[Remote] Business Analytics Senior Manager Payment Integrity - Risk & Affordability (Remote)

Note: The job is a remote job and is open to candidates in USA. Cigna Healthcare is dedicated to improving the health and vitality of those they serve. They are seeking a Business Analytics Senior Manager to lead a team of analysts supporting Payment Integrity initiatives, focusing on healthcare data analytics, financial insight, and influencing executive decisions.

Responsibilities

• Lead strategic analytics by identifying medical cost drivers and trends, risks, and affordability opportunities
• Develop and execute analysis and AI to support Payment Integrity strategies at the enterprise level driving alignment across various business unites to ensure enterprise financial goals & priorities
• Tell the story behind the data, translating analytical findings into clear, executive‑ready insights that influence decisions across technical, operational, and senior leadership audiences
• Own financial business cases for new affordability initiatives, including forecasts, variance analysis, and recommendations to improve performance
• Support Payment Integrity by overseeing analytics for initiatives, policy changes, and ongoing performance monitoring
• Improve reporting and visualization by assessing current capabilities and advancing self‑service analytics solutions, utilizing AI to optimize quality, accuracy and reporting (e.g., Databricks, Tableau, Claude, Cursor or similar tools)
• Modernize analytics through scalable methods, automation, and thoughtful use of AI‑enabled tools where they add value
• Monitors and conducts research of related affordability, AI, business trends, using data and qualitative performance measures, to advise senior management relative to Payment Integrity strategy
• Manage and develop a team of analysts, setting clear priorities, ensuring high‑quality output, and supporting continuous skill development
• Balance multiple initiatives by prioritizing and delegating work effectively in a fast‑paced, dynamic environment
• Ensure data quality and accuracy by implementing appropriate checks, controls, and processes
• Act as a trusted thought partner to senior leaders by proactively identifying insights, risks, and emerging trends that inform near‑ and long‑term affordability strategy

Skills

• Bachelor's degree or equivalent in a quantitative field such as Economics, Finance, Data Science or Analytics, Business, Applied Mathematics, Public Health, Actuarial Science or similar
• 7+ years of progressive experience in predictive analytics, financial modeling, healthcare economics, or related fields, including experience leading or mentoring analysts
• Strong analytical and technical skills, with hands‑on experience using tools such as SQL, Excel, SAS, Databricks, Tableau, or similar platforms
• Experience with and knowledge of medical claim coding, and provider reimbursement
• Master's degree preferred

Benefits

• Annual bonus plan
• Medical
• Vision
• Dental
• Well-being and behavioral health programs
• 401(k)
• Company paid life insurance
• Tuition reimbursement
• A minimum of 18 days of paid time off per year
• Paid holidays

Company Overview

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