Program Management Lead Analyst/Data Analyst - Cigna Healthcare - Remote

The Cigna Group

1d • Remote

About The Position

Data Analyst for our Pre/PostPay Edit editing program. This position will provide the technical component of our Pre/PostPay Edit editing program in development, implementation, production monitoring and maintenance of our internal PrePay edits. Individual will work with our matrix partners to evaluate edit ideas and use business requirements to develop the technical processes to obtain desired results and support strategic initiatives aimed at improving claim accuracy and operational efficiency. Strong technical coding experience will be needed to be successful in this role.

Requirements

• Bachelor’s degree or higher strongly preferred in Business Analytics, Data Science, Information Systems, or a related field, or equivalent work experience required.
• 5+ years of experience in healthcare data analytics required.
• 5+ years coding experience required, with proficient skills using SAS and Microsoft SQL Server highly preferred.
• 5+ years of experience in healthcare data with proficient skills in medical analysis and project management.
• Strong data investigation skills to mine healthcare data required.
• Experience with Word, Outlook, PowerPoint, Teams, Webex, Excel (pivot tables/VLOOKUP preferred).
• Strong data analysis skills with the ability to analyze large amounts of healthcare data to translate complex data into meaningful, actionable insights
• Strong project management skills and comfort in ability to create and achieve success in highly matrixed environment.
• Exceptional verbal and written communication skills with demonstrated ability to research, problem solve, trouble shoot, influence and partner across the organization to a drive toward resolution for the client, provider and organization.
• Strong presentation skills. Able to prepare, deliver, and ensure understanding of information regarding any customer-related or process improvement topic across audiences.
• Demonstrated ability to work independently and drive to objectives.
• 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.

Nice To Haves

• Experience with rule-based editing platforms desired.

Responsibilities

• Act as technical analyst for Proactive Claim Intervention projects and daily tasks for all aspects of our Pre/PostPay Edit editing program.
• Data Analyst for the development, installation, execution and maintenance of our Pre/PostPay Edit editing program.
• Develop and maintain editing on regular and ad-hoc basis, primarily using SAS, Microsoft SQL Server and internally developed ARM rule-based claim editing platform
• Responsible for data mining activities and technology integration of Pre/PostPay Correction Program to support our Pre/PostPay Edit editing program.
• Evaluates and appropriately utilizes various approaches to data mining to narrow in on trends and drivers that directly impact outcomes.
• Makes well-thought-out decisions on complex or ambiguous IT architecture issues.
• Participate in all phases of Pre/PostPay Edit program IT architecture process testing and implementation.
• Ensures that system improvements are successfully implemented and monitored to increase efficiency.
• Works closely with matrix business partners to define data needs, opportunities for improvement and effectively communicates results of analysis and solutions.
• Acts as a resource for mentorship, training and guidance for junior staff.

Benefits

• 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level