Data Measurement & Reporting Advisor

Supports the medical cost position of assigned markets through analysis of healthcare provider contracts, analysis of high performing network solutions, analysis of medical expense reports, data drill downs of trend drivers, and execution of key initiatives designed to address medical expense and product pricing trends.

Partners with network management and pricing units to deliver medical expense results in line with trend / cost expectations to ensure strong competitive positioning within the marketplace.

Summary

Supports the medical cost position of assigned markets through analysis of healthcare provider contracts, analysis of high performing network solutions, analysis of medical expense reports, data drill downs of trend drivers, and execution of key initiatives designed to address medical expense and product pricing trends.

Responsibilities

• Provide analytical and strategic support of health care provider rate negotiations
• Identify opportunities for medical cost reduction, lead action plan development, and drive execution
• Assess the cost and quality efficiency of health care providers
• Collaborate with network team to develop and maintain high performing network solutions
• Assess competitiveness of standard and high performing network products
• Analyze reports and present findings to business partners at various levels of the organization
• Support business partners and team members on an ad hoc basis as needed to support various integral business needs
• Maintain strong communication with other analysts to identify new opportunities and share best practices
• Mentor / train direct report, other analysts and business partners
• Own tracking tool maintenance and institute data validation processes
• Collaborate with developers on tool enhancements

Qualifications

We offer a comprehensive range of benefits, with a focus on supporting your whole health, including medical, vision, dental, and well-being and behavioral health programs, as well as 401(k) with company match, company paid life insurance, tuition reimbursement, and paid time off.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions, 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.

J-18808-Ljbffr