Senior Manager of Medicaid Analytics (Work At Home)
Cigna
4,309 reviews
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Bedford, TX 76021
Remote
Cigna
4,309 reviews
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Full Job Description
Overview :
This role is an opportunity to build a Data & Analytics team supporting Cigna's Medicaid business from the ground up. The Medicaid business needs the right leader to build a mature data platform and analytics capability to enable growth. The Medicaid Data & Analytics Lead will translate the Medicaid business’s strategic objectives into a roadmap of tools and capabilities that will use data to help make better business decisions and deliver more personalized business insights. The candidate will assemble a team of data experts and business analytics professionals to deliver a broad portfolio of projects, spanning foundational data capabilities, reporting, analytical tools, population health, and customer insights. They will engage in a collaborative, cross-functional group spanning senior leadership and a variety of functional areas (e.g. operations, clinical management, finance, medical economics, and network). The right leader will possess a strong degree of creativity, innovation, business and financial acumen, leadership ability, and a core data/analytics skillset. They will also demonstrate a talent for translating between technical and non-technical audiences, as well as a desire to champion a data-driven culture with our business partners.
Responsibilities:
Create a detailed roadmap of new capabilities and timing needed to develop a mature Medicaid analytics function
Develop a strong perspective on the Medicaid business’s strategic goals
Build relationships with Medicaid senior leadership and key stakeholders
Understand the current state of Medicaid data and reporting and the existing gaps for all stakeholders
Create a project plan to document the proposed approach to closing gaps and meeting stakeholder needs
Build a small team from the ground up to execute on the roadmap
Lead recruitment for a talented team of data, analytics, and reporting professionals
Set high standards for talent acquisition to attract a high-caliber team with a balance of skill-sets
Create a team culture of success, innovation, and ethics
Create a strong data foundation for analytics, in partnership with IT organization
Develop data views, including internal and external sources, to support automated reporting and more sophisticated analytics
Document and work to automate existing manual data and reporting processes
Identify and recommend operational, clinical, and network trends and opportunities
Align with state value-based programs and reporting
Prepare population health analytics by cohorts or acuity levels
Identify of data anomalies in network and clinical trends for action
Support Medicaid business with proactive business analytics that align with state contracts
Lead the development of a management scorecard and a suite of reports to allow business leaders to assess and diagnose key trends
Build automated reporting on financial performance, medical cost trend, clinical management, and other areas
Provide insights and commentary on drivers of results
Prioritize and execute on the creation of new analytical tools to provide deeper, more granular insights on customer behavior, provider performance, clinical program outcomes, and other business drivers.
Consider a variety of analytical techniques to meet business need (e.g. financial models, matched-case control studies, machine learning, etc.)
Provide ad hoc analysis and insight as needed
Operate in a highly ethical and compliant manner, with attention to the unique regulatory demands of the Medicaid business
Qualifications:
Bachelor’s degree or higher in a quantitative field (statistics, mathematics, computer science, finance, actuarial science, data science, business analytics, or equivalent training)
7+ years of work experience, including experience with health care data and statistical analysis
Prior Medicaid business expertise strongly preferred, particularly with prior work in clinical, network, and/or operations functions
Strong expertise working with complex databases, including advanced SQL skills
Strong business and financial acumen, including knowledge of health insurance financial drivers
Strong customer focus, communication, and management of business partner expectations
Ability to think creatively and put structure around complex problems
Ability to translate business needs into practical applications and solutions
Ability to clearly present findings to a diverse group of teams with varying levels of technical expertise
Prior managerial experience strongly preferred
Location is flexible, including WAH option
About Cigna
Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.
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.