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

What You’ll Do 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 the 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. What You’ll Bring Demonstrated ability to independently execute complex analyses while managing multiple priorities and deadlines. Strong analytical and problem‑solving skills, including experience developing algorithms and methodologies to quantify cost savings opportunities. Strong business acumen and working knowledge of healthcare data, claims payment processes, eligibility, benefit design, and clinical data. Familiarity with provider contracting terms, clinical operations and reimbursement methodologies preferred. Experience modernizing analytics through automation and thoughtful use of AI‑enabled and advanced analytics methods (e.g., predictive modeling, NLP, machine learning) where they add measurable value. Self‑starter with a strong orientation toward continuous improvement, ownership, and impact. Requirements Bachelor’s degree in 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 (e.g., DRG, ICD‑10, HCPCS) and the ability to translate analytical results into actionable business insights for senior and executive stakeholders. Technical proficiency with data and BI and AI tools such as SQL, SAS, Tableau, Databricks, Calude and Excel. For this position, we anticipate offering an annual salary of $98,200 - $163,600 USD, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. The company offers a comprehensive benefits package including medical, vision, dental, and well‑being and behavioral health programs; 401(k) with company match; company‑paid life insurance; tuition reimbursement; a minimum of 18 days paid time off per year and paid holidays. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy), 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 View email address on click.appcast.io for assistance. 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. #J-18808-Ljbffr Cigna Health and Life Insurance Company