science, or Data Science
• At least 5+ years of experience in related healthcare analytics or value-based care research
• Experience technical skills required to extract, transpose, and analyze Big Data housed in Databricks, Teradata, and Hadoop using SQL and SAS/R/Python and output through advanced visualization tools including, but not limited to, Tableau/R/Python
• Experience with an understanding of modular code design and variable parameterization
• Experience with Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data)
• Knowledge of ACO, bundles, episodes, etc. is required
• Statistical training in school or through work (ability to formulate and execute appropriate confidence intervals, power analysis, bootstrapping, regression modeling, etc.)
• Medical Economics and healthcare financial modeling experience preferred
• Experience to consistently deliver on-time while managing multiple projects at the same time
• Experience in successfully navigating and contributing in a highly matrixed environment
• Enjoys problem solving and creating innovative solutions

• Strong verbal/written communication skills

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 96,000 - 160,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.