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CIGNA

Business Project Senior Analyst (Houston) -Clinical Data Analytics

CIGNA - Houston, TX

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Description STX Analytic Resource

Role Responsibilities: Working with Matrix partners, support market Affordability plan

Support analytics for Out of Network, over/under utilization, and fraudulent activity identification and downstream process

Monitor physician, facility, ancillary and hospital coding

Evaluate and identify unusual variation in billing patterns

Identify early signals for emerging cost trend.

Support the market-level physician P4P programs

Perform hospital P4P calculations and coordinate sign-off with Medical Economics

Identify emerging HCCs based on diagnosis (newly identified) vs. dollar amount. Funnel identified risks to CCCs or CM depending on alignment.

Team member to help with current total medical cost solutions

Qualifications Bachelor s Degree with strong healthcare environment background preferred

Minimum of 1 year experience in a clinical environment working with healthcare as well as data analytics professionals

Possess a curiosity for understanding patterns within the complexity of the clinical environment.

Possess strong analytical, problem-solving & project management skills.

Ability to work independently.

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

Must be a team player with demonstrated ability to work well with others and work collaboratively to resolve issues.

Strong working knowledge of Microsoft Excel required and Tableau preferred

Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. Need an accommodation? Email: com

Location

Houston, Texas, United States of America

Industry

IT

Rate

USD

Employment Agency

Cigna

Contact

Cigna

Reference

JS2365_FEB41F7FFF37587F314D88E603069685/411727713

Posted Date

5/11/2018 7:39:40 PM

Permalink

http://www.jobnet.com.au/F5Nmh

11 days 9 hours ago

CIGNA

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Business Project Senior Analyst (Houston) -Clinical Data Analytics CIGNA - Houston, TX, United States

   

Location: Houston, TX

Company Profile:
Cigna works with employers and organizations around the world helping employees stay healthy and on the job. We work closely with brokers and consultants to develop innovative programs, help individuals and families improve their health, well-being and sense of security—and lower their medical costs. And, Cigna provides access to a global network of local physicians and hospitals—as well as 24/7/365 live customer service.