Job Overview
Location
United States Work at Home
Job Type
Full-time
Category
Data Science
Date Posted
June 18, 2026
Full Job Description
đź“‹ Description
- • Lead strategic analytics initiatives to identify medical cost drivers, risks, and affordability opportunities within Payment Integrity programs.
- • Develop and execute data-driven analyses and AI models to support enterprise-level Payment Integrity strategies and align cross-functional business units with financial goals.
- • Translate complex healthcare and financial data into clear, executive-ready insights that influence decision-making across technical, operational, and senior leadership teams.
- • Own the development of financial business cases for new affordability initiatives, including forecasting, variance analysis, and performance improvement recommendations.
- • Oversee analytics for Payment Integrity initiatives, policy changes, and ongoing performance monitoring to ensure accurate financial measurement and strategic alignment.
- • Improve reporting and visualization capabilities by advancing self-service analytics solutions using tools such as Databricks, Tableau, Claude, Cursor, or similar platforms.
- • Modernize analytics workflows through scalable automation and the thoughtful application of AI-enabled tools to enhance quality, accuracy, and efficiency.
- • Conduct research on affordability trends, AI advancements, and industry dynamics, using quantitative and qualitative data to advise senior leadership on Payment Integrity strategy.
- • Manage, mentor, and develop a team of analysts by setting clear priorities, ensuring high-quality output, and fostering continuous skill development.
- • Balance multiple competing priorities in a fast-paced environment through effective delegation and time management.
- • Ensure data integrity by implementing robust checks, controls, and processes to maintain accuracy and reliability across all analytics outputs.
- • Act as a trusted strategic advisor to senior leaders by proactively identifying emerging trends, risks, and opportunities that shape near- and long-term affordability strategy.
- • Partner closely with stakeholders across finance, operations, clinical, product, and network teams to evaluate trends, support proposals, and validate financial assumptions for new programs.
- • Analyze provider and payer landscapes to uncover innovative approaches for understanding medical cost trends, provider billing behavior, and healthcare operations to reduce costs for health plan members.
🎯 Requirements
- • Bachelor’s degree in a quantitative field such as Economics, Finance, Data Science, Analytics, Business, Applied Mathematics, Public Health, or Actuarial Science; Master’s degree preferred
- • 7+ years of progressive experience in predictive analytics, financial modeling, healthcare economics, or related fields, including experience leading or mentoring analysts
- • Hands-on experience with SQL, Excel, SAS, Databricks, Tableau, or similar analytical platforms
- • Experience with medical claim coding and provider reimbursement systems
🏖️ Benefits
- • Annual salary range of $130,900 – $218,100 USD
- • Eligibility for an annual bonus plan
- • Comprehensive health benefits including medical, vision, dental, and behavioral health programs starting on day one
- • 401(k) plan, company-paid life insurance, tuition reimbursement, and minimum 18 days of paid time off per year plus paid holidays
Skills & Technologies
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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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