Job description

The Business Analyst Advisor will be a critical member of Cigna's Individual and Family Plan Risk Operations Team . This role will drive improvements across Cigna's participation and compliance with the Centers for Medicare and Medicaid Risk Adjustment Programs. The Business Analyst Advisor is a hands-on data role that will be relied upon to use data to answer business critical questions surrounding Cigna's current and future participation in the government business space. In addition to leading revenue creating operations, the Business Analyst Advisor will be expected to connect the dots and apply knowledge to future strategic discussions, both for the current and future risk initiatives and in other business units within Cigna as well. Some of the risk operation related initiatives impact Cigna's customers directly, and the Business Analyst Advisor will be expected to put the customer “first” in these situations – keeping a strong customer focus at all times while improving Cigna's position in the marketplace.

This individual will be specifically responsible for:
Determining needs and facilitating requirements gathering with business stakeholders to convert business problems into results
Driving end-to-end design, proto-typing/development & deployment of processes, reporting solutions, dashboards, and analytics
Full technical accountability for the Risk operational platforms including new development, releases, and support
Development of key control reporting processes and metrics to ensure data quality and mitigate emerging risks
Development of performance metric reports (KPI) used to monitor, communicate and positively influence areas of opportunity
Collaborating with matrix partners across Business, Operations and IT to ensure priorities are aligned and goals are achieved
Fairly and accurately assessing process issues and risks
Ensuring a strong “customer centricity” focus throughout the development lifecycle
Assuring consistency of operations and compliance with all applicable regulatory policies and standards
Continually improving process quality and efficiencies
Serving as an Agile Product Owner to existing and new IT solutions as needed
Lead end-to-end design, development & deployment of EDGE processes, reporting solutions and analytics
Creation and oversight of key control reporting processes and metrics to ensure data quality and mitigate emerging risks
Oversight of performance metric reports used to monitor, communicate and positively influence areas of opportunity
Collaborating with matrix partners across Business, Operations and IT to ensure priorities are aligned and goals are achieved
Compliance with all applicable regulatory policies and standards
Creating and/or updating policies, procedures and practices to ensure compliance across all processes
Continually improving process quality and efficiencies

QUALIFICATIONS :
5+ years informatics & health care industry experience
Experience with CMS EDGE submissions and associated data integrity issues, rejections and remediation/resubmission of records is preferred
Experience in a complex healthcare delivery environment, including operations, financial management, quality management, risk management, informatics and business development
Experience working in a large highly matrixed organization, with proven ability to develop strong internal enterprise relations
Excellent communication skills
Ability to make sound business decisions by analyzing data and key metrics
Strong proficiency in database architecture, design and development
Strong proficiency with data mining tools including SQL, SAS, SAS Data Integration Studios, Oracle or similar software

EDUCATION:
Bachelors in Data Science, Informatics, Public Health, Management Information Systems or related field

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 94,300 - 157,100 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 Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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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