Business Analytics Lead Analyst - Network Quality and Performance at Cigna in Bloomfield, Connecticut

Job Description:

Business Analytics Lead Analyst - Network Quality & Performance

Activities will include creating focused programming algorithms, utilizing quality tools, analyzing root cause and performing analytical techniques. Along with these duties, this role improves the quality of provider data, the process, and improvements in data consumption. The Business Analytics Lead Analyst will also identify defects and will contribute to pinpointing the causes and offer recommendations for prevention. This role will maintain a strong focus on facts and data to understand the quality of our network, contracts, and demographics in Provider data.

The Business Analytics Lead Analyst should be proficient in SAS, SQL, sample audits, assisting in the development and enhancement of quality tools, implementing quality inspections, and analyzing results to improve quality outcomes. This role uses various tools that assist with quality assessments producing metrics and information and requires a proficiency working with data and basic data analysis.

Duties include:

• Create programs to test the accuracy of demographic data and automate for specific transactions utilizing data mining and intelligence tools


• Works independently and collaboratively with Cigna business partners to verify and document quality defects with opportunities


• Assesses the accuracy, completeness, and currency of Networks, Contracts, and Demographic data within Cigna systems


• Organizes and completes activities including documented support of any audit findings and defects


• Ensures compliance with all internal and external quality audit requirements


• Implements and supports business activities utilizing data mining, reporting, and other intelligence methods and tools


• Committed to improving skills and competencies by demonstrating initiative and leadership in ongoing coaching and training programs

• Analyzes results for trends and root cause through comparative, diagnostic, or statistical analysis with conclusions


• Makes recommendations based on findings


• Work with ambiguity and create processes to determine relevant data


• Conducts data comparisons utilizing source information relative to demographic, contract and reimbursement data


• Documents and maintains inventory of failures within the process as fed by audit and data obtainable through analysis and reporting related to claims, directory and system fallout, etc.

Qualifications:

• College degree preferred


• Three - five years' experience in data quality within a healthcare setting


• Experience or exposure to audits or quality activities


• Strong knowledge and exposure/experience in the healthcare operations claim process, with emphasis on healthcare providers, contracting, and provider services


• Experience in with high-complex relational data model(s)


• Strong knowledge of Network, Contract and Demographic data


• Strong knowledge of Provider structures and relationships


• Solid communication skills with the ability to discuss data analysis results


• Organization skills with the ability to manage data sets


• Adept critical thinking skills with the ability to determine causes with consistency in results


• Experience in analytical tools such as MS Excel, Minitab, MS Access, Toad, Cognos Hyperion, SAS, etc.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 70,400 - 117,400 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna .

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.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.