Cigna Financial Analysis Sr Specialist in United States

Description:

Role Description:

Conducts Hospital and Physician Group contract financial analysis, partnering with Contracting team to deliver results in line with trend/cost expectations to ensure competitive positioning within the marketplace.

Responsibilities:

  • Analyze trend impact for hospital and physician group contract negotiations
  • Effectively influence the Contracting team by offering meaningful solutions during negotiations
  • Provide ad-hoc analysis and deep dives into data as appropriate to support negotiations and other activities contributing to medical cost improvement opportunities
  • Summarize and communicate findings and recommendations to matrix partners (Medical Economics, Contracting, Competitive Intelligence, Medical Management, Pricing, Sales)
  • Manage the Unit Cost Planning process and drive the Plan to meet corporate objectives
  • Identify opportunities for trend reduction and engage Contracting to build these into plan where appropriate
  • Inform management about Plan variances and identify risks and opportunities for meeting Plan results
  • Work closely with Provider Contract Database Analyst to maintain accuracy of forecasting tools
  • Maintain strong communication with Total Medical Cost Analyst to identify and implement medical cost improvement actions

Qualifications:

Qualifications:

  • Bachelor's degree in Finance, Economics, Business, Health Policy Analysis, Healthcare Administration, Mathematics or Statistics
  • 3 years’ experience in healthcare/managed care with responsibility for medical cost and trend analysis
  • Strong analytical and problem solving skills
  • Strong communication skills including written, oral and group presentation
  • Ability to influence and drive strategic planning, action plan development, and plan execution through engaging and educating matrix partners on market-level dynamics, key drivers, actionable levers
  • Can independently perform analyses and apply statistical models to validate / interpret results
  • Advanced Microsoft Excel, Microsoft Access, SAS skills
  • Ability to work independently while managing multiple tasks and meeting deadlines
  • Familiarity with provider contracts terms and contract modeling a plus
  • Knowledge of standard medical coding: CPT, HCPC, DRG, Revenue Codes, ICD9/10 a plus
  • Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management a plus

Primary Location: United States

Work Locations:

Job: Bus Ops--Operations Mgmt (Bus)

Schedule: Regular

Shift: Standard

Employee Status: Individual Contributor

Job Type: Full-time

Job Level: Day Job

Travel:

Job Posting: Dec 13, 2018, 12:43:28 PM

Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. Need an accommodation? Email: SeeYourself@cigna.com