Operations Senior Analyst - eviCore - Work From Home

eviCore is currently hiring an Operations Senior Analyst. The Sr. Analyst is responsible for building and delivering insightful analytics in support of Clinical Knowledge and all aspects related to the integration of clinical content and the processes that support decision making. The role will be challenged to proactively engage in creating effective ways to monitor operational clinical efficacy, program/pathway management, and output of algorithms. The Senior Analyst must be able to manipulate and leverage large volumes of internal and external utilization data, authorizations, user, provider and member data in order to deliver meaningful analytics. This role will work closely with Clinical Knowledge Senior Leadership on data requirements and file formats for the creation and maintenance of reproducible data integrity that can be used and accepted for analytical purposes across the enterprise.

RESPONSIBILITIES:

• Create compelling visual analytics presentations in Tableau for delivery to internal customers and external clients and will be responsible for writing basic SAS/SQL code statements to manipulate standard output for use in custom analyses.
• Structure relationships of data for optimal maintenance and preservation of resources.
• Monitor feedback of users as appropriate.
• Document and maintain tracking workflows.
• Create and maintain the Clinical Knowledge Reporting Dashboard within the eviCore Lake House.
• Collaborate with Clinical Knowledge Integration, Operations, and Product leaders across all areas of the enterprise as necessary to ensure the integrity of the data and align expectations.
• Write code and/or reporting structures at varying degrees of complexity across all lines of business, products, programs to support current and new operational processes.
• Proficient in updating and maintenance of Coverage Determinator tables to support accurate output and compliance to regulatory standards.
• Possess an understanding for utilization management, clinical review process, and call center operations.
• Train in clinical certification, utilization management, URAC and NCQA principles, policies, and procedures.
• Maintain patient confidentiality in accordance with eviCore standards established in compliance with HIPAA and State regulations.

QUALIFICATIONS:

• Bachelor's degree strongly recommended
• Master's preferred, in mathematics, statistics, economics, operations research, quantitative psychology, computer science, data science, or related scientific/technical field.
• 3+ years of experience in data analysis or satisfactory job performance in the following areas: exposure to advanced modeling methods, including but not limited to data aggregation, time series analysis, forecasting and simulation, statistical modeling, hypothesis testing, and outlier detection
• Skill with tools such as Excel, PowerPoint, and Tableau, plus basic SAS code data steps and procedures.
• Familiarity with data bricks/azure/lake house to creating visualizations and dashboards a plus
• Strong communication skills required for direct communication to internal and external customers.
• Demonstrated potential and aptitude for working in the technology and the healthcare fields
• Experience with rules pathways, software applications (Pathway Designer/UPADS a bonus)
• Analytical with strong verbal and written communication skills essential
• Willing and able to work independently to meet both internal and external stakeholders

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 49,000 - 81,600 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: [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.