Healthcare Economics Analyst - Remote

eviCore, part of The Cigna Group, 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 (Business Analytics Advisor) 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.

This role 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 provide Oncology Program analytical support, product-specific reporting enhancements, and reconciliation 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 op...