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The Cigna Group Business Analytics Advisor (Behavioral Health Contract Analysis) - Hybrid in Chattanooga, Tennessee

Summary

Conducts facility provider contract underwriting/analysis. Partners with the Behavioral Health Network team to deliver unit cost results in line with trend/cost expectations to ensure competitive positioning within the marketplace. Partners with Manager to streamline and enhance facility modeling tools, incorporate competitive insights, and evolve overall suite of tools and reports to best support dynamic Network goals and strategies. This individual will possess technical and business knowledge to provide standardized, customized, and ad hoc modeling for provider negotiations. In addition, there will be a technical component that is required with a thorough understanding of relational databases, the information warehouse, medical claims data, and query logic.

Responsibilities

  • Analyze impact to trends for facility contract negotiations

  • Effectively influence contracting in a strategic fashion and offer meaningful options during negotiations with a provider

  • Provide ad hoc analysis and deep dives into data as appropriate to support negotiation and provide value to our contracting partners

  • Summarize and explain findings and recommendations

  • Proactively synthesize facility reviews to develop market profiles, understanding provider mix, impacts, and opportunities for trend mitigation

Qualifications

  • 6+ years' of facilities contract analysis experience

  • Financial and Medical Claims data fluency (CPT, revenue codes, claim level financials, ub v hcfa, etc)

  • Strong analytical and data visualization skills; Skilled proficiency with tools such as SQL and/or SAS and Tableau highly preferred

  • Advanced knowledge and experience extracting data and large data sets

  • Exceptional communication and problem solving skills

  • Experience with Microsoft Office software

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 95,200 - 158,600 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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