Competitive Unit Cost Advisor - Northeast

The Competitive Unit Cost Advisor has as its main focus the analysis of competitive unit cost information, validation of internal information and the development of actions and tools to improve Cigna's competitive unit cost position.

Partners closely with peers and management in Network Development & Competitive Insights, as well as matrix partners in Contracting, Sales, Network Analytics/Medical Economics, Underwriting and Pricing to accurately understand and represent Cigna's competitive unit cost position by area and product and to help drive improvements.

Support the generation of actionable reports to assist Contracting.

This position is responsible for Local Market Affordability/TMC support, including analysis of discount information, Risk Adjusted PMPM, Coordination of Benefits (COB) information, and other internal and external data sources to most accurately portray historic and projected competitive unit cost positions at both the market level and the provider level.

This position will evaluate cost trend projections compared to budgeted plan trends by product, by area and by provider to determine root causes of variances to plan and to identify opportunities for improvement.

This individual will obtain competitive data points from many sources and produce actionable reporting based on the data.

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.

DUTIES AND RESPONSIBILITIES:


* Support COB, Onpoint, UC Plan, Hospital Transparency Analytics, NS&E updates, Local Market Affordability reviews, Market/Provider Triangulations, and Event Planning as needed.


* Independently present to Contracting & other customers competitive insight analyses in support of market discount and unit cost improvement initiatives.


* Evaluate discounts by product by area by component of medical expense to identify trends by payor, product or market.


* Validate internal roll ups of discount information inclusive of projected trends and ensure accurate representation of information to internal and external customers.


* Review of the current market's unit cost position and consult with the Regional Unit Cost Lead to recommend opportunities for medical cost improvements.


* Assessment of current unit cost position compared to competition and creation of reports to display competitive position.


* Partner closely with matrix partners to tap additional sources of competitive data and plot market trends.


* Partner with Pricing, Underwriting and Sales to help create accurate portrayal of unit cost within Pricing assumptions and in build up of employer specific medical expense.


* Determine competitive unit cost positions for top priority markets.


* Create and/or assist in the creation tools and information to help markets achieve competitive unit cost.


* Analyze, interpret and compi...