Business Analytics Advisor (Value Based Care) - Remote

Overview

Evernorth’s Digital & Analytics unit 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. The Value Based Care (VBC) Design Analytics team, within the Analytics & Data Science vertical, works with its business stakeholders to drive the vision and delivery of solutions to maximize healthcare affordability through value-based population health and specialty referral initiatives. This role will be responsible for conducting advanced analytics and research activities in efforts to design and develop VBC programs and make recommendations supporting affordability initiatives. This individual will work independently and collaboratively with key technical and non-technical matrix partners within organization. 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: Perform exploratory and advanced analytics to answer “what happened?” Conduct root cause statistical analyses to answer “why did this happen?” Mine data to answer “where are the opportunities?” Deploy innovative value-based solutions to answer “how can we improve affordability and quality of care?” Rabid desire to learn new techniques and enjoy problem solving? Role Summary This person will be conducting advanced and exploratory analytics, generating actionable insights and resources to strategically design and/or enhance pay for performance programs.

Responsibilities

Include: Collaborate and work closely with stakeholders to design and evaluate Value Based Payment programs. Example areas include hospital and physician Accountable Care Organization (ACO) programs, Episodes of Care/Bundle programs, Nephrology, Oncology Medical Home, etc. Apply robust and appropriate statistical and clinical rigor using advanced analytic techniques including but not limited to risk adjustment, episode analytics (ETG, Prometheus etc.), statistical modeling, power analysis, matched case control studies etc. Build financial models for new VBC programs and build and manage annual reconciliation for pilot programs. Derive actionable insights from healthcare data (claims, clinical, pharmacy, externally sourced) to engage and enable our provider/clinical partners. Closely collaborate with engineering partners to deploy actionable insights into accessible solutions for our provider/clinical partners. Present analytic findings and recommendations to technical and non-technical business partners and leadership to drive data driven strategies. Explore innovative solutions to business questions/problems.

Qualifications

This position requires healthcare and insurance content knowledge, analytics/data science expertise and value based program expertise to support Cigna on Pay-for-performance strategy. Bachelor's degree or equivalent experience in Statistics, Biostatistics, Epidemiology, Health Outcomes Research, Actuarial Science, or Data Science At least 5+ years of experience in related healthcare analytics or value-based care research Experience technical skills required to extract, transpose, and analyze Big Data housed in Databricks, Teradata, and Hadoop using SQL and SAS/R/Python and output through advanced visualization tools including, but not limited to, Tableau/R/Python Experience with an understanding of modular code design and variable parameterization Experience with Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data) Knowledge of ACO, bundles, episodes, etc. is required Statistical training in school or through work (ability to formulate and execute appropriate confidence intervals, power analysis, bootstrapping, regression modeling, etc.) Medical Economics and healthcare financial modeling experience preferred Experience to consistently deliver on-time while managing multiple projects at the same time Experience in successfully navigating and contributing in a highly matrixed environment Enjoys problem solving and creating innovative solutions Strong verbal/written communication skills 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. For this position, we anticipate offering an annual salary of 96,000 - 160,000 USD / yearly, depending on relevant factors, including experience and geographic location. 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 Group. 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 email: [email protected] for support. Do not email [email protected] for 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. 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. Apply tot his job Apply To this Job