Systems Analysis Advisor

Cigna - Bloomfield, CT

Full-time - Mid Level

Hybrid - Bloomfield, CT

Insurance Carriers and Related Activities

About the position

The HEDIS Applications Systems Analysis Advisor plays a crucial role in supporting Cigna's Medicare Advantage and CareAllies business units by providing technology solutions that enhance medical affordability and quality care. This position involves analyzing systems needs, ensuring customer requirements are met, and collaborating with various stakeholders to drive innovation in healthcare technology.

Responsibilities

• Exercise considerable creativity, foresight, and judgment in analyzing and developing solutions for assigned projects.
• Support bi-weekly HEDIS proactive process via SSIS, Active Batch Jobs, and the HEDIS Quality Engine (currently Cotiviti).
• Support annual HEDIS Regulatory process via SSIS, Active Batch Jobs, and the HEDIS Quality Engine (currently Cotiviti).
• Provide quality assurance to ensure accurate clinical data and presentation of data analysis results.
• Work with business partners to develop complete and accurate business requirements for assigned projects.
• Review all assigned processes and data and recommend/document/implement improvements.
• Act as a logical detail-oriented team player who learns quickly and can handle multiple, competing priorities in a fast-paced environment.
• Seek process improvement opportunities.

Requirements

• Bachelor's degree or related work experience is sufficient.
• 1+ year relevant HEDIS/STARS experience, desired.
• 2+ years of intermediate to advanced T-SQL experience (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.
• Excellent analytical and problem-solving skills.
• Proficiency in data analysis tools and software to analyze technology data, create reports, and deliver presentations.

Nice-to-haves

• Experience with HEDIS metrics and understanding changes in the metrics.
• Experience using or partnering with Inovalon, Cotiviti, or similar platforms.

Benefits

• Comprehensive health-related benefits including medical, vision, dental, and 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.