Business Analytics Sr. Advisor - Network Analytics & Design - Remote

Summary

Digital and Analytics offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure / forecast business performance. Advanced Supply Analytics & Design drives the vision and delivery of solutions to maximize healthcare affordability through the provider profiling and network products for steerage to high performing providers. This role will lead advanced analytics focused on the identification of higher performing providers to enable steerage, geo-access, network adequacy & design of competitively affordable network products. Additionally, this role will collaborate on advanced analytics roadmap including working with the Data Science Center of Expertise to progress technical and methodological capabilities using the Analytics Platform. This role will provide insights, influence business strategy, and execute in partnership with stakeholders, product management and IT via agile delivery teams.

So, you’re excited and motivated to take over this challenging role by becoming the newest member of this team?  Great choice! Let’s check some boxes to see if you fit the bill :

Provide vision and thought leadership to achieve healthcare affordability

Influence business partners using advanced analytic insights

Assemble and nurture high performing team

Drive value through Agile development patterns

Advance Cigna Group’s affordability and analytics strategies

This person will be a senior individual contributor who is responsible for conducting advanced network & provider profiling analytics, generating actionable insights and resources while working with agile development teams to scale solutions for maximum business impact

Responsibilities

Setting strategic analytics direction to optimize results from our network of provider partners

Execute effective and externally defensible provider performance methodologies to drive steerage

Execute and apply advanced analytical techniques to deploy robust valuation improvement focused on cost, quality and access

Execute on effective prediction and monitoring of results from our provider networks

Closely partner with business (Clinical and Product) to set and groom high value priorities & roadmap

Focus on providing thought leadership and technical expertise across multiple disciplines

Lead proactive industry research and pre-test assessment of relevancy to Evernorth’s strategy

Qualifications

5+ years of healthcare analytics industry experience solving business problems through the application of descriptive, diagnostic and prescriptive analytics approaches using statistical methodologies

Healthcare Analytics expertise - 3+ years of hands-on experience with healthcare data (e.g., claims, eligibility, profiling, EMR), statistical and observational studies, 3+ years of experience and training with advanced analytics techniques like episode groupers (Optum ETG, EBM, ERG, Prometheus etc.), provider profiling, network adequacy, steerage analytics, geo-spatial & social network analytics, risk adjustments etc.

Technical expertise - Strong technical skills and hands on experience required to extract, transpose, and analyze data housed in cloud-based Analytics Platform using advanced tools including, but not limited to, R / Python, Tableau / , ArcGIS and Geo-spatial tools; model governance experience will be preferred, hands on experience with at least one object-oriented language is preferred as willingness to learn Git / Github

Healthcare subject matter expertise - 2+ years of experience of direct industry experience through conferences and relationship management, strong healthcare and / or health plan business acumen for developing actionable guidance using key metrics communicated in an easy to understand manner, demonstrated understanding of health care and delivery system processes, strong clinical knowledge and applications into relevant analytics.

Experience with ARCGIS and Geo-spatial tools and analytics is highly preferred

Expert-level analytics professional providing content / professional leadership on complex assignments / projects; exercising considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives; uses deep analytics knowledge and acumen to advise functional leaders; focuses on providing thought leadership within own discipline but works on broader projects, which require understanding of wider business.