Systems Analysis Advisor

HEDIS Applications Systems Analysis Advisor- (Ideally Nashville or Remote)

Strategy Summary

Our team is an MA-focused group that provides direct and matrixed technology support for Cigna's Medicare Advantage and CareAllies business units. Our goal is to simplify how business gets technology delivered. We act as the accountable point of contact with the other shared service organizations across Cigna's technology landscape. 

As a Systems Analysis Advisor, you will serve as an engaged team member responsible for ensuring customer needs are met with high-impact technology solutions. This will accelerate innovation and drive medical affordability and quality care for our members.

The Opportunity

You will join a highly visible team passionate about aligning local strategic objectives with tactical demands. We are seeking an experienced HEDIS® analyst who thrives on supporting sophisticated business challenges through technology, collaboration, analysis, and creativity. This role requires a blend of analytical thinking and technical expertise, all while navigating the complex healthcare landscape.

The candidate must possess the technical skills to study and analyze systems needs and provide HEDIS® technical knowledge across multiple disciplines, supporting our technology landscape.

The position reports directly to the Senior Application Development Manager for HEDIS/Stars.

Responsibilities:

• Exercise considerable creativity, foresight, and judgment in analyzing and developing solutions for assigned projects.

• Supports bi-weekly HEDIS proactive process, which is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti).

• Supports annual HEDIS Regulatory process, which is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti).

• Provides quality assurance to ensure accurate clinical data and presentation of data analysis results.

• Works with business partners to develop complete and accurate business requirements for assigned projects.

• Reviews all assigned processes and data and recommends / documents / implements improvements.

• Logical detail-oriented team player who learns quickly and can handle multiple, competing priorities in a fast-paced environment.

• Seek process improvement opportunities.

Qualifications:

• Bachelor's degree or related work experience is sufficient.

• 1+ year relevant HEDIS/STARS experience, desired.

• 2+ years of intermediate to advanced T-SQL (complex JOINs, subqueries, stored procedures, indexes, temp tables and CTEs, query optimization).

• Experience using or partnering with Inovalon, Cotiviti, or similar platforms is preferred.

• Experience with HEDIS metrics and understanding changes in the metrics.

• Experience with ETL processes to build SSIS package(s) and automate processes.

• Excellent analytical and problem-solving skills.

• Proficiency in data analysis tools and software to analyze technology data, create reports, and deliver presentations.

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 101,300 - 168,800 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.

We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

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 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.

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.