We are seeking a highly motivated and innovative team member to join our growing and dynamic Network Analytics team as a Business Analytics Associate for the Southern California Market. In this role, you will support the medical cost position of assigned markets through analysis of healthcare provider contracts, data drill downs of contract trend drivers, and execution of key initiatives designed to address unit cost and competitive discount. You will partner with contracting, network management, medical management, and pricing business units to deliver contract analysis results in line with trend/cost expectations to ensure strong competitive positioning within the marketplace.
Responsibilities:
Provide analytical and strategic support of health care provider rate negotiations.
Effectively influence contracting in a strategic fashion and offer meaningful options during negotiations with a healthcare provider.
Proactively identify opportunities for unit cost improvement and engage contracting to build these into negotiations and plan where appropriate.
Provide ad-hoc analysis and deep dives into data as appropriate to support negotiations and provide value to our contracting partners.
Analyze reports and present findings and recommendations to business partners at various levels of the organization.
Contribute to the provider unit cost planning process. Influence contractors to establish targets that meet or exceed corporate objectives and ensure strong competitive positioning.
Keep management informed as to the progress of financial planning and proactively identify risk and opportunities for meeting the plan results.
Maintain strong communication with other analysts to identify new opportunities and share best practices.
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Mentor and train business partners and other analysts.
Qualifications:
Bachelor's degree in Statistics, Mathematics, Economics, Health Policy Analysis, Finance, or other related field of study.
Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS preferred.
2+ years of experience with health care data analysis preferred. Experience with trend analysis and health care provider contract analysis preferred.
Familiarity with various data mining and reporting tools such as Microsoft Excel, Microsoft Access, or SAS/SQL language.
Strong analytical and problem-solving skills with the ability to validate and interpret results.
Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines.
Ability to influence and drive strategic planning, action plan development, and execution of plans through engagement of business partners, education on key drivers and actionable levers, and thorough understanding of market-level dynamics.
Strong communication skills to include written, oral, and group presentation.
Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management.
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 79,000 - 131,600 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.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
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