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Medical Economics Trend Lead - Northeast Region at Cigna in Memphis, Tennessee

Posted in General Business 30+ days ago.

Type: Full-Time





Job Description:

Role Summary:

The Local Market Affordability Manager will closely interface with market Total Medical Cost teams, regional counterparts, Competitive Insights, and National Local Market Affordability Team, to understand emerging trends, validate opportunities and share best practices.

Synthesize local strategies and National recommendations to help key matrix partners strategize, prioritize, and work to close affordability gap and drive profitable growth.

Highlight, understand and communicate emerging trends and evaluate opportunities for improving Affordability across all key segments and products in the local markets across the region. Be knowledgeable of emerging trend drivers in markets and overarching themes at a regional level. Direct/perform deep dive analyses of these themes to support regional strategy development. Continuously reviews reporting from different segments of Medical Economics, makes recommendations on package for local market affordability review and Health Care Trend Analytics tool enhancements.

Understand local market network and product offerings, affordability drivers and reporting needs. Determine best practices and data sources to drive efficiency and consistency. Drive savings opportunity assessment and knowledge sharing across the region

This position is the subject matter expert that consults across the markets on reporting and savings opportunities.

Duties and Responsibilities


  • Consolidates local market affordability strategies within the region to clearly articulate key actions across all markets and segments

  • Understand the local market needs for reporting. Supports adoption of Interactive Insights Analytics tool, makes recommendations for future reporting enhancements

  • Leads Regional Total Medical Cost meetings to bring common market themes to the attention of Regional Medical Executive and Regional Vice President for further vetting and potential incorporation into the local strategies

  • Attends local Total Medical Cost meetings to identify hotspots and regional opportunities, ensures national reporting is reviewed

  • Maintains relationships with National Total Medical Cost team, Cigna Collaborative Care Leads on Risk Analytics team, and National Contracting to ensure effective communication of reporting results, activities/asks and to avoid duplication of efforts

  • Support Ad-Hoc analytics as needed to understand affordability drivers

  • Partnering with TMC manager, TMC analysts on local market initiatives, encouraging knowledge and adoption of the prioritized initiatives

  • SME on national initiatives and be the first point of contact for the market should questions on National initiatives arise

  • Influence key matrix partners to ensure goals and targets are met.

  • Drives change initiatives to address developing business needs. Acts as a catalyst to spark enthusiasm, collaboration and results

Qualifications:


  • 5+ years of medical and financial experience in healthcare

  • Significant experience in driving medical cost and affordability saving strategies

  • Proven skill in understanding market dynamics (healthcare providers, employers, and competitors, skill/experience in quality/payment innovation programs, health plan performance, etc.) to set strategies/tactics to achieve both cost and quality objectives

  • Strategic thinker with both sound and broad business acumen

  • Strong technical skills such as SQL, SAS EG and TOAD

  • Previous work experience applying a combination of analytical, technical and business acumen

  • Experience working successfully in a matrix environment

  • Change leader who is proactive in assisting in positive growth for the future

  • Extensive knowledge of both the PPO and managed care environments, including product offerings, competitor offerings and healthcare provider value based reimbursement programs

  • Demonstrated ability to influence, persuade, and collaborate with audiences at various levels of experience and responsibility

  • Acts decisively, takes charge, and initiates action and is focused on achieving business results

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, 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 Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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.