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Business Analytics Senior Manager (Total Medical Cost, Provider Contracting & Underwriting) - Everno

Company: CIGNA
Location: Bloomfield
Posted on: January 16, 2022

Job Description:

SummaryThe Business Analytics Senior Manager position is an opportunity for an analytics professional to oversee financial analysis and reporting for Total Medical Cost (TMC), Provider Contracting & Contract Underwriting functions and value based arrangement analytical functions for the Connecticut market.This role will be responsible for understanding key drivers of medical cost results in the market, educating matrix partners, and valuing financial impact of actions to mitigate medical cost. They will partner closely with local Network team to provide analytical, financial, and business support throughout rate negotiations with Hospitals, Ancillaries, and Physician groups. Strategize with Sales, Pricing, Network, and Medical Management teams to develop competitive product offerings for various segments.The Business Analytics Senior Manager will guide, lead and develop a team of analysts.This position is with Evernorth, a new business within the Cigna Corporation.ResponsibilitiesResponsible for executing healthcare provider-level analytics in support of contract negotiation processResponsible for development of, and management to, unit cost and total medical cost plan budgetsResponsible for the affordability process and obtaining or maintaining best in class statusCommunicate the final performance results to the regional and national network leads on the combined fee for service and fee for valueEngage with key partners in Sales, Pricing and Network to help develop, execute and maintain new competitive products in the changing healthcare environmentOngoing partnership with Medical Management and Network in identification and communication of cost reduction opportunities and quality improvements via Total Medical Cost analysisStewardship of data repository, renewal analysis and approvals, and accuracy of reconciliations in support of pricing functionsIdentify market trends and isolate actions to mitigate the trends - determine if the actions to mitigate trends are best suited to be taken on a market level of a value based model levelProvide a holistic view of a provider's relationship with Cigna rather than the current status quo which is piece mealCommunicate with and influence key matrix partners to ensure goals and targets are metSupport the development of policies and procedures to ensure adequate controls are in place for the review and signoff of healthcare professional contracts.Drive change initiatives to address prospective business needs. Act as a catalyst through multiple layers to spark enthusiasm, collaboration and resultsResponsible for day to day management of an analytical teamQualifications6+ years' financial experience in the Managed Care industry or Public Health Care; clinical/medical coding knowledge and experienceProven understanding of individual market dynamics (healthcare providers, employers, and competitors, skill/experience in quality/payment innovation programs, health plan performance, etc.)Ability to set strategies/tactics to achieve both cost and quality objectives of Total Medical Cost ManagementDemonstrated excellence in leadership ability to engage and motivate in a high performance cultureStrategic thinker with both sound and broad business acumenExperience working successfully in a matrix environmentPrevious work experience applying a combination of analytical, technical and business acumenDemonstrated experience in challenging problems and driving outstanding resultsProven experience in managing multiple priorities and agility in adapting to changeChange leader who will be proactive in assisting in positive growth for the futureKnowledge of PPO and managed care environments, including product offerings, risk contracting, competitor offerings and healthcare provider value based reimbursement programsThis role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.For this position, we anticipate offering an annual salary of $116,900 - $194,800, depending on relevant factors, including experience and geographic location.This role is also anticipated to be eligible to participate in an annual bonus plan.Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class 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 dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: About EvernorthEvernorth, Cigna Corporation's health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't. Join us. What difference will you make?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.Job InfoType: Full timeLocation: Bloomfield, CT, United States Work at Home

Keywords: CIGNA, New England , Business Analytics Senior Manager (Total Medical Cost, Provider Contracting & Underwriting) - Everno, Executive , Bloomfield, Northeast

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