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Cigna: Competitive Unit Cost Analyst (Advisor)- Se Region


This is a Full-time position in Plano, TX posted March 1, 2021.

This resource has as its main focus the analysis of competitive unit cost information, validation of internal information and the development of actions and tools to improve Cigna’s competitive unit cost position.

Partners closely with peers and management in Network Development & Competitive Insights, as well as matrix partners in Contracting, Sales, Network Analytics/Medical Economics, Underwriting and Pricing to accurately understand and represent Cigna’s competitive unit cost position by area and product and to help drive improvements.

Support the generation of actionable reports to assist Contracting.

This position is responsible for Local Market Affordability/TMC support, including analysis of discount information, Risk Adjusted PMPM, Coordination of Benefits (COB) information, and other internal and external data sources to most accurately portray historic and projected competitive unit cost positions at both the market level and the provider level.

This position will evaluate cost trend projections compared to budgeted plan trends by product, by area and by provider to determine root causes of variances to plan and to identify opportunities for improvement.

This individual will obtain competitive data points from many sources and produce actionable reporting based on the data.

This position is responsible for working in a highly matrixed organization in a collaborative manner and exhibiting behaviors, attitudes and actions that demonstrate a high level of teamwork.

DUTIES AND RESPONSIBILITIES Support COB, Onpoint, UC Plan, NS& E updates, Local Market Affordability reviews, Market/Provider Triangulations, and Event Planning as needed.

Independently present to Contracting & other customers competitive insight analyses in support of market discount and unit cost improvement initiatives.

Evaluate discounts by product by area by component of medical expense to identify trends by payor, product or market.

Validate internal roll ups of discount information inclusive of projected trends and ensure accurate representation of information to internal and external customers.

Review of the current market’s unit cost position and consult with the Regional Unit Cost Lead to recommend opportunities for medical cost improvements.

Assessment of current unit cost position compared to competition and creation of reports to display competitive position.

Partner closely with matrix partners to tap additional sources of competitive data and plot market trends.

Partner with Pricing, Underwriting and Sales to help create accurate portrayal of unit cost within Pricing assumptions and in build up of employer specific medical expense.

Determine competitive unit cost positions for top priority markets.

Create and/or assist in the creation tools and information to help markets achieve competitive unit cost.

Analyze, interpret and compile competitive intelligence data to use in the triangulation of a provider or market competitive position.

Special projects as required.

POSITION REQUIREMENTS Bachelor’s Degree required.

Minimum of 5 years managed healthcare experience with some experience in medical cost analysis preferred.

Demonstrated strong excel and database management skills Financial analysis background with 3-5 years experience in diverse settings, preferably managed care.

Ability to analyze and interpret both qualitative and quantitative provider data.

Excellent interpersonal and customer service skills, with demonstrated ability to influence internal and external resources.

Excellent written and oral communication skills and experience working in an empowered team environment.

Ability to work productively in an environment that requires constant development of technical data skill sets.

Self starter with excellent analytical, technical, and project management skills in a matrix organization Demonstrated ability to work at both the conceptual and very detailed levels and easily shifts between the two.

Identifies ways to efficiently improve the collection of data, reduce operational costs, always focusing on results.

In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management.

Ability to take a position and make sound recommendations without complete data.

Experience working with Contracting, Sales, Network Analytics (Medical Economics), Pricing, Underwriting, Financial Analysis, Competitive Intelligence, COB and Project Management a plus This position is not eligible to be performed in Colorado.

About Cigna Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.

We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products.

Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions.

Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place.

What difference will you make?

To see our culture in action, search TeamCigna on Instagram.

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: SeeYourselfcigna.Com for support.

Do not email SeeYourselfcigna.Com for an update on your application or to provide your resume as you will not receive a response.

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