Summary We are seeking a self-motivated and inquisitive business analytics professional with a strong desire to learn to join our team. This individual should be a team player who enjoys working in a dynamic environment.
As part of Actuarial Data Strategy & Solutions, the Repricing team supports Cigna's pre-sale and re-sale process and is responsible for medical claim repricing analysis and RFP responses typically related to network financial information such as network discounts, medical utilization statistics and medical trend.
This role will support the development and analysis of Cigna's repricing data, tools and methodology. This position will also develop and maintain internal analysis and reporting to assist management in data review and will also participate in projects and ad-hoc analysis as needed.
Responsibilities Respond to Medical claim repricings and RFP requests
Verify appropriateness of results and ensure accuracy of data analysis and reporting by creating appropriate data checks and internal review documents and tools
Conduct audits to ensure financial controls are maintained
Create, modify, and maintain SAS/SQL coding to accommodate data requests and changes
Create, modify, and maintain databases and reporting tools (Excel and Access). Recommend improvements in financial reporting systems as appropriate
Develop new tools and reports and review existing tools and reports to account for evolving business needs, including implementing process changes to optimize efficiency and results using automation where appropriate
Perform research and analysis of key drivers and changes and communicate results to project lead and management
Conduct or participate in moderate to complex financial analysis projects and/or reporting
Conduct ad hoc analysis in response to internal/external questions and assist with case level analysis and requests as needed
Develop a thorough knowledge of systems, processes and methodologies and communicate those to technical and non-technical audiences
Develop and maintain documentation on all processes and tools
Assist in the education of sales and underwriting on the claim repricing process and interpretation of results
Assist in the education and training of new team members
Cultivate and maintain working relationships with all internal and external partners
Function independently with general supervision in a fast-paced environment
Utilize independent judgment and discretion to identify variances and key issues
Qualifications 2+ years' experience in healthcare, analytics, informatics or reporting
Experience pulling and manipulating large sets of data
Intermediate or better expertise with Microsoft Excel and Access skills required
SAS/SQL coding skills preferred
Strong analytical, problem-solving and organizational skills
General knowledge of healthcare insurance industry, terminology or systems preferred
Able to think critically and improve processes to optimize results
Proven ability to apply quality checks to ensure data integrity
Strong verbal and written communication skills, with technical and non-technical audiences
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 76,700 - 127,800 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 The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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: for support. Do not email 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.
