Strategic Analysis Senior Advisor (ACA HHS Risk Adjustment Analytics) - Work at Home

Individual & Family Plans (IFP) is a fast-paced Cigna Healthcare business unit serving the Affordable Care Act (ACA) market.

In this role you will join the IFP Analytics team responsible for identifying and sizing new risk adjustment opportunities that not only create better health outcomes for patients but also enable Cigna Healthcare to remain compliant and competitive in the dynamic federally regulated Risk Adjustment space.

Responsibilities


* Consult independently with stakeholders across the IFP business to prioritize, define, and conduct key strategic analyses


* Monitor and identify member cohorts in need of healthcare intervention to drive engagement


* Evaluate and recommend improvements to the risk adjustment suspecting and targeting models


* Pilot cutting edge technology applications and models inclusive of GenAI (LLM backed techniques)


* Develop clear and thoughtful materials to communicate results/recommendations to varying levels of individuals and teams within the organization


* Navigate and lead initiatives effectively in a cross functional organization

Qualifications


* 6+ years' work experience in healthcare analytics


* Strong database manipulation and SQL scripting skills


* Strong experience with medical claims data (CPT/ICD10)


* Experience with HHS ACA (or Medicare) risk adjustment models; Healthcare Actuarial Modeling or financial modeling background preferred


* Ability to work with business partners in consultative manner


* Strong communication skills (e.g.

experience translating complex analyses into easy-to-follow slides/materials)


* Ability to independently prioritize and manage multiple responsibilities


* MS/MPH in public health, statistics, economics or FSA is 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 109,500 - 182,500 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 ...