Business Analytics Advisor – Payment Integrity, Risk & Affordability

RiskRiskFull TimeRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

$98.2K - $163.6K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglishSQLTableau

Job Description

Business Analytics Advisor – Payment Integrity, Risk & Affordability

The Cigna Group

• Lead end-to-end analytics to evaluate medical cost savings initiatives, including medical policy changes and other cost containment programs • Own savings estimates by developing accurate, auditable financial impact assessments grounded in historical and current medical expense patterns • Partner cross-functionally with Clinical Operations, Network, Coverage Policy, project managers, and medical directors to align assumptions, methodologies, and measurement strategies • Identify trends and cost drivers through exploratory, longitudinal, and ad hoc analysis to surface emerging patterns and anomalous utilization • Design and maintain analytical routines (tools, algorithms, monitoring) to track medical forecasts and savings performance over time • Apply advanced analytics (statistical techniques and scalable methods) to generate insights that support medical cost trend reduction and assess the impact to providers, clients and customers • Tell the story behind the data by translating complex findings into concise, executive-ready summaries and recommendations for stakeholders at multiple organizational levels

Job Requirements

  • Bachelor's degree in quantitative field (e.g., Statistics, Mathematics, Economics, Health Policy Analysis, Finance, Actuarial, Public Health, Business) or equivalent practical experience
  • 5+ years of experience in healthcare or finance cost analysis
  • Knowledge of standard medical coding systems (e.g., DRG, ICD-10, HCPCS) and the ability to translate analytical results into actionable business insights for senior and executive stakeholders
  • Technical proficiency with data and BI and AI tools such as SQL, SAS, Tableau, Databricks, Calude and Excel

Benefits

  • Health insurance
  • Vision insurance
  • Dental insurance
  • Well-being and behavioral health programs
  • 401(k)
  • Company paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days of paid time off per year
  • Paid holidays

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