The Cigna Group logo

Business Analytics Advisor, Payment Integrity – Risk & Affordability (Remote)

Job Overview

Location

United States Work at Home

Job Type

Full-time

Category

Data Science

Date Posted

June 18, 2026

Full Job Description

📋 Description

  • Lead end-to-end analytics to evaluate medical cost savings initiatives, including medical policy changes and other cost containment programs.
  • Own savings estimates by developing accurate, auditable financial impact assessments grounded in historical and current medical expense patterns.
  • Partner cross-functionally with Clinical Operations, Network, Coverage Policy, project managers, and medical directors to align assumptions, methodologies, and measurement strategies.
  • Identify trends and cost drivers through exploratory, longitudinal, and ad hoc analysis to surface emerging patterns and anomalous utilization.
  • Design and maintain analytical routines (tools, algorithms, monitoring) to track medical forecasts and savings performance over time.
  • Apply advanced analytics (statistical techniques and scalable methods) to generate insights that support medical cost trend reduction and assess impact to providers, clients, and customers.
  • Tell the story behind the data by translating complex findings into concise, executive-ready summaries and recommendations for stakeholders at multiple organizational levels.
  • Independently execute complex analyses while managing multiple priorities and deadlines.
  • Develop algorithms and methodologies to quantify cost savings opportunities using healthcare data, claims payment processes, eligibility, benefit design, and clinical data.
  • Modernize analytics through automation and thoughtful use of AI-enabled and advanced analytics methods such as predictive modeling, NLP, and machine learning where they add measurable value.
  • Translate analytical results into actionable business insights for senior and executive stakeholders using standard medical coding systems including DRG, ICD-10, and HCPCS.
  • Utilize technical tools including SQL, SAS, Tableau, Databricks, Claude, and Excel to perform data analysis and reporting.
  • Maintain a strong orientation toward continuous improvement, ownership, and measurable impact in all analytical workstreams.

🎯 Requirements

  • Bachelor’s degree in a quantitative field (e.g., Statistics, Mathematics, Economics, Health Policy Analysis, Finance, Actuarial, Public Health, Business) or equivalent practical experience.
  • 5+ years of experience in healthcare or finance cost analysis.
  • Knowledge of standard medical coding systems (DRG, ICD-10, HCPCS).
  • Technical proficiency with data and BI and AI tools such as SQL, SAS, Tableau, Databricks, Claude, and Excel.
  • Familiarity with provider contracting terms, clinical operations, and reimbursement methodologies.
  • Self-starter with strong orientation toward continuous improvement, ownership, and impact.

🏖️ Benefits

  • Annual salary range of $98,200 - $163,600 USD.
  • Eligibility to participate in an annual bonus plan.
  • Medical, vision, dental, and well-being and behavioral health programs starting on day one.
  • 401(k) plan with company contribution.
  • Company-paid life insurance.
  • Tuition reimbursement.
  • Minimum of 18 days of paid time off per year and paid holidays.
  • Internet connection requirement: cable broadband or fiber optic with minimum 10Mbps download/5Mbps upload for remote work.

Skills & Technologies

Fiber
Onsite
Degree Required

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The Cigna Group
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About The Cigna Group

The Cigna Group is a global health services company formed in 1982 through the merger of Connecticut General and INA Corporation. It provides medical, dental, disability, life and accident insurance, pharmacy benefit management, and behavioral health services to employers, individuals and government entities. Headquartered in Bloomfield, Connecticut, the company operates in over 30 countries and jurisdictions, serving more than 180 million customer relationships worldwide through its subsidiaries and affiliates.

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