Location: Work from Home across the USA

We have an immediate need to strengthen our Risk Adjustment and Stars Enablement team.   The Risk Adjustment and Stars Enablement team is responsible for developing solution changes for the ongoing needs of CMS Medicare Risk Adjustment processes and systems.  

The Business Analytics Advisor would be a member of the Risk Adjustment and Enablement team that provides support by leveraging multiple data domains to answer important business questions. This position is connected with multiple teams to ensure that data is reviewed, explained and reported to measure success for Risk Adjustment Enablement projects.   This position will have a primary focus on supporting Risk Adjustment compliance and audit projects.

Principal Duties:

• Assists in the analysis and reporting solutions which address Risk Adjustment compliance and audit business needs.
• Identify and analyze user requirements, procedures and prepares detailed specifications from which analysis and reports will be written.
• Analyzes and revises existing reporting logic difficulties and documentation as necessary.
• Competent to work on most phases of the team Risk Adjustment analysis project activities.
• Leverage data and predictive analysis to clearly articulate problems and influence decisions that support the strategic direction.
• Communicate key information to Compliance and Audit partners for awareness of trends, processes and Risk Adjustment issues. 
• Working closely with Compliance, Audit and other data domain leaders that share Risk Adjustment responsibilities.
• Reviewing, researching, investigating and correcting issues through data and process analysis.
• Develop collaborative relationships with internal partners to ensure Risk Adjustment goals are met.
• Analyze the integrity of data, diagnose issues and test changes.
• Participates in change management procedures to support accurate Risk Adjustment team documentation and process flows supporting processes and requirements.
• Maintain reporting describing results against internal goals; presenting results and updates to leadership.
• Resolve issues and problems by conferring with both internal and external partners as necessary.
• Other duties as assigned by supervisor/organizational leadership.
• Maintain professional contact with other departments as needed; attend interdepartmental meetings.

Qualifications Required:

• Bachelor's Degree required in Analytics, Data Science, Statistics, Applied Math, or related field.
• 6+ years of diverse work in a matrix Health Care environment.
• Excellent oral and written communication skills.
• Ability to achieve results independently and with a team.
• Strong analytical and creative problem solving skills.
• Proficient with Microsoft SQL or like query writing programs.
• Experience doing root cause analysis and reporting.  
• Experience in working on an Agile Development team.
• Proficient with SQL query writing.
• Familiar with SSRS, Tableau, Crystal or equivalent reporting applications.  
• Knowledge of heath care terminology.
• Familiarity with various types and sources of healthcare information; including claim, provider and patient-level data.
• Risk Adjustment knowledge is a plus.

This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.