Data Science Advisor (Medicare Advantage Advanced Analytics)
Company: Cigna
Location: Bloomfield
Posted on: March 20, 2023
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Job Description:
Summary
Medicare Advantage is a fast-growing business unit in The Cigna
Group that depends on complete and accurate documentation for all
members in our population. To that end, this role involves leading
the design and development of new models to inform prospective
initiatives for risk adjustment. This means leveraging a variety of
claims-based and clinically-based (EHR) datasets to generate
predictive models that enable a comprehensive understanding of a
member's clinically relevant information. You will join a
collaborative, cross-functional team of stakeholders to
meaningfully use these details to drive provider and member
interventions. You will communicate modeling results and
recommended process changes to MA leaders.
Key questions you would help solve include:
You are a data and analytics expert who enjoys collaborating and
creating a "meeting of the minds" between business partners and
analytics. You have experience of working with large databases
(particularly with claims and clinical data), and manipulating data
in a cloud environment (like AWS). You enjoy digging deep into the
data to surface new statistical insights, while incorporating
guidance and suggestions from clinical experts. You excel at
translating complex, technical analyses into simple,
business-relevant findings and communicating those findings to
business partners. You are self-motivated and enjoy working in a
fast paced environment.
Responsibilities
Consult independently with stakeholders across the MA business to
prioritize and define key performance indicators that can be
addressed with risk adjustment targeting models
Build and enhance models that prioritize outreach efforts using
various analytical tools and techniques
Develop clear and thoughtful materials to communicate
results/recommendations to business partners
Work effectively and efficiently on multiple tasks and deadlines,
while producing high quality results.
Ensure quality and integrity of data collected and analyses
performed
Qualifications
3+ years working with data in healthcare or life sciences field
Experience with SQL-based relational databases
Excellent command of data science libraries in Python
Experience working in a cloud based environment (preferably
AWS)
Experience building and deploying machine learning algorithms in
production preferred
Ability to independently prioritize and manage multiple
responsibilities
Prior experience with ACA or MA risk adjustment program is
preferred
Experience with diverse healthcare data preferred (e.g. claims,
EHR, demographic, pharmacy, labs)
Bachelor's Degree in a quantitative field (e.g. mathematics,
statistics, computer science) or equivalent practical experience.
Advanced degrees preferred
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
95,300 - 158,900 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: SeeYourself@cigna.com for
support. Do not email SeeYourself@cigna.com 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.
Keywords: Cigna, New England , Data Science Advisor (Medicare Advantage Advanced Analytics), Other , Bloomfield, Northeast
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