Senior Data Scientist (Customer Healthcare Analytics)
Posted on: 4 Jun 2021
Bloomfield, CT
Job Description
Responsibilities
Extraction and analysis of large healthcare claims data using SAS, SQL, R, Python, Teradata, Hadoop, etc.
Opportunity analysis including descriptive and multivariate statistics to identify patterns in the data
Design predictive models that will further power current and new NBA rules in OneGuide
Design prospective and/or retrospective studies to determine the effectiveness of NBA recommendations and solutions i.e. matched-case control and randomized control trials
Creation of actionable insights and recommendations for business leaders
Work to automate model insights to include ongoing tuning, monitoring, efficacy and effectiveness
Work in native and cloud environments to deploy advanced analytics
Presentation of results and recommendations to non-technical business partners and stakeholders to help drive the decision-making process and support business operations for internal and external customers
Qualifications
5+ years of experience in healthcare related analytics
Experience with statistical software programming in SAS (SAS Enterprise Guide is a plus), Python is highly preferred
Comprehension of healthcare data (e.g., ICD-9/ICD-10, claims, profiling), customer service, and digital data, including the statistical analysis experience such as: multivariate modeling
Working knowledge of predictive modeling, data mining, as well as test design – including advanced modeling techniques
Understanding and experience with insurance, customer service, and digital consumer concepts and practices and health care and delivery system processes
Understanding and demonstrated modeling experience of how to engage customers through call and digital channels
The ability to influence, drive, and improve the areas above, the person in this position will need to be self-motivated and possess strong leadership qualities, including a strong customer focus and managing stakeholder expectations
Leadership competencies with the ability to collaborate well with others and establish working relationships, communicate effectively across the organization at different levels, think and act strategically, and influence key leaders
Ability to successfully navigate and contribute in a highly-matrixed environment
Emerging track record of presentations / publications desired
Advanced degree in Statistics, Math, Biostatistics, or Epidemiology highly preferred
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.
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IndustryHealthcare
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No. of Employees73,800
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Website
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Jobs Posted1726
