Senior Business Analytics Manager – Payment Integrity, Risk & Affordability
Location
United States
Posted
2 days ago
Salary
$130.9K - $218.1K / year
Seniority
Senior
Job Description
Senior Business Analytics Manager – Payment Integrity, Risk & Affordability
The Cigna Group
• Lead strategic analytics by identifying medical cost drivers and trends, risks, and affordability opportunities. • Develop and execute analysis and AI to support Payment Integrity strategies at the enterprise level driving alignment across various business unites to ensure enterprise financial goals & priorities • Tell the story behind the data, translating analytical findings into clear, executive‑ready insights that influence decisions across technical, operational, and senior leadership audiences. • Own financial business cases for new affordability initiatives, including forecasts, variance analysis, and recommendations to improve performance. • Support Payment Integrity by overseeing analytics for initiatives, policy changes, and ongoing performance monitoring. • Improve reporting and visualization by assessing current capabilities and advancing self‑service analytics solutions, utilizing AI to optimize quality, accuracy and reporting (e.g., Databricks, Tableau, Claude, Cursor or similar tools). • Modernize analytics through scalable methods, automation, and thoughtful use of AI‑enabled tools where they add value. • Monitors and conducts research of related affordability, AI, business trends, using data and qualitative performance measures, to advise senior management relative to Payment Integrity strategy. • Manage and develop a team of analysts, setting clear priorities, ensuring high‑quality output, and supporting continuous skill development. • Balance multiple initiatives by prioritizing and delegating work effectively in a fast‑paced, dynamic environment. • Ensure data quality and accuracy by implementing appropriate checks, controls, and processes. • Act as a trusted thought partner to senior leaders by proactively identifying insights, risks, and emerging trends that inform near‑ and long‑term affordability strategy.
Job Requirements
- Bachelor’s degree or equivalent in a quantitative field such as Economics, Finance, Data Science or Analytics, Business, Applied Mathematics, Public Health, Actuarial Science or similar.
- Master’s degree preferred
- 7+ years of progressive experience in predictive analytics, financial modeling, healthcare economics, or related fields, including experience leading or mentoring analysts
- Strong analytical and technical skills, with hands‑on experience using tools such as SQL, Excel, SAS, Databricks, Tableau, or similar platforms
- Experience with and knowledge of medical claim coding, and provider reimbursement.
Benefits
- medical, vision, dental, and 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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