About the role
Join Evernorth’s Data & Analytics organization and help turn complex healthcare data into insights that improve health outcomes, strengthen customer experiences, and support affordability. In this role, you will support the Custom High Acuity Model (CHAM), a high-touch, physician-led care management program that uses custom analytics to identify intervention opportunities and deliver targeted Medical Action Plans (MAPs). You will partner with clinical, operational, product, and analytics teams to shape Behavioral and Coaching pathways that make a meaningful impact for customers, clients, and the business.
Responsibilities
Lead the development and execution of Behavioral and Coaching MAP opportunities that align with customer, client, and enterprise priorities.
Partner with Medical Directors, Clinical Operations, Product, and business stakeholders to identify emerging healthcare opportunities, scope initiatives, and define success measures.
Develop opportunity analyses, analytic plans, business requirements, implementation specifications, and documentation that support new and existing CHAM initiatives.
Use healthcare data, SQL, Databricks, and reporting tools to define customer targeting strategies, inclusion and exclusion criteria, and actionable insights that inform business decisions.
Translate business and clinical needs into scalable analytic solutions and operational workflows in partnership with analytics, informatics, product, and operations teams.
Drive continuous improvement through analytic innovation, quality assurance, process optimization, and clear communication of findings to technical and non-technical audiences.
Required Qualifications
3+ years of experience in healthcare analytics, business analytics, population health, care management, consulting, or a related field.
Experience working with large healthcare datasets and using SQL or similar data analysis tools to solve business problems.
Ability to lead complex initiatives from concept through implementation, including opportunity assessment, requirements gathering, and cross-functional collaboration.
Strong analytical problem-solving skills, including the ability to define target populations, build methodologies, identify performance drivers, and provide actionable recommendations.
Strong communication and presentation skills, with the ability to explain complex information to both technical and non-technical stakeholders.
Ability to manage multiple priorities and collaborate across clinical, analytics, operational, product, and business teams.
Preferred Qualifications
Master’s degree in Analytics, Informatics, Public Health, Healthcare Administration, Business, Economics, Mathematics, or a related field.
Experience with Databricks, reporting platforms, or healthcare data environments.
Knowledge of healthcare claims, care management, behavioral health, coaching programs, or population health initiatives.
Experience supporting clinical program analytics, customer identification strategies, or care management interventions.
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 98,200 - 163,600 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.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re 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 need a reasonable accommodation to complete the online application process, please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Originally posted on Himalayas