Business Analytics Advisor (Specialty Care Collaboration) - Remote

Summary

We are looking for a candidate to conduct advanced and exploratory analytics, generating actionable insights and resources to strategically design and/or enhance pay for performance programs.

Responsibilities


* Collaborate and work closely with stakeholders to design and evaluate VBC programs with a focus on Specialty VBC.

Example areas include Nephrology, hospital Accountable Care Organization (ACO) programs, Episodes of Care/Bundle programs, Oncology Medical Home, etc.


* Design and build financial models under supervision for new VBC programs and build and manage annual reconciliation for pilot and mature programs.


* Apply robust and appropriate statistical and clinical rigor using advanced analytic techniques including but not limited to risk adjustment, episode analytics, statistical modeling, power analysis, matched case control studies etc.


* Derive actionable insights from healthcare data (claims, clinical, pharmacy, externally sourced) to engage and enable our provider/clinical partners.

Work with IT partners to deploy actionable insight into accessible solutions for our provider/clinical partners.


* Present analytic findings and recommendations to technical and non-technical business partners and leadership to drive data driven strategies.


* Explore innovative solutions to business questions/problems

Qualifications

This position requires healthcare and insurance content knowledge, analytics expertise with a focus on data extraction, data analytics and financial modeling and VBC expertise to support Cigna's affordability strategy


* 5+ years' experience in related healthcare analytics or VBC research


* Strong technical skills required to extract, transpose, and analyze Big Data housed in Databricks and Teradata using SQL and Python, SAS or R


* Strong Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data)


* Strong medical economics and healthcare financial modeling experience


* Knowledge of ACO, bundles, episodes, etc.

is required


* Statistical training in school or through work (ability to formulate and execute appropriate confidence intervals, power analysis, bootstrapping, regression modeling, etc.) required


* Advanced visualization skills using Tableau, Python or R preferred


* Ability to consistently deliver on-time while managing multiple projects at the same time


* Ability to work under supervision as well as independently based on project requirements


* Ability to successfully navigate and contribute in a highly matrixed environment


* Enjoys problem solving and creating innovative solutions


* Strong verbal and written communication skills


* Advanced degree or equivalent experience in Statistics, Biostatistics, Economics, Epidemiology, Health Outcomes Research, Actuarial Science, or Data Science is highly desirable

If you will be working at home occasionally ...