The Cigna Group

Extract and analyze large healthcare claims using SAS, SQL, R, Python, Teradata, Hadoop, etc.. This role typically requires BS or MS in Biostatistics, Health Economics, Health Services Research, Epidemiology or equivalent training and mastery.. Working knowledge of program evaluation/outcomes research methods, predictive modeling and data mining. Advanced degree in Statistics, Mathematics, Data Science, Biostatistics, or Epidemiology or 3-5 years of related work experience. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.

sr advisor

The Clinical Analytics Team within Evernorth’s Digital & Analytics (D&A) organization is expanding its deployment of analytics across the business as we fulfill our customer-centric mission to help the people we serve improve their health and well-being. The clinical Analytics team provides the ability to visualize, articulate, and solve complex and complicated business problems and identify opportunities for innovation for US based business lines including Medical Management (Care+), Behavioral Management, Pharmacy, Operations, Clinical programs and Pricing/Affordability. These businesses are aligned under our health improvement and retail strategies, all with the common goal of identifying what works best for our customers. Our team supports the business by applying the following techniques to answer these key business questions: <ul><li>Data mining and pattern recognition to answer “what happened?” and “where are the opportunities?”</li><li>Root cause statistical analyses to answer “why did this happen?”</li><li>Predictive modeling to answer “what will happen next?”, “who is it likely to happen to?”, and “when will it happen?”</li><li>Experimental design to test new solutions in order to answer “how can we get better?” </li></ul>By partnering with the business lines, these analytic competencies enable efficient and effective decision making to allow us to constantly improve and create evidence-based customer-focus solutions. The department also has overall accountability for the methods and standards used to create actionable, proof-of-value statements for all the clients. As such, we set the standards for the methods that apply externally in reporting the value of Evernorth services to the client and ensure that results can be used to make material changes to the client’s covered population. Role Summary The primary focus of this position will be to provide strong analytics research support for Oncology Medical Management product initiatives that include, but not limited to, Oncology case management program evaluations, development and execution of various pilots related to Oncology consumer health engagement. The ideal candidate is someone with strong data science and programming background, previous experience in the healthcare industry, strong interests in Oncology health services research, statistical acumen, and the ability to effectively communicate data insights and recommendations to business stakeholders. He/she is expected to have fundamental understanding of different statistical modeling techniques, economic evaluation concepts, and general health service research. The selected candidate will interface with clinical, reporting, product development, operations, and marketing departments as appropriate. The JOB RESPONSIBILITIES include, but are not limited to the following: <ul><li>Extract and analyze large healthcare claims using SAS, SQL, R, Python, Teradata, Hadoop, etc.</li><li>Identify, analyze and interpret trends or patterns in data sets through descriptive and multivariate statistics</li><li>Conduct matched case-control studies and/or randomized control trials for determining the effectiveness of health services and solutions</li><li>Develop statistical models and methods that identify and stratify individuals in terms of health risk and/or behavior change</li><li>Develop actionable insights and recommendations for business leaders</li><li>Present results and recommendations to non-technical business partners and stakeholders to drive the decision-making process</li><li>Collaborate with business partners within clinical, operations and marketing to determine the best approach for testing the effectiveness of new/existing programs</li><li>Guide the development and analysis of a case management program, from proof of concept, data management to data analysis, interpretation, and presentation to internal and external stakeholders</li><li>The ideal candidate for this role will be highly motivated, flexible and embrace change. In addition, the candidate will know evaluation research design techniques and their strengths and weaknesses. This role typically requires BS or MS in Biostatistics, Health Economics, Health Services Research, Epidemiology or equivalent training and mastery. </li></ul>Ideal Candidates Will Offer <ul><li>Working knowledge of program evaluation/outcomes research methods, predictive modeling and data mining</li><li>Advanced degree in Statistics, Mathematics, Data Science, Biostatistics, or Epidemiology or 3-5 years of related work experience</li><li>3-5 years of experience in related analytics strongly preferred</li><li>Experience with statistical software program SAS/SAS EG, R and/or Python is required</li><li>Comprehension of healthcare data (e.g., ICD-10, claims) and demonstrated understanding of health care and delivery system processes</li><li>Leadership competencies including the ability to collaborate with others and establish working relationships, communicate effectively across the organization and at different levels, think and act strategically, and influence key leaders</li><li>Strong customer focus and management of stakeholder expectations</li><li>Ability to successfully navigate and contribute in a highly-matrixed environment</li><li>Emerging track record of presentations / publications </li></ul>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 109,100 - 181,800 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 Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. 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. The Cigna Group 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.

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