Lead Analyst - Financial Business Analytics

Cigna Nashville , TN 37201

Posted 2 days ago

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We're committed to bringing passion and customer focus to the business.

Lead Analyst - Financial Business Analytics

The Medical Economics Business Analytics Lead Analyst role will support the total medical cost analytics for the Government Business Segment (Primarily Medicare Advantage business). This role will be responsible for developing of medical expense analysis, detailed data drill downs of trend drivers, and execution of key initiatives designed to address medical cost.

The ideal candidate will have a collaborative and creative mindset and be able to:

  • creatively solve problems to drive results through use of project management, technology, and processes
  • consistently improve the department through positive attitude, attention to detail, and thorough documentation of deliverables
  • effectively manage projects using agile principles
  • handle ambiguity well

This position will have exposure to a broad spectrum of the Government Business Segment as findings and reports will be shared with various departments including but not limited to: Finance, Risk Management, Operations, Contracting, Provider Relations, Health Services, Product, and local market leadership.

Key responsibilities include

  • Monthly analysis of financial performance across key markets and payment methodologies

  • Developing business relationships in multiple markets to determine actionable insights to be developed by the team

  • Influence adoptions of key cost-saving initiatives with key matrix partners

  • Support matrix partners with ad hoc needs and user story development for broader analytics organization efforts

  • Become an expert in CMS reimbursement methodologies and understand how to identify trends and hot spots by payment area

  • Monitor industry publications and assess internal data against rising industry "hot spots"

  • Assessing payment changes and financial impacts to our organization (e.g., IPPS, OPPS, ASC, SNF rate change evaluation exercises)

  • Create monthly highlights to assist markets in focusing efforts and identification of actionable trend drivers

Minimum Qualifications

  • Bachelor's Degree in Public Health, Business, Finance, Analytics, Biostatistics, Statistics, Mathematics, or equivalent training.

  • Minimum 3 years' experience in analytics; or any combination of education and experience.

  • Experience using SQL, Excel, Python, Tableau, SAS, or R

  • Strong interpersonal skills that can be leveraged to deliver market focused presentations to our customers and provide interpretation of analysis performed.

  • Excellent oral and written communication skills

  • Ability to present meaningful results to a business audience

  • Passionate about delivery of valuable BI products to drive insight-based decision making

  • Proven ability to work effectively in a matrixed environment

Preferred Qualifications:

  • Experience with CMS healthcare data (MMR, Claims, Eligibility, Provider)
  • Experience with CMS payment methodologies (IPPS, OPPS, etc)
  • Familiarity with medical and pharmacy claims, ICD10, DRG, APC, HCPCS, CPT
  • Experience with Teradata, Hadoop, or other big data platforms


The Ideal Candidate will offer

  • May have a Bachelor's Degree in Management Information Systems, Mathematics, Business, Finance or equivalent training, minimum 6+ years' experience in related health care or financial analytics; or any combination of education and experience, which would provide an equivalent background.

  • Strong Excel skills with a self-driven perspective towards researching and understanding various financial and operational issues. Ability to understand the business model and provide insights to our customers (e.g., internal customers, finance)

  • Experience with CMS payment methodologies

  • Proven ability to work effectively in a matrixed environment

  • Ability to lead change, collect feedback and prioritize to deliver on expectations

  • Strong interpersonal skills that can be leveraged to deliver market focused presentations to our customers and provide interpretation of analysis performed.

  • Ability to research, navigate and mine data via SQL and Excel, COGNOS, Tableau, R, and other analytical/statistical software

  • Familiarity with medical and pharmacy claims data, ICD10, DRG, APC, HCPCS, CPT considered a plus.

Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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 an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com. 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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Lead Analyst - Financial Business Analytics