Economics senior advisor - care

Position Overview:
Evernorth Accountable Care (ENAC) is a newly launched, growing business unit within Evernorth. As part of the team, you will play a critical role in building the business, shaping Evernorth’s partnership with VillageMD and other primary care partners, and advancing ENAC’s mission to create new value-based care models and networks that drive value and improved outcomes for patients, providers, and clients.
As an ENAC Economics Senior Advisor, you will be responsible for leading analytics that advance the business strategy and financial performance for 2-3 Risk Bearing Entities (RBEs). You will develop economic models and reporting to optimize the value created within each local market and will support the development of new models for capturing value within the Enterprise. You will actively partner with Network Contracting, Finance and Strategy leadership, IT, Data and Analytics, and provider partners to advance the financial performance of our business. The ideal candidate is adept at operating across the organization to create solutions, is energized by a “start from scratch” opportunity, is curious, is an analytical and strategic thinker, is comfortable shaping structure from ambiguity, is able to inspire and mobilize others, and is passionate about creating innovative solutions that expand access to high quality care and improve affordability.
Key Responsibilities:
Execute fast paced and in-depth analytics. Synthesize complex data into actionable insights. Iterate and support ongoing business needs with quality analytics.

Own all data and analytics to support the relationship with primary care partners in the NJ and CT markets. Evaluate and support potential expansion into NY.

Develop a deep understanding of local market nuances, including provider and facility dynamics, competitive landscape of payers, and competitive landscape of value-based care (VBC) in the market.

Identify opportunities to maximize the financial performance of the RBEs. Set appropriate KPIs, including rate targets, value-based contract parameters, referral targets, and utilization targets. Project impacts of execution against targets.

Identify providers for inclusion in the local specialist/ancillary network.

Support Network Contracting in establishing value-based contracts and identifying opportunities to accelerate contracted providers along the value-based continuum. Establish rate targets for bundles, episodes, sub-capitation, etc. and analyze the financial risk associated with these arrangements.

Leverage population health/reporting tools to manage total cost of care and quality outcomes for patients aligned to the RBEs. Create new reports, dashboards, or models when necessary.

Partner with local care coordinators to maximize population health. Synthesize and communicate opportunities and outcomes in meaningful and comprehensible way.

Provide support to the Finance and Strategy teams in creating financial forecasts.

Identify opportunities to create new VBC relationships or expand existing VBC relationships in the local market.

Qualifications:
This position requires strong healthcare specific data and analytics skills, healthcare and insurance content knowledge, communication skills, technical skills across platforms, and project management.
6+ years of hands-on experience in healthcare specific analytics, finance, and/or actuarial/underwriting

Bachelors degree or equivalent work experience required; a Masters in Business Administration or equivalent advanced degree is strongly preferred

Pursuit or achievement of Associateship or Fellowship of the Society of Actuaries preferred

Advanced expert in Excel

Working knowledge in querying language and tools including (but not limited to) R Studio, SAS, SQL, Teradata, Databricks, and Hadoop

Commercial health plan experience strongly preferred; additional Medicare Advantage experience is a plus

Experienced in data visualization/platform through Tableau, R, Python, and/or VBA is a plus

Ability to navigate and contribute within a highly-matrixed environment

Adept at building new collaborative relationships, particularly with external business partners

Go-getter who enjoys problem solving and creating innovative solutions in partnership with various stakeholders

Thrives in a dynamic, rapidly changing, and ambiguous environment

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 126,900 - 211,500 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 Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.

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