- Data mining and pattern recognition to answer "what happened?" and "where are the opportunities?"
- Root cause statistical analyses to answer "why did this happen?"
- Predictive modeling to answer "what will happen next?", "who is it likely to happen to?", and "when will it happen?"
- Experimental design to test new solutions in order to answer "how can we get better?"
- Extract and analyze large healthcare claims using SAS, SQL, R, Python, Teradata, Hadoop, etc.
- Identify, analyze and interpret trends or patterns in data sets through descriptive and multivariate statistics
- Conduct matched case-control studies and/or randomized control trials for determining the effectiveness of health services and solutions
- Develop statistical models and methods that identify and stratify individuals in terms of health risk and/or behavior change
- Develop actionable insights and recommendations for business leaders
- Present results and recommendations to non-technical business partners and stakeholders to drive the decision-making process
- Collaborate with business partners within clinical, operations and marketing to determine the best approach for testing the effectiveness of new/existing programs
- Guide the development and analysis of a case management program, from proof of concept, data management to data analysis, interpretation, and presentation to internal and external stakeholders
- The ideal candidate for this role will be highly motivated, flexible and embrace change. In addition, the candidate will know evaluation research design techniques and their strengths and weaknesses. This role typically requires BS or MS in Biostatistics, Health Economics, Health Services Research, Epidemiology or equivalent training and mastery.
- Working knowledge of program evaluation/outcomes research methods, predictive modeling and data mining
- Advanced degree in Statistics, Mathematics, Data Science, Biostatistics, or Epidemiology or 3-5 years of related work experience
- 3-5 years of experience in related analytics strongly preferred
- Experience with statistical software program SAS/SAS EG, R and/or Python is required
- Comprehension of healthcare data (e.g., ICD-10, claims) and demonstrated understanding of health care and delivery system processes
- Leadership competencies including the ability to collaborate with others and establish working relationships, communicate effectively across the organization and at different levels, think and act strategically, and influence key leaders
- Strong customer focus and management of stakeholder expectations
- Ability to successfully navigate and contribute in a highly-matrixed environment
- Emerging track record of presentations / publications
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Description
The job profile for this position is Business Analytics Senior Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply
Our people make all the difference in our success.
The Clinical Analytics Team within Evernorth's Digital & Analytics (D&A) organization is expanding its deployment of analytics across the business as we fulfill our customer-centric mission to help the people we serve improve their health and well-being. The clinical Analytics team provides the ability to visualize, articulate, and solve complex and complicated business problems and identify opportunities for innovation for US based business lines including Medical Management (Care+), Behavioral Management, Pharmacy, Operations, Clinical programs and Pricing/Affordability. These businesses are aligned under our health improvement and retail strategies, all with the common goal of identifying what works best for our customers.
Our team supports the business by applying the following techniques to answer these key business questions:
By partnering with the business lines, these analytic competencies enable efficient and effective decision making to allow us to constantly improve and create evidence-based customer-focus solutions. The department also has overall accountability for the methods and standards used to create actionable, proof-of-value statements for all the clients. As such, we set the standards for the methods that apply externally in reporting the value of Evernorth services to the client and ensure that results can be used to make material changes to the client's covered population.
ROLE SUMMARY:
The primary focus of this position will be to provide strong analytics research support for Oncology Medical Management product initiatives that include, but not limited to, Oncology case management program evaluations, development and execution of various pilots related to Oncology consumer health engagement. The ideal candidate is someone with strong data science and programming background, previous experience in the healthcare industry, strong interests in Oncology health services research, statistical acumen, and the ability to effectively communicate data insights and recommendations to business stakeholders. He/she is expected to have fundamental understanding of different statistical modeling techniques, economic evaluation concepts, and general health service research. The selected candidate will interface with clinical, reporting, product development, operations, and marketing departments as appropriate.
The JOB RESPONSIBILITIES include, but are not limited to the following:
IDEAL CANDIDATES WILL OFFER:
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
