Overview

Cigna Medicare is hiring a new Director to oversee our growing Risk Adjustment Analytics team.  This team is responsible for predictive analytics, reporting, and data strategy for Cigna's Medicare Advantage risk adjustment programs.  Investing in rapid growth of Cigna's Medicare business is a pillar of Cigna's strategy, and advancing our risk adjustment capabilities is critical to driving quality customer care.  The leader will closely partner with internal and external partners to prioritize development and drive adoption of analytics and reporting.  This role presents an opportunity for a proven leader with a track record of success in risk adjustment analytics to build the next level of innovative capabilities for a rapidly growing Medicare Advantage plan.

Responsibilities

• Analytics â€“ Own prospective predictive analytics related to risk adjustment, with a focus on actionable stakeholder-centric analytics which identify and drive closure of customer care gaps.  Own retrospective analytics to identify and prioritize actions to ensure coding is complete and accurate.  Balance innovation with delivery, using prototypes and pilots to shape development.

• Reporting â€“ Develop stakeholder and management reporting which enables visibility and accountability related to risk adjustment operations progress.

• Data strategy â€“ Develop and execute holistic risk adjustment data strategy roadmap, bringing all relevant data into single conformed environment which enables rapid development of analytics & reporting. 

• Business partnership â€“ Partner with Risk Adjustment Operations, Finance, and market leadership to shape prioritization and drive adoption of analytics.

• External stakeholder partnership â€“ Partner with Clinical and Provider partners to understand needs and train on use of analytical capabilities.

• Customer care â€“ Ensure analytics are aligned with overarching Cigna focus on health of our customers and ensuring customers get the care they need.

• Investments â€“ Identify and secure investments needed in internal or third party talent, tools, data, and intelligence.  Lead build/buy/outsource decisions related to analytics and data, including EHR tools.

• Strategy & Prioritization â€“ Define risk adjustment analytics roadmap, and set team prioritization accordingly.  

• Team leadership â€“ lead mid-size, growing team of business analytics and data science professionals.  Lead talent strategy to develop team capabilities and capacity to match growing business needs.

Requirements

• Degree in analytics, data science, statistics, applied math, or related field. 

• Deep knowledge of Medicare Advantage product, and risk adjustment programs.

• Proven expertise in developing new data and analytics capabilities

• Track record of success in managerial roles, developing teams and driving actions through influential leadership

• Ability to operate both in-the-details and at executive communication levels.

This role is WFH which allows most work to be performed at home or on occasion at a Cigna office location. 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.