The Cigna Group · 1 month ago
Business Analytics Advisor (Specialty Care Collaboration) - Remote
The Cigna Group is dedicated to improving the health and vitality of those they serve. They are seeking a Business Analytics Advisor to conduct advanced analytics and generate actionable insights for pay for performance programs, specifically focusing on Specialty Value-Based Care (VBC). The role involves collaborating with stakeholders and presenting findings to drive data-driven strategies.
CommercialHealth CareHospitalInsuranceMedical
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
Qualification
Required
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
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
Preferred
Advanced visualization skills using Tableau, Python or R
Advanced degree or equivalent experience in Statistics, Biostatistics, Economics, Epidemiology, Health Outcomes Research, Actuarial Science, or Data Science is highly desirable
Benefits
Medical
Vision
Dental
Well-being and behavioral health programs
401(k) with company match
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays
Company
The Cigna Group
The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.
Funding
Current Stage
Late StageRecent News
2026-01-25
2026-01-06
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