Senior Manager, Medical Cost Analytics & AI Insights

Cigna Health and Life Insurance Company; Tennessee; Hybrid; USD 131,000 - 218,000; Full time

Benefits offered by this job

Health benefits

401(k) plan

Life insurance

Tuition reimbursement

PTO 18 days per year

Job summary

The Cigna Group is seeking a Senior Manager to lead the Payment Integrity Analytics Team, blending healthcare data analytics, AI, financial insight, and people leadership. This role partners with executives to evaluate trends and drive innovative approaches that improve affordability and customer experience at scale.

You’ll work across finance, operations, clinical, product, and network teams to evaluate trends, support proposals, and ensure accurate financial measurement for new programs and

Qualifications

• 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.

Responsibilities

• 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 units 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.

Skills

Executive leadership

Strategic thinking

Data storytelling

Cross-functional

Education

Bachelor's degree

Master's degree

Tools

SQL

Excel

SAS

Databricks

Tableau

Job description

The Cigna Group is seeking a Senior Manager to lead the Payment Integrity Analytics Team, blending healthcare data analytics, AI, financial insight, and people leadership. This role partners with executives to evaluate trends and drive innovative approaches that improve affordability and customer experience at scale.

You’ll work across finance, operations, clinical, product, and network teams to evaluate trends, support proposals, and ensure accurate financial measurement for new programs and