Remote Senior Medical Cost Analytics Lead

cigna; USA; Remote; USD 113.000 - 188.000; Vollzeit

Benefits dieser Stelle

Annual bonus plan

Medical, dental, vision coverage

401(k)

Paid holidays and PTO

Remote-friendly work setup

Zusammenfassung

Cigna is seeking a senior analytics professional to provide advanced support for medical cost and payment integrity initiatives. You will translate complex claims and financial data into clear business cases and leadership-ready materials, guiding strategic decisions.

Responsibilities include building forecasts, performing variance analyses, and delivering dashboards and scorecards. You will collaborate across finance, clinical, and vendor teams to optimize spend and elevate data quality and

Qualifikationen

• Bachelor's degree or equivalent experience in a quantitative field.
• 8+ years of progressive medical cost analytics and payment integrity experience.
• Hands-on experience with SQL, Excel, SAS, Tableau, Databricks or similar.
• Knowledge of MS-DRG, APC, HCPCS, RBRVS coding and reimbursement basics.
• Experience applying advanced analytics and automation with measurable value.
• Ability to explain complex findings to senior audiences across functions.

Aufgaben

• Analyze trends, risks, and savings opportunities across cost containment and payment integrity.
• Build financial impact assessments, forecasts, and performance recommendations.
• Measure edits, coding audits, and recovery programs via dashboards and reports.
• Examine billing patterns and identify sources of waste or abuse for new opportunities.
• Collaborate with finance, clinical, claims, compliance, network, product, and vendors to drive decisions.
• Support vendor evaluation, data quality, controls, automation, and scalable analytics.

Kenntnisse

Data analytics

Stakeholder communication

Ausbildung

Bachelor's degree in a quantitative field

Tools

SQL

Excel

SAS

Tableau

Databricks

Jobbeschreibung

Cigna is seeking a senior analytics professional to provide advanced support for medical cost and payment integrity initiatives. You will translate complex claims and financial data into clear business cases and leadership-ready materials, guiding strategic decisions.

Responsibilities include building forecasts, performing variance analyses, and delivering dashboards and scorecards. You will collaborate across finance, clinical, and vendor teams to optimize spend and elevate data quality and