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- Strong understanding of provider value-based contracting, financial/reimbursement models
- Strong technical skills and hands on experience required to extract, transpose, and analyze healthcare data in Teradata, Data Bricks and cloud-based Analytics Platform using SAS/ Python/R.
- Advanced Excel and PowerPoint experience.
- Communicate analytical findings/gaps/solutions to senior management and partners participating in value-based arrangements.
- Demonstrated experience in challenging problems and driving outstanding results.
- Experience blending creativity, relentless problem-solving, and business acumen.
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Business Analytics Senior Advisor - Bloomfield, United States - The Cigna Group
Description
The Supply Analytics & Design Team is incorporating advanced analytical practices and tools to delve much deeper into population health data. We are developing cutting edge informatics to evaluate cost and quality opportunities to assist in eliminating unnecessary utilization consumption, enhance provider quality of care and improve the well-being of our customers. Our team extracts and summarizes data, performs reasonability checks and creates reports. We are succeeding in the development of next generation reimbursement models, inclusive of volume-to value. We are raising the bar in support of our customers and partnered providers who are benefitting each and every day from the talented and dedicated individuals of the Supply Analytics & Design team.
This role will focus on creating tools and reports to help evaluate the cost and quality of care opportunities for a variety of provider groups in a Value Based Care arrangement within the Cigna Network. The Business Analytics Senior Advisor will create reports and other tools to assist senior management in assessing the results and affordability of the Fee for Value programs available to Cigna Network providers. They will also be responsible for creating reports and other tools to help provider facing analysts in presentations to the external provider groups.
ROLE SUMMARY
The Business Analytics Senior Advisor will be an individual contributor responsible for conducting advanced analytics supporting value-based care capabilities with Cigna/Evernorth Accountable Care. This role will be responsible for executing advanced reporting analytics around ACO/Risk Bearing Entity programs to help measure and evaluate the cost and quality of care of our members by our provider groups. In addition, this person will be responsible to identify opportunities for our clinical partners to work with our providers to meet our goal of reducing costs and increasing quality of care to our members. This individual will need to work collaboratively with key technical and non-technical matrix partners inclusive of clinical, network and affordability to provide analytical reporting for use in evaluation of our value-based care programs. This role will require foundational understanding of value-based care programs, content healthcare domain knowledge, healthcare data knowledge and technical analytical expertise.
KEY ACCOUNTABILITIES
QUALIFICATIONS & EXPERIENCE REQUIRED
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
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.
If you require reasonable accommodation in completing the online application process, please support. Do not an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
