Business Analytics Advisor (Provider Contract & Market Analysis) - Evernorth at Cigna in Bloomfield, Connecticut

Job Description:

Summary

Cigna is seeking a highly motivated and innovative team member to join our growing and dynamic Global Data & Analytics team as a Provider Contract & Network Underwriting Advisor for the Florida Market. In this role, you will assist contractors in creating network solutions and provider contracts to ensure Cigna's competitive position in the market. You will use financial models to evaluate the impact of proposed terms on profitability, trend and other metrics. You will also partner with network management, medical management, and sales units to understand resulting medical expense results and improve future negotiation strategy.

Responsibilities

• Effectively influence contracting in a strategic fashion and offer meaningful options during negotiations with a provider
  
  


• Independently and effectively manage the planning process for assigned markets and drive the plan to meet overall corporate planning objectives
  
  


• Proactively identify opportunities for trend reduction and engage contracting to build these into plan where appropriate
  
  


• Work with PCD and Pro fee analysts to oversee corrections and update to forecasting tools
  
  


• Provide ad hoc analysis and deep dives into data as appropriate to support negotiation and provide value to our contracting partners
  
  


• Summarize and explain findings and recommendations
  
  


• Mentors Jr UWs
  
  

Qualifications

• 5+ years of experience in health care/managed care work experience
  
  


• Experience in TMC and/or Contract Underwriting preferred
  
  


• Strong analytical and problem solving skills
  
  


• Strong communication skills to include written, oral and group presentation
  
  


• Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management
  
  


• Familiarity various data mining and reporting tools Excel, SAS and/or SQL)
  
  


• Ability to work independently while managing multiple tasks and meeting deadlines
  
  


• Experience working with claim data and familiarity with standard medical coding: CPT, ICD9, HCPC preferred
  
  

This role is WAH/Flex 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 Evernorth

Evernorth, Cigna Corporation's health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't. Join us. 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.