Strategic Medical Cost Analytics Lead

390 Cigna-Evernorth Services Inc.; Texas; Hybrid; USD 113.000 - 188.000; Vollzeit

Benefits dieser Stelle

Health benefits

401(k)

Paid time off

Zusammenfassung

The Cigna Group seeks a Senior Advisor to provide strategic, data-driven support to the Payment Integrity team. You will evaluate pre- and post-payment programs, coding audits, and recovery initiatives to drive savings and performance improvements.

Partner with Finance, Operations, Clinical, Network, Claims, Product, and vendors to advance affordability. You will translate complex analyses into executive-ready insights, own financial impact assessments, and shape strategic roadmaps with

Qualifikationen

• Bachelor’s degree or in a quantitative field (e.g., Economics, Finance, Data Science, Data Analytics, Actuarial Science, Business, Public Health, Applied Mathematics) or equivalent experience
• 8+ years of progressive experience in medical cost analytics, payment integrity, financial modeling, or related fields
• Strong analytical and technical skills, with hands-on experience using tools such as SQL, Excel, SAS, Tableau, Databricks (or similar platforms)
• Experience modernizing analytics through automation and AI-enabled and advanced analytics methods (e.g., predictive modeling, NLP, machine learning) where value is added
• If you work from home, reliable high-speed internet connection required (10Mbps down / 5Mbps up)
• For this position, annual salary range is 112,800 - 188,000 USD/year; eligible for annual bonus program
• The Cigna Group provides comprehensive benefits including health-related programs, 401(k), life insurance, tuition reimbursement, 18+ days PTO
• These benefits reflect a healthy, inclusive approach to employee well-being

Aufgaben

• Support strategic medical cost analytics by identifying trends, risks, and affordability opportunities across cost containment and payment integrity programs
• Translate complex findings into executive-ready insights to inform strategic roadmaps
• Own financial impact assessments and business cases, including forecasts and variance analyses
• Support program measurement and performance monitoring across dashboards and executive materials
• Identify and size new opportunities by evaluating billing, coding, and reimbursement dynamics
• Collaborate across Contracting, Coverage Policy, Commercial Payment Integrity, Compliance, Network Analytics, Claims, Product
• Assist vendor evaluation and data-driven negotiations and performance guarantees
• Advance reporting and analytics by improving data quality and enabling scalable self-service through automation and AI tools

Kenntnisse

Data analytics

Executive communication

Strategic thinking

Cross-functional collaboration

Ausbildung

Bachelor’s degree in quantitative field or equivalent

Tools

SQL

Excel

SAS

Tableau

Databricks

Jobbeschreibung

The Cigna Group seeks a Senior Advisor to provide strategic, data-driven support to the Payment Integrity team. You will evaluate pre- and post-payment programs, coding audits, and recovery initiatives to drive savings and performance improvements.

Partner with Finance, Operations, Clinical, Network, Claims, Product, and vendors to advance affordability. You will translate complex analyses into executive-ready insights, own financial impact assessments, and shape strategic roadmaps with