Business Analytics Advisor - Clinical & Affordability Trend Analytics - Hybrid

Cigna

$98K — $163K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years' experience in medical economics/health-plan data analytics or clinical analysis
  • Advanced skills in SQL and Python or similar data tools
  • Familiarity with clinical coding concepts (CPT/ICD10)
  • Strong clinical knowledge of provider data, claims data, and health plan performance
  • Experience in a matrix environment, demonstrating collaboration skills
  • Effective storytelling skills and strong business acumen

Responsibilities

  • Build key clinical risk indicators and projection insights into the CHC Risk Ecosystem
  • Partner with clinical and financial teams to implement clinical analysis capabilities
  • Analyze relationships between clinical drivers, authorizations, diagnoses, and care episodes
  • Develop innovative clinical insights and affordability opportunities
  • Enhance predictive capabilities to influence cost of care
  • Utilize external data to connect internal clinical data with market trends
  • Collaborate across functions to improve operational efficiency and clinical insights

Benefits

  • Comprehensive health benefits (medical, vision, dental)
  • 401(k) plan
  • Company-paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days paid time off per year
  • Paid holidays
Full Job Description

Join a team that turns clinical data into clear insight and action. As a Business Analytics Advisor, you will help build trend prediction capabilities across clinical and affordability metrics within the CHC Risk Ecosystem. You will connect claims, authorization, service category, diagnosis, and episode-of-care data to help clinical, analytics, finance, and affordability partners understand risk drivers and improve decisions.

Responsibilities

  • Design and build clinical risk indicators, projection insights, and key performance indicators within the CHC Risk Ecosystem.

  • Partner with clinical, finance, analytics, affordability, technical, and visualization teams to create practical analytic capabilities that improve trend analysis and claims insights.

  • Translate relationships across authorizations, claims, diagnostic categories, service categories, and episodes of care into clear clinical and financial insights.

  • Lead end-to-end development of clinical insights and affordability opportunities, with a focus on continuous improvement and measurable value.

  • Use internal and external data to connect clinical performance, marketplace trends, and cost-of-care drivers.

  • Build trusted partnerships across matrixed teams and present complex findings in a clear, actionable way for clinical and non-clinical stakeholders.

Qualifications

Required Qualifications

  • 5+ years of experience in health plan or health system data analytics, affordability analytics, clinical analysis, or a related healthcare analytics function.

  • Strong knowledge of healthcare data, including claims, provider data, clinical information, diagnosis codes, authorizations, cost, quality, and health plan performance measures.

  • Advanced SQL skills and experience using database management systems to analyze large datasets.

  • Ability to translate clinical findings into financial impact estimates and clear recommendations for non-clinical stakeholders.

  • Strong analytical, storytelling, collaboration, and business partnership skills in a matrixed environment.

Preferred Qualifications

  • Bachelor’s degree in analytics, healthcare, business, finance, informatics, or a related field.

  • Experience with Databricks or similar cloud-based data platforms.

  • Experience using AI-enabled tools to improve analytics, code development, documentation, or insight generation (e.g. Claude Code).

  • Familiarity with clinical coding concepts, clinical operations, affordability programs, or predictive analytics methods.

  • Familiarity querying and using EPIC platform data.


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 98,200 - 163,600 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.


At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, .



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