Summary:

Global Data & Business Intelligence is a dynamic, rapid and growth focused department. Attention to the execution of a strategic vision for enterprise data, and the delivery of carefully detailed analytics, strengthens our journey to become one of the most customer centric companies in the world. This role sits within the Ad Hoc Client Reporting Team in Data Measurement and Reporting (DM&R). The Ad Hoc team is responsible for a variety of functions including standard and custom report fulfillment.

Our Team:

The Data Intelligence supports the following reporting tools and fulfillment functions:

• Delivers ad hoc medical, pharmacy, clinical, and Cigna program information in the form of reports and extracts to clients, brokers, Sales, Underwriting and other partners
• Provides standard and non-standard tool and report support for our Facets Select clients
• Provides standard and customized Health Risk Assessment report support
• Subject matter expertise
• HIPAA and policy/procedure workflow management for the fulfillment organization

Responsibilities:

• Manage projects of medium to large complexity, including enhancements
• Support management in the long-term strategy and defining of priorities
• Work with teams to review, analyze, determine opportunities and identify solutions to increase analytical processing efficiency and scalability. Develop a plan to move this new process into production
• Demonstrate and maintain deep breadth of knowledge on all product types and business processes
• Collaborate with IT partners to ensure new development, enhancements or fixes meet business needs.  This includes writing functional requirements, actively participating in system design reviews, reviewing test evidence, and participating in status meetings
• Identify data elements needed for new reports, and enhancements to existing reports, and appropriate data sources. Write the business and technical specifications and test the data to ensure data quality.
• Ensure that major requirements are addressed and that solutions are incorporated into the business and system workflow
• Coordinate and perform project tasks including completion of key documents (e.g. vendor documentation, requirements docs, project plans and master trackers for program governance and reporting) with high-quality and on-time delivery
• Work to ensure that data being provided, delivered complex projects or report solutions and communicated frequently to customers and business stakeholders is accurate, timely, and meets/exceeds needs
• Provide expert consultation to improve on data availability, data collection, integrity, root cause analysis, reduce operational costs content and quality
• Communicate statuses, good and bad, to partners and management to keep them informed and engaged in the project, minimizing surprises
• Drive the delivery of high-quality claims analysis and materials as a peer reviewer for team members
• Serve as subject matter experts on data such as COVID, virtual health, EAP, CBH and more
• Follow processes put into place in regards to data governance, including but not limited to:
  • Educating requestors on what is available based on account status
  • Determining what constitutes minimum necessary for each request

Requirements:

• Minimum of 5-7 years’ experience in health care/managed care with direct responsibility for analysis and data management with relational database concepts and reporting with strong preference for backgrounds with financial and utilization analysis
• BS degree in Mathematics, Business, Finance, Economics, Healthcare, Computer Science or equivalent mastery and training. Advance degree preferred.
• In-depth understanding of managed care business processes, data (ETG, EBM, ICD10, CPT4, DRG, etc.), systems, case-mix adjustment, and applications for claims payment, providers, and utilization management.
• Expertise in the use of relational database concepts and applications, specifically use of SAS, SQL, Excel, Hyperion, Toad, Python and QMF
• Proficiency with Structured Query Language (SQL) procedure as a data retrieval tool. Specifically, the ability to write programs to perform queries on data and retrieve data from multiple tables/sources with SAS and SQL
• Ability to navigate organization, build SME relationships and assist with internal discussions and effectively represent subject matter expertise
• Demonstrated knowledge and/or experience with HEDIS, VBA coding, microsoft.net , C# and Tableau a plus
• Demonstrate experience and complete all  required testing across multiple data systems; including all testing planning and execution of pilots of new data feeds or infrastructure changes
• Demonstrated experience in software development and development lifecycle methodologies; familiarity or training in agile methodology
• Experience with continuous quality improvement methods and tools
• Strong healthcare data experience and demonstrated understanding of the health delivery system.
• Proven experience in interpreting and translating complex business needs into technical requirements
• Strong data mining skills including the ability to perform research and conduct root cause analyses.
• Proven ability to effectively negotiate and problem solve in a complex organization
• Demonstrated excellent communication and interpersonal skills and ability to effectively organize/present information to various audiences to coordinate new business solutions
• Ability to quickly understand key aspects of data and applications as they relate to business functions
• Ability to work effectively independently, within a team or with matrix partners with some guidance while managing multiple tasks and meeting aggressive deadlines
• Comprehensive understanding of claim submissions claims payment processes, reporting concepts, database management, and financial concepts extremely helpful.
• Demonstrated leadership competencies with the ability to collaborate with others, establish working relationships and communicate effectively across the organization and at different levels.

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.

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.