Medical Cost Analytics Senior Manager (Remote)

The Cigna Group; United States; Hybrid; USD 131,000 - 218,000; Full time

Job summary

The Cigna Group in the United States seeks a Senior Manager of Business Analytics to lead a team delivering AI-driven insights that drive affordability and value for health plans. You will partner with finance, operations, clinical, product and network teams to translate complex data into strategic decisions at the executive level.

Responsibilities include shaping analytics strategy, building business cases, and modernizing reporting with Databricks, Tableau, and other tools, while developing

Qualifications

• Bachelor’s degree or equivalent in a quantitative field; Master’s degree preferred.
• 7 years of progressive experience in medical claims predictive analytics and healthcare economics.
• People leader experience in a matrixed environment.
• Strong analytical and technical skills with SQL, Excel, SAS, Databricks, Tableau.

Responsibilities

• Lead strategic analytics to identify cost drivers, risks, and affordability opportunities.
• Develop and execute analysis and AI to support enterprise Payment Integrity strategies.
• Translate findings into executive-ready insights for senior leadership.
• Own business cases, forecasts, and variance analysis for new initiatives.
• Improve reporting and visualization with self-service analytics and AI tools.

Skills

Data analytics leadership

Executive communication

Multi-priority management

Independent collaboration

Education

Bachelor's degree in a quantitative field

Master’s degree preferred

Tools

SQL

Excel

SAS

Databricks

Tableau

Job description

The job profile for this position is Business Analytics Senior Manager, which is a Band 4 Management Career Track Role.

Excited to grow your career?

Our people make all the difference in our success.

ThePayment Integrity & Affordability Governance organization partners across the enterprise to deliver insights that help reduce healthcare costs, improve outcomes, and strengthen financial sustainability. Our work supports both internal and external partners by translating complex data into clear, actionable strategies.

ThePayment Integrity Analytics Team focuses on measurement and analytics for national Payment Integrity programs—helping leaders understand the future strategy and current program performance including what’s working, where opportunities exist, and how we can continue to improve affordability and customer experience at scale.

About the Role:

As a Senior Manager , you’ll lead a team of analysts supporting Payment Integrity initiatives. This role blends healthcare data analytics and AI, financial insight, and people leadership, with a strong emphasis on influencing decisions at the executive level. The role will also be responsible for comprehensively looking at the provider and payer landscape to identify and drive innovative approaches for understanding medical cost trends, provider behavior, provider billing behavior, and healthcare industry operations to streamline medical costs for health plan members.

This role will partner closely with stakeholders across finance, operations, clinical, product and network teams to evaluate trends, support proposals, and ensure accurate financial measurement for new programs and initiatives.

This is an ideal role for a leader who enjoys connecting strategy to execution—and who wants their work to directly impact healthcare affordability.

What You’ll Do:

• Lead strategic analytics by identifying medical cost drivers and trends, risks, and affordability opportunities.
• Develop and execute analysis and AI to support Payment Integrity strategies at the enterprise level driving alignment across various business unites to ensure enterprise financial goals & priorities
• Tell the story behind the data, translating analytical findings into clear, executive‑ready insights that influence decisions across technical, operational, and senior leadership audiences.
• Own financial business cases for new affordability initiatives, including forecasts, variance analysis, and recommendations to improve performance.
• Support Payment Integrity by overseeing analytics for initiatives, policy changes, and ongoing performance monitoring.
• Improve reporting and visualization by assessing current capabilities and advancing self‑service analytics solutions, utilizing AI to optimize quality, accuracy and reporting (e.g., Databricks, Tableau, Claude, Cursor or similar tools).
• Modernize analytics through scalable methods, automation, and thoughtful use of AI‑enabled tools where they add value.
• Monitors and conducts research of related affordability, AI, business trends, using data and qualitative performance measures, to advise senior management relative to Payment Integrity strategy.
• Manage and develop a team of analysts, setting clear priorities, ensuring high‑quality output, and supporting continuous skill development.
• Balance multiple initiatives by prioritizing and delegating work effectively in a fast‑paced, dynamic environment.
• Ensure data quality and accuracy by implementing appropriate checks, controls, and processes.
• Act as a trusted thought partner to senior leaders by proactively identifying insights, risks, and emerging trends that inform near‑and long‑term affordability strategy

What You’ll Bring:

• Proven ability to translate complex analyses into actionable business insights.
• Clear, confident communication skills with experience presenting to senior and executive audiences.
• Demonstrated success managing multiple priorities and leading teams in a matrixed environment.
• A creative, critical thinker with strong attention to analytical accuracy.
• Comfortable working independently while collaborating closely with cross‑functional partners.
• Self-starter with a strong orientation toward continuous improvement, ownership, and impact

Requirements:

• Bachelor’s degree or equivalent in a quantitative field such as Economics, Finance, Data Science or Analytics, Business, Applied Mathematics, Public Health, Actuarial Science or similar. Master’s degree preferred
• 7 years of progressive experience in medical claims predictive analytics, financial modeling, healthcare economics
• People Leader experience
• Strong analytical and technical skills, with hands‑on experience using tools such as SQL, Excel, SAS, Databricks, Tableau, or similar platforms
• Experience with and knowledge of medical claim coding, and provider reimbursement

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 130,900 – 218,100 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.

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.

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.