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Urgent! Senior Data Analytics - National Unit Cost - Healthcare/Provider Contracting Position in united states work at home - The Cigna Group

Senior Data Analytics National Unit Cost Healthcare/Provider Contracting



Job description

Job Description

WORK LOCATION: This is a Remote position.

Able to work across the US.

Preferred location is Phoenix, AZ

As a Senior Data Analytics - National Unit Cost, this highly technical and analytical resource’s main focus is to deliver robust competitive unit cost data solutions & insights to be leveraged in negotiations, with an initial focus on Transparency data.  This individual, with strong coding skills, will manage and triage the technical aspects of data, perform analytics and clearly communicate with the team and matrix partners relevant issues, findings, insights, and tool solutions and enhancements.  This position supports building out competitive tools and reporting to support Local Market Affordability initiatives, national competitive initiatives as well as Contracting strategies, and ensuring competitive information is accurately portrayed and can be leveraged along with other competitive data points in the competitive unit cost triangulation process.  This position is responsible for working in a highly matrixed organization in a collaborative manner and exhibiting behaviors, attitudes and actions that demonstrate a high level of teamwork. 

MAIN DUTIES AND RESPONSIBILITIES:

  • Work within department and with matrix partners to determine & define opportunities to create, lead, build out & deliver solutions on actionable competitive unit cost insights.  Work closely with data & model development to develop predictive analytics to enable decision making.

  • Use appropriate tools to transform, clean up, and review data.

    Analyze data to clearly outline findings, derive accurate results and meaningful insights.

    Take logical steps/initiatives to make any improvement on assigned tasks.

  • Maintain a close, productive and collaborative relationship with our IT and Global Data & Analytics partners.

  • Support management in the long-term strategy and defining of priorities

  • Special projects & other initiatives as required. 

POSITION REQUIREMENTS:

  • 5+ years experience in analyzing and interpreting both qualitative and quantitative provider data. 

  • Self-starter with excellent analytical, technical, project management, interpersonal, communication & customer service skills in a matrix organization

  • Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit data.

  • 5+ years of experience in the use of Relational Database Concepts and Applications, specifically use of MS Access, SAS, SQL, Excel and other relevant software applications. 

  • Experience with SQL coding in data extraction, cleaning, transformation and analysis, Required.  Specifically, the ability to write programs to perform queries on data and retrieve data from multiple tables/sources with SQL and SAS. 

  • Experience in Python coding, preferred

  • Business Intelligence (BI) Tools skills and experience, strongly preferred.

  • Experience working with Analytics Platform (AP) and Amazon Web Service (AWS), strongly preferred.

  • Ability to work productively in an environment that requires constant development of technical data skill sets.

  • Experience working with IT and matrix partners to build business requirements for a new tool or application, create the new tool or application, test and make needed enhancements, roll out new tool or application as needed.

  • Strong understanding of Provider Contracting & contract negotiations.  In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management.

  • Ability to prioritize among multiple tasks, manage working items effectively, meet deadlines and deliver high-quality results.

  • Fast learner and ability to learn new skills as needed.

  • Bachelor’s Degree highly preferred.



Required Skill Profession

Mathematical Science Occupations



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