Senior Medical Cost Optimization Lead (Remote)

Cigna Corporation; USA; Remote; USD 113.000 - 188.000; Vollzeit

Benefits dieser Stelle

401(k)

Company-paid life insurance

Tuition reimbursement

Paid time off (18 days)

Paid holidays

Leaves of absence

Zusammenfassung

The Cigna Group is seeking a Senior Medical Cost Analytics Advisor (Remote) to provide strategic and analytical support to the Payment Integrity team, evaluating pre- and post-payment programs, coding audits, and recovery initiatives to identify opportunities for savings and improved performance.

You will translate data and program results into executive-ready insights, own financial impact assessments and business cases, and collaborate across Finance, Operations, Clinical, Network, Claims,

Qualifikationen

• 8+ years of progressive experience in medical cost analytics, payment integrity, or related fields.
• Strong analytical and technical skills with hands-on experience using SQL, Excel, SAS, Tableau, Databricks.
• Knowledge of MS-DRG, APCs, HCPCS, RBRVS and familiarity with professional and facility claim constructs.
• Experience with automation and AI-enabled analytics methods.

Aufgaben

• Support strategic medical cost analytics by identifying trends, risks, and affordability opportunities.
• Tell the story behind the data, translating findings into executive-ready insights for strategic roadmaps.
• Own financial impact assessments and business cases with forecasts and variance analysis.
• Support program measurement across dashboards, scorecards, and executive materials.
• Identify and size new opportunities by assessing billing patterns, coding and reimbursement dynamics.
• Partner across the enterprise to align insights to decisions and execution.
• Support vendor evaluation through data-driven analysis informing negotiations and pricing.
• Advance reporting and analytics by improving data quality and enabling scalable, automated solutions.

Kenntnisse

SQL

Excel

SAS

Tableau

Databricks

AI-enabled analytics

Ausbildung

Bachelor’s degree or equivalent in a quantitative field

Tools

Databricks

SAS

Tableau

Jobbeschreibung

The Cigna Group is seeking a Senior Medical Cost Analytics Advisor (Remote) to provide strategic and analytical support to the Payment Integrity team, evaluating pre- and post-payment programs, coding audits, and recovery initiatives to identify opportunities for savings and improved performance.

You will translate data and program results into executive-ready insights, own financial impact assessments and business cases, and collaborate across Finance, Operations, Clinical, Network, Claims,