Competitive Unit Cost Advisor Northeast- Work From Home Opportunity at Cigna (Remote)

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Job Summary:

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.

Core 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.

Minimum Requirements:
  • Bachelor's Degree preferred
  • 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 minimum of 4 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

For this position, we anticipate offering an annual salary of $90,500 - $150,800, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

Cigna 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.
More Information on Cigna
Cigna operates in the Healthtech industry. The company is located in Bloomfield, CT, Phoenix, AZ, Philadelphia, PA and Plano, TX. Cigna was founded in 2022. It has 74000 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 195 open jobs at Cigna, click here.
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