Senior Medical Cost Analytics Advisor

The Cigna Group

. Provide strategic and analytical support to the Payment Integrity team .

Posted 11/11/2026full-timeRemote • United StatesSenior💰 $112,800 - $188,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical cost analytics and payment integrity, with strong capabilities in financial modeling, data analysis, and translating complex data into actionable business insights. Proficient in using advanced analytics methods and tools to drive performance improvements and support strategic decision-making.

Highest-signal resume keywords

Medical Cost AnalyticsFinancial ModelingSQLTableauReimbursement Methodologies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisPredictive ModelingVariance AnalysisClinical Coding AuditsPerformance RecommendationsAutomationNLPMachine LearningDashboardsScorecards

Soft Skills

Clear CommunicationCollaborationInfluenceSelf-Starter OrientationContinuous Improvement

Tools & Technologies

ExcelSASDatabricksAI-Enabled ToolsAutomation Tools

Industry Keywords

Payment IntegrityComplianceHealthcare AnalyticsBilling PatternsCoding Dynamics

Tech Stack

Tools & technologies

SQLTableau

About the role

Key responsibilities & impact

Provide strategic and analytical support to the Payment Integrity team
Evaluate pre-payment and post-payment programs, clinical coding audits, and recovery initiatives
Identify opportunities for savings and improved performance
Translate data and program results into actionable insights and business cases
Partner with Finance, Operations, Clinical, Network, Claims, Product, vendor, Contracting, Coverage Policy, Compliance, Network Analytics, Reserving, and Commercial Payment Integrity teams
Identify trends, risks, affordability opportunities, billing patterns, coding and reimbursement dynamics, and wasteful or abusive practices
Own financial impact assessments and business cases, including forecasts, variance analysis, and performance recommendations
Support measurement and performance monitoring through dashboards, scorecards, and executive materials
Identify and size new medical cost analytics opportunities
Support vendor evaluation and sourcing through analysis of negotiations, pricing structures, and performance guarantees
Improve data quality, strengthen controls, and enable scalable self-service reporting through automation and AI-enabled tools
Develop executive-ready insights for technical, operational, and senior leadership audiences

Requirements

What you’ll need

Bachelor’s degree in a quantitative field (e.g., Economics, Finance, Data Science, Data Analytics, Actuarial Science, Business, Public Health, Applied Mathematics) or equivalent experience
8+ years of progressive experience in medical cost analytics, payment integrity, financial modeling, or related fields
Strong analytical and technical skills
Hands-on experience using SQL, Excel, SAS, Tableau, Databricks, or similar platforms
Knowledge of reimbursement methodologies and coding, including MS-DRG, APCs, HCPCs, and RBRVS
Familiarity with professional and facility claim constructs
Experience modernizing analytics through automation and AI-enabled or advanced analytics methods, such as predictive modeling, NLP, or machine learning
Ability to translate complex analyses into actionable business insights
Clear, confident communication for senior and executive audiences
Ability to work in regulated and compliance-aware environments
Strong collaboration and influence skills in a matrixed environment
Self-starter orientation toward continuous improvement, ownership, and impact
For home-based work, cable broadband or fiber optic internet with at least 10 Mbps download and 5 Mbps upload

Benefits

Comp & perks

Annual bonus plan eligibility
Medical insurance
Vision insurance
Dental insurance
Well-being and behavioral health programs
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Remote work from home occasionally or permanently, subject to internet requirements