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Business Analytics Lead Analyst


This is a Full-time position in Nashville, TN posted February 18, 2021.

The Medical Economics Business Analytics Lead Analyst role will support the total medical cost analytics for the Government Business Segment (Primarily Medicare Advantage business).

This role will be responsible for developing medical expense analysis, detailed data drill downs of trend drivers, and execution of key initiatives designed to address medical cost trend.

The ideal candidate will have a collaborative and creative mindset and be able to: Creatively solve problems to drive results through use of project management, technology, and processes Consistently improve the department through positive attitude, attention to detail, and thorough documentation of deliverables Effectively manage projects using agile principles Handle ambiguity well This position will have exposure to a broad spectrum of the Government Business Segment as findings and reports will be shared with various departments including but not limited to: Finance, Risk Management, Operations, Contracting, Provider Relations, Health Services, Product, and local market leadership.

Key responsibilities include Monthly analysis of financial performance across key markets and payment methodologies Developing business relationships in multiple markets to determine actionable insights to be developed by the team Influence adoptions of key cost-saving initiatives with key matrix partners Support matrix partners with ad hoc needs and user story development for broader analytics organization efforts Become an expert in CMS reimbursement methodologies and understand how to identify trends and hot spots by payment area Monitor industry publications and assess internal data against rising industry “hot spots” Assessing payment changes and financial impacts to our organization (e.g., IPPS, OPPS, ASC, SNF rate change evaluation exercises) Create monthly highlights to assist markets in focusing efforts and identification of actionable trend drivers Minimum Qualifications Bachelor’s Degree in Public Health, Business, Finance, Analytics, Biostatistics, Statistics, Mathematics, or equivalent training.

Minimum 3 years’ experience in analytics; or any combination of education and experience.

Experience using SQL, Excel, Python, Tableau, SAS, or R Strong interpersonal skills that can be leveraged to deliver market focused presentations to our customers and provide interpretation of analysis performed.

Excellent oral and written communication skills Ability to present meaningful results to a business audience Passionate about delivery of valuable BI products to drive insight-based decision making Proven ability to work effectively in a matrixed environment Preferred Qualifications: Experience with CMS healthcare data (MMR, Claims, Eligibility, Provider) Experience with CMS payment methodologies (IPPS, OPPS, etc) Familiarity with medical and pharmacy claims, ICD10, DRG, APC, HCPCS, CPT Experience with Teradata, Hadoop, or other big data platforms About CignaCigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.

We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products.

Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions.

Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place.

What difference will you make?

To see our culture in action, search #TeamCigna on Instagram.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: for support.

Do not email for an update on your application or to provide your resume as you will not receive a response.

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