CASY-MSCCN Jobs

Job Description

WORK LOCATION: This is a Remote position. Able to work across the US. Preferred location is Phoenix, AZ

As a National Competitive Business Analytics Senior Advisor , this highly technical and analytical resource’s main focus is to deliver robust competitive unit cost data solutions & insights to be leveraged in negotiations, with an initial focus on Transparency data. This individual, with strong coding skills, will manage and triage the technical aspects of data, perform analytics and clearly communicate with the team and matrix partners relevant issues, findings, insights, and tool solutions and enhancements. This position supports building out competitive tools and reporting to support Local Market Affordability initiatives, national competitive initiatives as well as Contracting strategies, and ensuring competitive information is accurately portrayed and can be leveraged along with other competitive data points in the competitive unit cost triangulation process. This position is responsible for working in a highly matrixed organization in a collaborative manner and exhibiting behaviors, attitudes and actions that demonstrate a high level of teamwork.

MAIN DUTIES AND RESPONSIBILITIES

• Work within department and with matrix partners to determine & define opportunities to create, lead, build out & deliver solutions on actionable competitive unit cost insights. Work closely with data & model development to develop predictive analytics to enable decision making.

• Use appropriate tools to transform, clean up, and review data. Analyze data to clearly outline findings, derive accurate results and meaningful insights. Take logical steps/initiatives to make any improvement on assigned tasks.

• Maintain a close, productive and collaborative relationship with our IT and Global Data & Analytics partners.

• Support management in the long-term strategy and defining of priorities

• Special projects & other initiatives as required.

POSITION REQUIREMENTS

• Bachelor’s Degree highly preferred.

• 5+ years of experience in the use of Relational Database Concepts and Applications, specifically use of MS Access, SAS, SQL, Excel and other relevant software applications.

• Experience with SQL coding in data extraction, cleaning, transformation and analysis, Required. Specifically, the ability to write programs to perform queries on data and retrieve data from multiple tables/sources with SQL and SAS.

• Self-starter with excellent analytical, technical, project management, interpersonal, communication & customer service skills in a matrix organization. Ability to analyze and interpret both qualitative and quantitative provider data. Ability to clearly and effectively convey findings, results and insights in emails and meetings to both technical and non-technical stakeholders.

• Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit data.

• Experience in Python coding required

• Proficient in use of Pandas, Numpy, etc., strongly preferred.

• Business Intelligence (BI) Tools skills and experience, strongly preferred.

• Experience working with Analytics Platform (AP) and Amazon Web Service (AWS), strongly preferred.

• Ability to work productively in an environment that requires constant development of technical data skill sets.

• Experience working with IT and matrix partners to build business requirements for a new tool or application, create the new tool or application, test and make needed enhancements, roll out new tool or application as needed.

• Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management.

• Ability to prioritize among multiple tasks, manage working items effectively, meet deadlines and deliver high-quality results.

• Fast learner and ability to learn new skills as needed.

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 109,100 - 181,800 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 Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: 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.

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.