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We are seeking a highly skilled Data Analyst to join our Medical Economics team in Cigna International Health Data. As a key member of our team, you will play a critical role in assisting decision-making by providing data-driven insights and analysis.
Key Responsibilities- Cost Containment Projects: Participate in cost containment projects to deliver stated savings and explore new opportunities.
- Stakeholder Partnerships: Partner with global stakeholders within Network, FWA, Clinical, and Operations to align outcomes to expectations.
- Analytics and Reporting: Prepare and present key strategic and tactical analytics using Business Intelligence reporting tools to both managerial and front-line partners to drive improvements in customer experience and healthcare costs.
- Data Insights: Present data that provides insights into key improvement opportunities, savings opportunities, and case management opportunities.
- Predictive Modeling: Develop technical solutions to improve predictive modeling with respect to medical cost and clinical outcomes.
- Member and Provider Performance: Develop insight into member and care provider performance and the variables affecting performance.
- R&C Medical Cost Structure: Enhance Cigna's Reasonable and Customary (R&C) medical cost structure to drive incremental value in support of Cigna's affordability strategy.
- Data Management: Manage the provision and consolidation of data and analytics as needed to support the creation of an R&C reference model for designated regions.
- Cloud Computing: Work with Data Engineering and Cloud Engineering to keep abreast of data ingestion and data enrichment including first and third-party data.
- Data Governance: Work with Data Management and Governance to ensure full compliance with data protection and artificial intelligence ethics.
- Education: Bachelor's degree in Computer Science, Mathematics, Biostatistics, Statistics, MIS, or Finance; Master's degree a plus.
- Experience: 5+ years' experience in business reporting and analytical roles required.
- Industry Knowledge: 3+ years of experience in managed care, medical cost reporting, and analytics for the health insurance industry required. Proficient knowledge of medical terminology, cost components, and contracting methodologies. International health insurance experience is a strong plus.
- Skills: Demonstrated analytical capabilities related to clinical and financial process improvements. Ability to apply technological solutions to business problems to deliver superior results, especially with respect to automating existing manual processes and providing new ways to leverage existing data to expand the scope and influence of medical cost savings initiatives.
- Technical Skills: Demonstrated proficiency using most of the following: SQL, Python, QlikView, Tableau, and Excel. Experience working with a variety of information systems and data files, including large and complex files: analyzing file structure, using and creating file layouts, transforming data into finished products.
- Communication Skills: Strong English verbal and written communication skills; additional languages are an advantage.
- Cloud Computing: Experience in Cloud computing, preferably Amazon Web Services, Sagemaker, Athena, etc.
