Informatics/Analytics Senior Specialist, Cigna
Category : Alumni
Role Summary
The Operational Analytics, part of Care Coordination in EverNorth, is searching for an energetic, collaborative and data driven Informatics/Analytics Sr Spec. This position will be involved in the expansion of our new Care Strategy for EverNorth and will develop cost benefit analysis, analytical and statistical models and methodologies to predict, classify, quantify, and/or forecast business metrics that help customers make sound business decisions which directly impact our key metrics. This position will be responsible for providing the necessary tools based on integrated healthcare data to deliver high quality and cost effective solutions to meet our customer’s needs.
Key Responsibilities
- Focus is on determining business insights and challenges, prototype design and development of solutions, cost benefit analysis/ROI, delivery of insights and managing insights projects.
- Responsible for the extraction and analysis of health care information regarding coaching, network utilization and cost containment and clinical quality information.
- Evaluates, writes, and presents healthcare utilization, cost containment and clinical quality reports and makes recommendations based on relevant findings to drive the decision-making process and support business operations for internal and external customers in an effort to control medical cost of services provided to members.
- Manages the production and analysis of medical cost, quality and health-related productivity information used to formulate market and regional network and medical management strategies.
- Designs and manages studies as requested by internal and external clients for purposes of ensuring accreditation, improving health, and analyzing business opportunities and areas for improvement. Assures quality and integrity of data collected, analysis performed, and reports generated.
- Develops methods for improving internal techniques and processes. Utilizes multiple data systems to accomplish objectives.
- Typically requires BS or Master’s degree in Biostatistics, Statistics, Mathematics, Epidemiology or equivalent training and mastery; minimum 5 years’ experience in related health care analytics; or any combination of education and experience with one to two years of supervisory experience.
- Analyze operational and performance data to uncover opportunities for business improvement, utilizing regression and other statistical modeling techniques to conduct data mining as well as to address specific business questions.
Qualifications
- Master’s Degree or equivalent experience in Biostatistics, Statistics, Mathematics, Healthcare Informatics, Computer Science, or Data Science, any other quantitative discipline preferred.
- Minimum 5 years’ experience in related health care analytics; or any combination of education and experience with one to two years of supervisory experience.
- Expert in SAS or SQL
- Experience in cost benefit analysis/ROI
- Prior financial background is preferred
- Strong business acumen and willingness to learn CHE workflows
- Prior business analysis experience required or related experience
- Experience extracting and analyzing big data sets
- Root cause analysis and requirements development experience
- Strong analytical and organizational skills
- Must like working in highly dynamic, fast paced value driven environments.
- Communication skills will be critical, ability to articulate complex analysis into simple terms.
- Strong track of continuous learning desire and intellectual curiosity.
- Demonstrated passion around customer focus and improving processes that impact customer
- Proven ability to develop strong working relationships and establish a high level of credibility across functional and lines of business and organizational levels
- Proven track record of delivering results of high quality and sustainability
How to Apply
Click here to read more about this position and apply online!
