Business Analytics Advisor - Morris Plains, United States - The Cigna Group

Description

Digital and Analytics offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure/forecast business performance. Advanced Supply Analytics & Design drives the vision and delivery of solutions to maximize healthcare affordability through the provider profiling and network products for steerage to high performing providers. This role will lead advanced analytics focused on the identification of higher performing providers to enable steerage, geo-access, network adequacy & design of competitively affordable network products. Additionally this role will collaborate on advanced analytics roadmap including working with the Data Science Center of Expertise to progress technical and methodological capabilities using the Analytics Platform. This role will provide insights, influence business strategy, and execute in partnership with stakeholders, product management and IT via agile delivery teams.

So, you're excited and motivated to take over this challenging role by becoming the newest member of this team? Great choice Let's check some boxes to see if you fit the bill:

• Champion advanced analytics as a strategic capability
• Influence business partners using analytic insights
• Prototype analytics, methodology, modeling, and reporting to be deployed to production
• Collaborate with production/engineering teams during deployment and monitoring phases

Role Summary

This person will be an individual contributor responsible for conducting advanced network & provider profiling analytics, generating actionable insights and resources while working with agile development teams to scale solutions for maximum business impact.

Responsibilities Include:

• Execute effective and externally defensible provider performance methodologies to drive steerage
• Execute and apply advanced analytical techniques to deploy robust valuation improvement focused on cost, quality and access
• Execute on effective prediction and monitoring of results from our provider networks
• Closely partner with business (Clinical and Product) to set and deploy high value analytics enhancements
• Present analytic findings and recommendations to non-technical business partners and leadership to drive data driven strategies
• Explore innovative solutions to business questions/problems

Qualifications & Competencies Required

This position requires healthcare and insurance content knowledge, advanced analytics expertise, and leadership ability. This position will drive market value by participating in a highly matrixed structure with business stakeholders and Agile model that enables and evolves new concepts and ideas to supercharge Evernorth's Affordability strategy.

• Minimum of an advanced degree in a quantitative field such as Computer Science, Statistics, Biostatistics, Actuarial Science, Data Science, Epidemiology or equivalent work experience
• 3-5 years' of healthcare analytics industry experience solving business problems through the application of descriptive, diagnostic and prescriptive analytics approaches. Ability to think from statistical perspective - significance testing, confidence intervals, bias and variance – is required
• Healthcare Analytics expertise – 3+ years of hands-on experience with healthcare data (e.g., claims, eligibility, profiling, EMR), statistical and observational studies, 1+ years of experience and training with advanced analytics techniques like episode groupers (Optum ETG, EBM, ERG, Prometheus etc.), provider profiling, network adequacy, steerage analytics, geo-spatial & social network analytics, risk adjustments etc.
• Technical expertise - Strong technical skills and hands on experience required to extract, transpose, and analyze data housed in cloud-based Analytics Platform using advanced tools including, but not limited to, R/Python, Tableau/, ArcGIS and Geo-spatial tools; model governance experience will be preferred, hands on experience with at least one object-oriented language is preferred as willingness to learn Git/Github
• Healthcare subject matter expertise – 2+ years of experience of direct industry experience through conferences and relationship management, strong healthcare and / or health plan business acumen for developing actionable guidance using key metrics communicated in an easy-to-understand manner, demonstrated understanding of health care and delivery system processes, strong clinical knowledge and applications into relevant analytics
• Ability to execute graph and social network analysis to define provider networks
• Ability to consistently deliver on-time while managing multiple projects at the same time
• Ability to successfully navigate and contribute in a highly matrixed environment with multiple stakeholders from across the organization
• Strong verbal/written communication and leadership skills to work with various matrix partners, including but not limited to clinical, actuarial, medical economics, contracting, business, marketing, and IT/IM.