Unit Cost Analyst (Business Analytics Advisor) - The Cigna Group
Bloomfield, CT
About the Job
_WORK LOCATION: This is a REMOTE work position. Preferred locations within the West Coast Region: CA, OR, AZ, WY, NV, WA, Alaska_
The Competitive Unit Cost Advisor has as its main focus the analysis of competitive unit cost information, validation of internal information and the development of actions and tools to improve Cigna's competitive unit cost position. Partners closely with peers and management in Network Development & Competitive Insights, as well as matrix partners in Contracting, Sales, Network Analytics/Medical Economics, Underwriting and Pricing to accurately understand and represent Cigna's competitive unit cost position by area and product and to help drive improvements. Support the generation of actionable reports to assist Contracting.
This position is responsible for Local Market Affordability/TMC support, including analysis of discount information, Risk Adjusted PMPM, Coordination of Benefits (COB) information, and other internal and external data sources to most accurately portray historic and projected competitive unit cost positions at both the market level and the provider level. This position will evaluate cost trend projections compared to budgeted plan trends by product, by area and by provider to determine root causes of variances to plan and to identify opportunities for improvement. This individual will obtain competitive data points from many sources and produce actionable reporting based on the data. This position is responsible for working in a highly matrixed organization in a collaborative manner and exhibiting behaviors, attitudes and actions that demonstrate a high level of teamwork.
DUTIES AND RESPONSIBILITIES:
+ Support COB, Onpoint, UC Plan, Hospital Transparency Analytics, NS&E updates, Local Market Affordability reviews, Market/Provider Triangulations, and Event Planning as needed.
+ Independently present to Contracting & other customers competitive insight analyses in support of market discount and unit cost improvement initiatives.
+ Evaluate discounts by product by area by component of medical expense to identify trends by payor, product or market.
+ Validate internal roll ups of discount information inclusive of projected trends and ensure accurate representation of information to internal and external customers.
+ Review of the current market’s unit cost position and consult with the Regional Unit Cost Lead to recommend opportunities for medical cost improvements.
+ Assessment of current unit cost position compared to competition and creation of reports to display competitive position.
+ Partner closely with matrix partners to tap additional sources of competitive data and plot market trends.
+ Partner with Pricing, Underwriting and Sales to help create accurate portrayal of unit cost within Pricing assumptions and in build up of employer specific medical expense.
+ Determine competitive unit cost positions for top priority markets.
+ Create and/or assist in the creation tools and information to help markets achieve competitive unit cost.
+ Analyze, interpret and compile competitive intelligence data to use in the triangulation of a provider or market competitive position.
+ Special projects as required.
POSITION REQUIREMENTS:
+ Bachelor’s Degree required; within Finance, Accounting, Mathematics discipline preferred
+ 5+ years Medical Cost Analysis experience within a Managed Healthcare experience environment required
+ 4+ years Financial Analysis experience in Managed Care required
+ Ability to analyze and interpret both qualitative and quantitative ambiguous provider data required
+ Advanced Excel skills required.
+ Excellent interpersonal and customer service skills, with demonstrated ability to influence internal and external resources.
+ Excellent written and oral communication skills and experience working in an empowered team environment.
+ Ability to work productively in an environment that requires constant development of technical data skill sets.
+ Self starter with excellent analytical, technical, and project management skills in a matrix organization
+ Demonstrated ability to work at both the conceptual and very detailed levels and easily shifts between the two.
+ Identifies ways to efficiently improve the collection of data, reduce operational costs, always focusing on results.
+ In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management.
+ Ability to take a position and make sound recommendations without complete data.
+ Experience working with Contracting, Sales, Network Analytics (Medical Economics), Pricing, Underwriting, Financial Analysis, Competitive Intelligence, COB and Project Management a plus
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 95,200 - 158,600 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:_ _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._
The Competitive Unit Cost Advisor has as its main focus the analysis of competitive unit cost information, validation of internal information and the development of actions and tools to improve Cigna's competitive unit cost position. Partners closely with peers and management in Network Development & Competitive Insights, as well as matrix partners in Contracting, Sales, Network Analytics/Medical Economics, Underwriting and Pricing to accurately understand and represent Cigna's competitive unit cost position by area and product and to help drive improvements. Support the generation of actionable reports to assist Contracting.
This position is responsible for Local Market Affordability/TMC support, including analysis of discount information, Risk Adjusted PMPM, Coordination of Benefits (COB) information, and other internal and external data sources to most accurately portray historic and projected competitive unit cost positions at both the market level and the provider level. This position will evaluate cost trend projections compared to budgeted plan trends by product, by area and by provider to determine root causes of variances to plan and to identify opportunities for improvement. This individual will obtain competitive data points from many sources and produce actionable reporting based on the data. This position is responsible for working in a highly matrixed organization in a collaborative manner and exhibiting behaviors, attitudes and actions that demonstrate a high level of teamwork.
DUTIES AND RESPONSIBILITIES:
+ Support COB, Onpoint, UC Plan, Hospital Transparency Analytics, NS&E updates, Local Market Affordability reviews, Market/Provider Triangulations, and Event Planning as needed.
+ Independently present to Contracting & other customers competitive insight analyses in support of market discount and unit cost improvement initiatives.
+ Evaluate discounts by product by area by component of medical expense to identify trends by payor, product or market.
+ Validate internal roll ups of discount information inclusive of projected trends and ensure accurate representation of information to internal and external customers.
+ Review of the current market’s unit cost position and consult with the Regional Unit Cost Lead to recommend opportunities for medical cost improvements.
+ Assessment of current unit cost position compared to competition and creation of reports to display competitive position.
+ Partner closely with matrix partners to tap additional sources of competitive data and plot market trends.
+ Partner with Pricing, Underwriting and Sales to help create accurate portrayal of unit cost within Pricing assumptions and in build up of employer specific medical expense.
+ Determine competitive unit cost positions for top priority markets.
+ Create and/or assist in the creation tools and information to help markets achieve competitive unit cost.
+ Analyze, interpret and compile competitive intelligence data to use in the triangulation of a provider or market competitive position.
+ Special projects as required.
POSITION REQUIREMENTS:
+ Bachelor’s Degree required; within Finance, Accounting, Mathematics discipline preferred
+ 5+ years Medical Cost Analysis experience within a Managed Healthcare experience environment required
+ 4+ years Financial Analysis experience in Managed Care required
+ Ability to analyze and interpret both qualitative and quantitative ambiguous provider data required
+ Advanced Excel skills required.
+ Excellent interpersonal and customer service skills, with demonstrated ability to influence internal and external resources.
+ Excellent written and oral communication skills and experience working in an empowered team environment.
+ Ability to work productively in an environment that requires constant development of technical data skill sets.
+ Self starter with excellent analytical, technical, and project management skills in a matrix organization
+ Demonstrated ability to work at both the conceptual and very detailed levels and easily shifts between the two.
+ Identifies ways to efficiently improve the collection of data, reduce operational costs, always focusing on results.
+ In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management.
+ Ability to take a position and make sound recommendations without complete data.
+ Experience working with Contracting, Sales, Network Analytics (Medical Economics), Pricing, Underwriting, Financial Analysis, Competitive Intelligence, COB and Project Management a plus
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 95,200 - 158,600 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:_ _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._
Source : The Cigna Group