Cigna Work From Home Jobs – Senior Manager of Medicaid Analytics

Job Description:

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.

Job Responsibilities:

  • Document and work to automate existing manual data and reporting processes
  • Understand the current state of Medicaid data and reporting and the existing gaps for all stakeholders
  • Identify and recommend operational, clinical, and network trends and opportunities
  • Prepare population health analytics by cohorts or acuity levels
  • Build automated reporting on financial performance, medical cost trend, clinical management, and other areas
  • Create a detailed roadmap of new capabilities and timing needed to develop a mature Medicaid analytics function
  • Provide insights and commentary on drivers of results
  • Create a project plan to document the proposed approach to closing gaps and meeting stakeholder needs
  • Align with state value-based programs and reporting
  • Lead the development of a management scorecard and a suite of reports to allow business leaders to assess and diagnose key trends
  • Develop data views, including internal and external sources, to support automated reporting and more sophisticated analytics
  • 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.
  • Build relationships with Medicaid senior leadership and key stakeholders
  • Identify of data anomalies in network and clinical trends for action
  • Develop a strong perspective on the Medicaid business’s strategic goals
  • Support Medicaid business with proactive business analytics that align with state contracts
  • Create a strong data foundation for analytics, in partnership with IT organization

Qualification & Experience:

  • 7+ years of work experience, including experience with health care data and statistical analysis
  • Ability to translate business needs into practical applications and solutions
  • 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
  • Bachelor’s degree or higher in a quantitative field (statistics, mathematics, computer science, finance, actuarial science, data science, business analytics, or equivalent training)
  • Prior managerial experience strongly preferred
  • Prior Medicaid business expertise strongly preferred, particularly with prior work in clinical, network, and/or operations functions
  • Location is flexible, including WAH option
  • Ability to clearly present findings to a diverse group of teams with varying levels of technical expertise
  • Strong expertise working with complex databases, including advanced SQL skills

Job Details:

Company: Cigna

Vacancy Type:  Full Time

Job Location: Ft. Worth, TX, US

Application Deadline: N/A

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