Cigna - Nashville, TN
posted 2 months ago
Full-time - Mid Level
Hybrid - Nashville, TN
Insurance Carriers and Related Activities
About the position
The Stars Business Analytics Advisor will support the analytics strategy for Cigna Healthcare, focusing on the Medicare Stars program and HEDIS Stars measures. This role involves analyzing healthcare claims, clinical outcomes, and Stars quality measures to enhance Cigna's Medicare Star Ratings. The advisor will produce technical and analytical enhancements, develop advanced reporting and dashboards, and collaborate across various business areas to drive decision-making and improve operational efficiency.
Responsibilities
- Process and maintain Cigna's primary Medicare HEDIS Stars Reporting.
- Report to stakeholders about changes to Stars measure methodologies and data trends.
- Develop reports and dashboards using self-service technologies like SQL Server Reporting Services (SSRS), PowerBI, Tableau, or other similar platforms.
- Extract and manipulate large healthcare data using data analytics tools such as Databricks, SAS, SQL, R, Python, Teradata, etc.
- Identify, analyze and interpret trends or patterns in data sets through descriptive and advanced statistics.
- Develop actionable insights and present results to non-technical business partners and stakeholders.
- Support the management of Stars data architecture, partnering closely with IT to develop and implement databases and data analytics strategies.
- Develop methods for improving internal techniques and processes with effective visual graphics.
- Work collaboratively with departments across the organization to ensure deliverables are accomplished.
- Act as a mentor and escalation point for other team analysts.
Requirements
- 5+ years' of professional experience in healthcare analytics or a related discipline.
- Deep understanding of advanced analytics tools and languages to analyze large data sets, including SQL query development and programming.
- Experience with Tableau or PowerBI.
- Proficiency in Python or R or other statistical language.
- Experience with Teradata.
- Familiarity with Databricks is preferred.
- Experience with SQL Server Reporting Services (SSRS) is preferred.
- Strong analytical skills with attention to detail and accuracy.
- Work experience as a Data Analyst in Medicare Stars, specifically in operations and reporting.
- General knowledge of the CMS Star Rating System, including Administrative, HEDIS, CAHPS, HOS, and Pharmacy Measures.
- Extensive knowledge of customer eligibility data, medical claims, pharmacy claims, and customer experience/self-report data.
- Technical expertise regarding data models, database design development, data mining and segmentation techniques.
- Ability to understand business operations requirements and translate them into technical applications.
- Excellent oral and written communications skills.
- Excellent interpersonal and customer service skills.
Nice-to-haves
- Experience with Microsoft Excel, especially with Macros.
- Familiarity with GitHub.
Benefits
- Comprehensive health-related benefits including medical, vision, and dental.
- Well-being and behavioral health programs.
- 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.
