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Sr. Data Scientist-Value Based Healthcare at 091 Cigna Health & Life Ins. Co.

Posted in Science 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Bloomfield, Connecticut





Job Description:

It's fun to work in a company where people truly BELIEVE in what they are doing!

We're committed to bringing passion and customer focus to the business.

Overview

The Global Data & Analytics unit offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure/forecast business performance. The Data Science team of provider specialty care collaboration drives the design and evaluation of new and/or enhanced innovative pay-for-performance (P4P) initiatives to be implemented and tested as part of Cigna’s Collaborative Care P4P strategy. Data Science Advisors are responsible for conducting advanced analytics and research activities in efforts to design and develop Cigna's innovative, value-based care programs. This role will work independently and collaboratively with key matrix partners throughout our organization.  

So, you’re excited and motivated to take over this challenging role by becoming the newest member of this team?  Great choice! Let’s check some boxes to see if you fit the bill:


  • Perform exploratory and advanced analytics to answer “what happened?”

  • Conduct root cause statistical analyses to answer “why did this happen?”

  • Mine data to answer “where are the opportunities?”

  • Deploy innovation value-based solutions to answer “how can increase provider accountability to drive affordability and quality of care?”

  • Rabid desire to learn new techniques and enjoy problem solving?

Role Summary:

This person will conduct advanced and exploratory analytics that generate actionable insights for our Provider partners.  They will contribute toward solution delivery under Cigna's Agile delivery model as part of a cross-functional team that includes Business Leaders, Business SME’s, Data Analysts, Data Scientists, and Technical Engineers.  They will also consult with our program design teams to influence the strategic design direction of Cigna's value based programs.

Responsibilities:


  • Collaborate and work closely with stakeholders to design and evaluate Value Based Payment programs. Example areas include hospital and physician Accountable Care Organization (ACO) programs, Episodes of Care/Bundle programs, Oncology Medical Home, etc.

  • Apply robust and appropriate statistical and clinical rigor using advanced analytic techniques including but not limited to risk adjustment, episode analytics (ETG, Prometheus etc.), statistical modeling, power analysis, matched case control studies etc.

  • Derive actionable insights from healthcare data (claims, clinical, pharmacy, externally sourced) to engage and enable our provider/clinical partners.

  • Support IT/Engineering in their deployment of actionable insights into accessible solutions for our provider/clinical partners.

  • Present analytic findings and recommendations to non-technical business partners and leadership to drive data driven strategies.

  • Explore innovative solutions to business questions/problems

  • Supervise, coach, and develop colleagues

Qualifications:

This position requires healthcare and insurance content knowledge, analytics/data science expertise and value based program expertise to support Cigna on Pay-for-performance strategy.


  • Advanced degree or equivalent experience in Statistics, Biostatistics, Epidemiology, Health Outcomes Research, Actuarial Science, or Data Science

  • At least 3 years’ work experience in related healthcare analytics or value-based care research

  • Statistical training in school or through work (ability to formulate and execute appropriate confidence intervals, power analysis, bootstrapping, regression modeling, etc.)

  • Analytic specific technical skills: SAS, R and Python

  • Experience with Teradata or Hadoop and output through advanced visualization tools like Tableau highly desired

  • Strong Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data)

  • Subject matter expert in healthcare cost and quality metrics, including but not limited to various episode models (ETG, Prometheus, etc.), quality measures (HEDIS, PQRS etc.) and Value Based Payment programs (ACO, bundles, episodes, etc.)

  • Strong knowledge and experience with analytic tools and applications like episode analytics and risk adjustment

  • Working clinical knowledge on specialty conditions and deep understanding of health care and delivery system processes

  • Ability to successfully navigate and contribute in a highly-matrixed environment

  • Go Getter who enjoys problem solving and creating innovative solutions and visions working with various business stakeholders

  • Strong verbal/written communication and leadership skills to work with various matrix partners, including but not limited to clinical, actuarial, medical economics, contracting, business, marketing, and IT/IM.

  • Emerging track record of presentations / publications and thought leadership

Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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 an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.