Remote, Work from home

Do you have a proven track record as a leader in Risk Adjustment and Stars analytics? Are you nimble enough to understand the big picture while understanding what’s needed to get there? Are you driven by process, outcomes and people? If so, then the Business Analytics Manager may be a great fit for you.

The Cigna Stars and Risk Adjustment Analytics Manager will oversee the team responsible for the development and production of operational reporting and tools used across Cigna’s Medicare business to support Star rating outcomes and Risk Adjustment related activities. The person selected for this role will be a Stars and Risk Adjustment technical subject matter expert who is responsible for helping manage the day to day of the Business Intelligence team within Stars and Risk Adjustment Operations Enablement. They will need a strong technical background in order to lead a team of developers and analysts.

More specifically the individual selected or this role will be responsible for:

• Leading a technical team to deliver accurate and timely operational data and reporting in support of national and market level operations, vendor engagements, and strategy execution.
• Coordinating with informatics resources within Stars Operations Enablement and Risk Adjustment teams on delivering end to end data and informatics solutions to drive continued improvements.
• Conducting ongoing in-depth reviews of existing operational analytics and reporting capabilities to ensure they are technically sound and meet operational needs.
• Responding to ad hoc Stars Analytics questions and requests from Stars and Cigna Government leadership.
• Driving analytical and technical capability enhancements using new technologies, tools, analytical approaches, and statistical modeling techniques.
• Acting as a Medicare Stars and technical SME, providing mentorship, guidance, and intricate problem solving support within Stars Operations Enablement for HEDIS, CAHPS, HOS, Pharmacy, and Administrative measure data and analytics.
• Serving as a liaison between IT and the Stars business to drive pertinent IT processes and communicate IT updates within the Stars Organization.
• Interacting regularly with business stakeholders to communicate deliverable status updates and priorities, Stars performance, and analytical insights.
• Preparing Executive level planned and ad hoc updates and presentations on Star ratings and Risk Adjustment related performance.
• Providing analytics to support Stars and Risk Adjustment related decision making.

Job requirements include:

• 5+ years of professional experience in healthcare or a related field.
• Minimum Bachelor’s Degree in Business, Healthcare, Data Analytics, or related field (or 10+ years relevant work experience).
• Deep understanding of advanced analytics tools and languages to analyze large data sets, including:
  • SQL Server – Stored Procedures and Query Development
  • Microsoft Excel – Experience with Macros is a plus
  • Tableau – Required
  • Teradata – Recommended
  • Python or R or other statistical language – Required
  • Inovalon Quality Spectrum Insight and Quality Spectrum Hybrid Reporter- Recommended
  • Git version control
  • SSRS reports- required
• Comprehensive knowledge of the CMS Star Rating System, including Administrative, HEDIS, CAHPS, HOS, and Pharmacy Measures.
• Comprehensive knowledge of Risk Adjustment and Coding related activities.
• Ability to understand business operations requirements and translate them into technical applications.
• Excellent oral and written communications skills with a proven ability to communicate complex concepts to stakeholders at all levels of the organization.
• Excellent interpersonal and customer service skills and proven ability to perform in a matrix environment.
• Strong ability to work autonomously and deal with ambiguity.

This role is Work from home (WFH) 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.