Job Description

Provide subject matter expertise, quality assurance, analytics, data management, and reporting support for Cigna Commercial and Marketplace Products. Specifically, Production and Prospective data support and analysis for audited Health Effectiveness and Information Set (HEDIS) data. Tasks include project management of operational data downloads, data analysis, data extraction and manipulation, creation of queries and reports, ingestion and of external clinical data, supporting internal/external audits, assisting with external vendor relationships and working with matrix partners as needed.

Critical Success Factors:

Highly accountable individual with a strong set of competencies, most notably:

Customer Focus \xe2\x80\x93 dedicated to meeting the expectations of internal and external customers.

Organizational Agility \xe2\x80\x93 knows how to get things done both through formal and informal channels.

Problem Solving \xe2\x80\x93 uses rigorous logic and methods to solve problems with effective solutions.

Dealing With Ambiguity \xe2\x80\x93 can comfortably handle risk and uncertainty.

Interpersonal Savvy \xe2\x80\x93 builds constructive and effective relationships.

Position Responsibilities:

• Use research skills to analyze data for policy/operations decisions and root cause analysis.
• Develop/maintain vendor file layout mapping & requirements documentation.
• Identify data elements and sources needed for new and existing file layouts.
• Write business and technical specifications and perform data quality testing.
• Partner with IT to ensure new development, enhancements and fixes meet business needs.
• Research and identify data quality issues to include implementation of actions to correct issues found.
• Work closely with matrix partners throughout the organization to provide data and reporting support.
• Provide expert consultation to improve data availability, collection, integrity, root cause analysis and quality.
• Work with matrix partners to enhance internal Interoperability efforts

• Work effectively and efficiently on multiple tasks and deadlines in order to produce high quality results.
• Ability to adapt within an environment which requires constant technical skill development and expansion of business expertise.

Background/Knowledge Required:

• Bachelor\xe2\x80\x99s degree or master\xe2\x80\x99s degree in business, finance, economics, health administration, statistics, mathematics, or equivalent training and mastery.
• Must have at least 3 years of experience in health care analytics/information management

• Expertise in Quality Performance, HEDIS, VBP, STARs preferred.
• Experience with Clinical Data (Claims, Diagnosis codes, Encounters)
• Experience with EHR/EMR systems, specifically CCD/CCDA/FHIR/HL7
• Experience with relational database concepts and applications, analytic data development and decision support tools such as: Databricks, R, Hadoop, Toad, Access, Excel.
• Strong understanding of health care data systems in support of core functions such as claim, eligibility, encounters.
• Comfortable working with different systems and accessing various sources of data.

• Excellent communication skills (written and verbal) and organizational skills.
• Exhibits a strong customer service focus with demonstrated ability to adapt to ever changing business environment to resolve issues creatively.

This is a Hybrid role: the Employee will be expected to work in one of our offices some of the time.

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.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we\xe2\x80\x99re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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.

Cigna