Clinical & Affordability Analytics Lead

Cigna Health and Life Insurance Company; Bloomfield (CT); Remote; USD 98,000 - 164,000; Full time

Benefits offered by this job

Medical benefits

401(k)

Life insurance

Tuition reimbursement

Paid time off

Paid holidays

Job summary

The Cigna Group is seeking a Business Analytics Advisor to turn clinical data into actionable insights across risk, affordability, and performance. You will connect claims, authorizations, diagnoses, and episodes of care to help clinical, analytics, finance, and affordability partners understand risk drivers and influence decisions.

Responsibilities include building risk indicators, partnering across teams, and translating complex data into clear recommendations for stakeholders.

Qualifications

• 5+ years of experience in health plan or health system data analytics, affordability analytics, clinical analysis, or a related healthcare analytics function.
• Strong knowledge of healthcare data, including claims, provider data, clinical information, diagnosis codes, authorizations, cost, quality, and health plan performance measures.
• Advanced SQL skills and experience using database management systems to analyze large datasets.
• Ability to translate clinical findings into financial impact estimates and clear recommendations for non-clinical stakeholders.
• Strong analytical, storytelling, collaboration, and business partnership skills in a matrixed environment.

Responsibilities

• Design and build clinical risk indicators, projection insights, and KPIs within the CHC Risk Ecosystem.
• Partner with clinical, finance, analytics, affordability, technical, and visualization teams to create practical analytic capabilities that improve trend analysis and claims insights.
• Translate relationships across authorizations, claims, diagnostic categories, service categories, and episodes of care into clear clinical and financial insights.
• Lead end-to-end development of clinical insights and affordability opportunities, with a focus on continuous improvement and measurable value.
• Use internal and external data to connect clinical performance, marketplace trends, and cost-of-care drivers.
• Build trusted partnerships across matrixed teams and present complex findings in a clear, actionable way for clinical and non-clinical stakeholders.

Skills

5+ years experience

SQL skills

translate findings

storytelling

collaboration

Education

Bachelor’s degree in analytics/healthcare/finance

Tools

Databricks

SQL databases

Job description

The Cigna Group is seeking a Business Analytics Advisor to turn clinical data into actionable insights across risk, affordability, and performance. You will connect claims, authorizations, diagnoses, and episodes of care to help clinical, analytics, finance, and affordability partners understand risk drivers and influence decisions.

Responsibilities include building risk indicators, partnering across teams, and translating complex data into clear recommendations for stakeholders.