Cigna

Business Analytics Senior Manager- Network & Clinical Delivery (International Markets)

Posted on: 24 Jan 2021

Wilmington, DE

Job Description

Description

The International Markets Data & Analytics team is a key success enabler of our business across the globe. The Network and Clinical Delivery Analytics team drives affordability strategies and outcome measurement of our affordability solutions. This individual will lead a global team responsible for conducting analytics, process efficiencies, and performance reporting needed to secure and measure Cigna's competitive position. The successful candidate will collaborate with key technical and non-technical stakeholders to deliver analysis that drives measurable business value.

Responsibilities

* Supervise, coach, and develop a global team of analysts supporting data & analytics needs of the Network and Clinical initiatives of the Total Health & Network organization

* Develop consistent and robust approach to value, cost, and risk assess affordability initiatives based on decision path/timing to manage forward looking cost management objectives and prioritization / sequence of those affordability initiatives

* Develop and manage operational process to enable driving reliable, consistent, and effective valuation and ongoing tracking of those valuations.

* Present analytic findings and recommendations to senior leadership, finance and business partners to drive data driven affordability strategies

* Partner with Clinical and Network Analytics Product Owners to define, deliver and drive adoption of analytics solutions

* Work with globally distributed matrix partners, including but not limited to Finance, Actuarial, BI, Data Science, and Clinical for both development and adoption of related processes, metrics, and tools

* Create robust documentation and training to advance both credibility and accuracy

* Handle multiple projects simultaneously while delivering efficiencies within department

* Analyze data quality, quantify business impact data issues and recommend required data, system and process actions and remediation

* Partner with Global Data & Analytics Team to drive alignment with strategy & best practices

Qualifications

This position requires healthcare and insurance content knowledge, analytics/data science expertise, value based program expertise, contract underwriting, and provider reimbursement knowledge.

* 6+ years work experience in related healthcare analytics or actuarial functions leveraging data analytics to drive business results

* 2+ years experience in leadership role, managing others and working closely with senior level executives in driving strategic decisions

* Analyst team building, coaching and teaching skills

* Knowledge and experience of quantitative analysis and methodologies

* Understanding of contracting and contract underwriting tools. Familiarity with the TCC, trend, unit cost, translation factor, and financial planning processes

* Knowledge of standard medical coding: CPT, ICD10, HCPC with previous experience within a hospital finance setting a plus

* Experience with performance reporting and development coupled with operational efficiencies. Strong Healthcare data knowledge and hands on experience with the following: medical claims data, clinical data, pharmacy data and eligibility data a plus

* Exposure to healthcare cost and quality metrics, including Value Based Payment programs (ACO, bundles, episodes, etc.) and provider reimbursement structure

* Ability to successfully navigate and contribute in a highly-matrixed environment. Previous experience working with the local markets

* Demonstrated problem solver working with various business stakeholders

* Strong verbal/written communication and leadership skills to work with various matrix partners, including but not limited to clinical, actuarial, medical economics, contracting, Agile, pricing, competitive intelligence, and IT/IM

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, youll enjoy meaningful career experiences that enrich peoples lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search TeamCigna on Instagram.

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Cigna

Bloomfield, CT

Cigna Corporation, a health service organization, provides insurance and related products and services in the United States and internationally. It operates through Integrated Medical, Health Services, International Markets, and Group Disability and Other segments. The Integrated Medical segment offers medical, pharmacy, dental, behavioral health and vision, health advocacy programs, and other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers on and off the public exchanges.

The Health Services segment provides clinical solutions, specialized pharmacy care, home delivery pharmacy, retail network pharmacy administration, benefit design consultation, drug utilization review, drug formulary management drug claim adjudication, digital consumer health and drug information, provider, and medical benefit management services. The International Markets segment offers supplemental health, life and accident insurance products, and health care coverage, as well as health care benefits to mobile employees of multinational organizations.

This segment offers health coverage, hospitalization, dental, critical illness, personal accident, term life, and variable universal life products. The Group Disability and Other segment provides group long-term and short-term disability, group life, accident, and voluntary and specialty insurance products and related services; and permanent insurance contracts to corporations to provide coverage on the lives of certain employees for the purpose of financing employer-paid future benefit obligations. The company distributes its products and services through insurance brokers and insurance consultants; and directly to employers, unions and other groups, or individuals. Cigna Corporation was founded in 1792 and is headquartered in Bloomfield, Connecticut.