Business Analytics Advisor (Medicare STARS Analytics) – Hybrid

Summary

The Stars Business Analytics Advisor will be responsible for supporting the analytics strategy for Cigna Healthcare, performing research and analysis within the Medicare Stars program with a focus on HEDIS Stars measures. This position is located within the Medicare Stars Analytics team, who’s function is to provide operational and analytical support to internal and external partners to improve Cigna’s Medicare Star Ratings.  The Business Analytics Advisor will analyze data including healthcare claims, clinical outcomes and Stars quality measures to make recommendations based on relevant findings. The Business Analytics Advisor will interface across multiple business areas, including, but not limited to clinical, pharmacy, customer experience, product development and operations as needed.

The person chosen for this role will be producing technical and analytical enhancements to further improve Cigna’s Medicare Star ratings. This role will be responsible for designing and developing advanced Stars reporting and dashboards focusing on HEDIS measures within the Medicare Stars program using a broad array of datasets.  These reports will be utilized by business partners and Stars leadership in making critical business decisions related to enhancements to existing programs, development of new pilots and initiatives, and other opportunities to maximize Stars affordability and enterprise value. The ideal candidate will have a passion for healthcare analytics and a creative mindset for approaching data in innovative ways.

Responsibilities

• Process and maintain Cigna’s primary Medicare HEDIS Stars Reporting.

• Report to stakeholders about changes to Stars measure methodologies and data trends.

• Develop reports and dashboards using self-service technologies like SQL Server Reporting Services (SSRS), PowerBI, Tableau, or other similar platforms to classify, quantify, and/or forecast Stars metrics to enable business partners to make sound business decisions

• Extract and manipulate large healthcare data using data analytics tools such as Databricks, SAS, SQL, R, Python, Teradata, etc

• Identify, analyze and interpret trends or patterns in data sets through descriptive and advanced statistics

• Develop actionable insights and present results to non-technical business partners and stakeholders to drive the decision-making process

• Support the management of Stars data architecture, partnering closely with matrix partners such as IT to develop and implement databases, data collection systems, data analytics and other strategies that optimize efficiency and quality

• Develop methods for improving internal techniques and processes with expertise in creating highly effective, visual graphics that tell complex stories in formats that can be easily conveyed to leadership and executive clients 

• Work collaboratively and partner with departments across the organization to ensure deliverables are accomplished

• Act as a mentor and escalation point for other team analysts on problem solving and providing feedback and guidance on best practices

Qualifications

• 5+ years’ of professional experience in healthcare analytics or a related discipline

• Deep understanding of advanced analytics tools and languages to analyze large data sets, including:

  • SQL query development and programming – Required

  • Tableau or PowerBI – Required

  • Python or R or other statistical language – Required

  • Teradata – Required

  • Databricks – Preferred

  • SQL Server Reporting Services (SSRS) – Preferred

  • Microsoft Excel – Experience with Macros is a plus

  • GitHub – Preferred

• Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy

• Work experience as a Data Analyst in Medicare Stars, specifically in operations and reporting 

• General knowledge of the CMS Star Rating System, including Administrative, HEDIS, CAHPS, HOS, and Pharmacy Measures

• Extensive knowledge of customer eligibility data, medical claims, pharmacy claims, and customer experience/self-report data

• Technical expertise regarding data models, database design development, data mining and segmentation techniques

• Ability to understand business operations requirements and translate them into technical applications

• Excellent oral and written communications skills with a proven ability to communicate complex concepts to stakeholders at all levels of the organization

• Excellent interpersonal and customer service skills and proven ability to perform in a matrix environment

• Strong ability to work autonomously and deal with ambiguity

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 89,900 – 149,800 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 Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: [email protected] for support. Do not email [email protected] 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.