Strategy Summary
Our team is an MA-focused group that provides direct and matrixed technology support for Cigna's Medicare Advantage and CareAllies business units. Our goal is to simplify how business gets technology delivered. We act as the accountable point of contact with the other shared service organizations across Cigna's technology landscape.
As a Systems Analysis Senior Advisor, you will serve as an engaged team member responsible for ensuring customer needs are met with high-impact technology solutions. This will accelerate innovation and drive medical affordability and quality care for our members.
The Opportunity
You will join a highly visible team passionate about aligning local strategic objectives with tactical demands. We are seeking an experienced HEDIS® analyst who thrives on supporting sophisticated business challenges through technology, collaboration, analysis, and creativity. This role requires a blend of strategic thinking, technical expertise, and strong leadership skills to drive technological advancements and maximize the value of investments, all while navigating the complex healthcare landscape.
The candidate must possess the technical skills to study and analyze systems needs and provide HEDIS®thought leadership and technical expertise across multiple disciplines, supporting our technology landscape.
The position reports directly to the Senior Application Development Manager for HEDIS/Stars.
Responsibilities:
Exercise considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.
Own the SDLC and ETL process analysis for all HEDIS source data and staging results for user consumption.
Provides robust quality assurance to ensure accurate clinical data and presentation of data analysis results.
Works with business partners to develop complete and accurate business requirements.
Reviews all existing processes and data and recommends / documents / implements improvements.
Logical detail-oriented team player who learns quickly and has the ability to handle multiple, competing priorities in a fast paced environment.
Seek process improvement opportunities.
As needed, represent Medicare Technology for HEDIS matters to various enterprise, shared service, and Government segment working committees.
Qualifications:
Bachelor's degree or related work experience is sufficient.
Minimum 4+ years of relevant HEDIS/STARS experience.
Minimum 4+ years of intermediate to advanced T-SQL (complex JOINs, subqueries, stored procedures, indexes, temp tables and CTEs, query optimization).
Experience using or partnering with Inovalon, Cotiviti, or similar platforms is preferred.
Experience with HEDIS metrics and understanding changes in the metrics.
Experience with ETL processes to build SSIS package(s) and automate processes.
Strong business understanding and the ability to translate business needs into technology strategies and solutions.
Excellent analytical and problem-solving skills.
Excellent communication and presentation skills, with the ability to convey complex technology concepts to non-technical stakeholders.
Proficiency in data analysis tools and software to analyze technology data, create reports, and deliver presentations.
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.
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:
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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.
