Business Analytics Lead Analyst - Work from home

Remote, Work from Home, United States

This position will conduct analysis activities that measures the validity of provider data and augments the provider book of record as required.

Activities may include evaluating roster accuracy, utilizing logic and analytical tools to compare multiple sources of data and decision, analyzing root cause and performing analytical techniques.

This role improves the quality of the data, the process, and improvements in data consumption.

The Quality 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 Quality Analyst should be proficient conducting sampling, designing and maintaining analytical procedures, implementing change based on findings, assisting in the development and enhancement of tools, and analyzing results to improve quality outcomes.

Qualifications:

Bachelor's degree or higher strongly preferred or equivalent work experience required.

3+ years of experience performing quality audits, analysis, or quality related activities within a healthcare setting.

Internal to Cigna only - strong experience using HCPM (ideal) and/or CPF.

Medicare knowlege highly preferred.

Solid Excel experience creating pivot tables/VLOOKUPs required.

Strong knowledge of Proclaim, PMHS, SANP, and Facets highly preferred

Experience using Minitab, MS Access, Toad, Cognos Hyperion, SAS, SQL, etc. highly preferred

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

Strong knowledge of Network, Contract and Demographic data elements highly preferred

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

Critical thinking skills with the ability to determine causes with consistency in results

This role is WAH/Flex, which allows most work to be performed at home. WAH/Flex employees must be fully vaccinated against COVID-19 if they choose to come onsite or if required to periodically come on site

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

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

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class 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 dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

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: [email protected] for support. Do not email [email protected] 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.