Posted in Science 30+ days ago.
Type: Full-Time
Summary
The Head of Medical Economics for the International Markets is responsible for oversight and leadership of all activities related to the Medical Economics Team. This team drives affordability strategies and outcome measurement of our affordability solutions and uses analytics to provide insights, counsel and advice to global and regional Total Health & Network (TH&N) leaders and cross-functional organization stakeholders. The primary goal of this team is to provide accurate and relevant data, analytics, and reporting for utilization, unit cost, and TH&N program performance aligned with Network, Clinical, and Payment Integrity strategies.
This leader will collaborate with Clinical, Network, and Payment Integrity teams, to provide strategic partnership in analytics which includes: identifying and prioritizing opportunities for impact, developing analytic solutions leveraging data science and technology capabilities, embedding analytics-driven processes in operations and measuring impact over time. They will also support decision making and execution based on data, facts and analytical findings across different parts of the organization and manage the process and output of TH&N Monthly Operating Report (MOR) for P&L regions, including automation of MOR data, performance tracking of medical cost savings initiatives against plan, and quarterly financial forecasting and/or adjustments based on TH&N performance.
The successful candidate will also serve as a 'hands on' analyst for a key region, performing complex outlier analysis and utilizing predictive modelling to identify provider billing and medical cost trends across large amounts of medical claims data. Their analysis will support TH&N business operations including: creating data mining architectures/models/trackers/monitors/protocols, statistical reporting, dashboards, and data analysis methodologies to identify trends in large data sets. May conduct more in-depth research with goal of breaking new ground in business data analytics. This leader will provide thought leadership and technical expertise across multiple disciplines.
This role reports into the International Markets Data & Analytics (D&A) team with a dotted line to SVP Global Delivery Systems.
Responsibilities
Qualifications
This position requires healthcare and insurance content knowledge, analytics/data science expertise, value based program expertise, contract underwriting, and provider reimbursement knowledge.
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.
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