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Cigna Sr. Analyst, Healthcare Economics - eviCore (Work at Home) in Franklin, Tennessee

eviCore, part of Cigna, has a diversified portfolio of proven medical cost management solutions that enable our clients to improve the quality and efficacy of care while at the same time reducing medical expense. We believe and have demonstrated that better healthcare is inherently less expensive.

We are looking for an individual with a background in financial, actuarial, hospital, or medical analysis to join our Healthcare Economics team. The role of Healthcare Economics Analyst supports our data-driven culture by leveraging technology and an analytical mindset to improve company-wide operations and financial performance. The position reports on program results and identifies opportunities to enhance program effectiveness for new and existing customer relationships using claims data and revenue detail data.

The Healthcare Economics Senior Analyst will report to the Manager of Healthcare Economics and will work closely with our Account Management team, Finance, Informatics, Medical, Sales and Marketing staff, including direct involvement with customers in the form of written and verbal presentations to support corporate-wide strategic decision-making that impacts revenue, medical expense and product growth. The ideal candidate will be a results-oriented individual who enjoys working in a fast-paced multitasking environment.

RESPONSIBILITIES

Primary responsibilities are to providing analytical support, program design assistance, and reporting of revenue and medical expense in client-facing environment.

Additional responsibilities include:

  • Work with IT and data warehousing counterparts to develop and design deliverables to support the economics team, client reconciliations, and customer reporting needs.

  • Conduct baseline and trend analyses for targeted eligibility lines of business, geographies and segments.

  • Calculate baseline and trend metrics (e.g., PMPM and Utilization per 1000).

  • Apply analytical concepts and tools to enhance understanding of membership, utilization, cost and revenue trends across networks and products.

  • Validate findings against established benchmarks.

  • Monitor program effectiveness from the perspective of cost saving to both internal and external customers.

  • Effectively communicate results to key stakeholders and policy makers. Communication of results include clean and well organized presentations to reflect analytic methods used, key decision points with sufficient detail to support comprehension and replication of the analysis.

  • Provide analyses that support all areas of the business: pricing, claims reconciliation, eligibility and revenue reconciliation, financial operations reporting, provider network analysis, and fee schedule pricing.

  • Relate analytic findings to business questions and objectives. This includes integrating information from multiple sources, discern implications for future analysis and identify opportunities for enhancing the integrity of data results.

Experience

  • 4-7 years of progressive, financial operations or analytical experience in a healthcare or corporate setting

QUALIFICATIONS

  • BA/BS degree in accounting, finance, economics, statistics, math or other quantitative background.

  • Experience with, or ability to quickly understanding of managed care metrics (PMPM, Utilization/K and Average Cost).

  • Experience with or ability to quickly understand medical claims and membership data from Commercial, Medicaid and Medicare organizations.

  • Thorough expertise using Excel.

  • Ability to self-serve data via SQL is a plus

  • Business intelligence software applications experience.

  • Desire to work with both internal and external customers with a constructive, customer-service focus.

  • Demonstrate problem solving and critical thinking skills.

  • Strong organizational and time management skills.

Special Skills and Requirements:

  • Team player with the ability to perform analytical work independently

  • Ability to quickly gain thorough understanding of the business.

  • Ability to reason, convince and influence internal stakeholders in order to accomplish objectives

  • Communication and presentation skills needed.

  • Ability to present performance to technical and non-technical audiences

  • Strong organizational and time-management skills

  • Demonstrated problem solving and critical thinking skills

  • Exceptional attention to detail

  • Performs other duties as assigned

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, you’ll enjoy meaningful career experiences that enrich people’s 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.

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