Systems Analysis Advisor

HEDIS Applications Systems Analysis Advisor- (Ideally Nashville or Remote)

Strategy Summary

Our team is an MA-focused group that provides direct and matrixed technology support for Cigna's Medicare Advantage and CareAllies business units.

Our goal is to simplify how business gets technology delivered.

We act as the accountable point of contact with the other shared service organizations across Cigna's technology landscape.

As a Systems Analysis Advisor, you will serve as an engaged team member responsible for ensuring customer needs are met with high-impact technology solutions.

This will accelerate innovation and drive medical affordability and quality care for our members.

The Opportunity

You will join a highly visible team passionate about aligning local strategic objectives with tactical demands.

We are seeking an experienced HEDIS® analyst who thrives on supporting sophisticated business challenges through technology, collaboration, analysis, and creativity.

This role requires a blend of analytical thinking and technical expertise, all while navigating the complex healthcare landscape.

The candidate must possess the technical skills to study and analyze systems needs and provide HEDIS® technical knowledge across multiple disciplines, supporting our technology landscape.

The position reports directly to the Senior Application Development Manager for HEDIS/Stars.

Responsibilities:


* Exercise considerable creativity, foresight, and judgment in analyzing and developing solutions for assigned projects.


* Supports bi-weekly HEDIS proactive process, which is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti).


* Supports annual HEDIS Regulatory process, which is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti).


* Provides quality assurance to ensure accurate clinical data and presentation of data analysis results.


* Works with business partners to develop complete and accurate business requirements for assigned projects.


* Reviews all assigned processes and data and recommends / documents / implements improvements.


* Logical detail-oriented team player who learns quickly and can handle multiple, competing priorities in a fast-paced environment.


* Seek process improvement opportunities.

Qualifications:


* Bachelor's degree or related work experience is sufficient.


* 1+ year relevant HEDIS/STARS experience, desired.


* 2+ years of intermediate to advanced T-SQL (complex JOINs, subqueries, stored procedures, indexes, temp tables and CTEs, query optimization).


* Experience using or partnering with Inovalon, Cotiviti, or similar platforms is preferred.


* Experience with HEDIS metrics and understanding changes in the metrics.


* Experience with ETL processes to build SSIS package(s) and automate processes.


* Excellent analytical and problem-solving skills.


* Proficiency in data analysis tool...