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 a strong focus on financial modeling, data analysis, and translating complex insights into actionable business strategies. Proficient in leveraging advanced analytics methods and tools to drive performance improvements and cost savings.

Highest-signal resume keywords

Medical Cost AnalyticsFinancial ModelingSQLTableauPredictive Modeling

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisFinancial Impact AssessmentVariance AnalysisCoding AuditsReimbursement MethodologiesAutomationAI-Enabled AnalyticsPerformance RecommendationsCost ContainmentBusiness Case Development

Soft Skills

CollaborationInfluenceSelf-Starter OrientationContinuous ImprovementCommunication

Tools & Technologies

ExcelSASDatabricksDashboardsScorecards

Industry Keywords

Payment IntegrityHealthcare AnalyticsRegulated EnvironmentsCost Containment ProgramsClinical Coding

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, improved performance, and enterprise affordability
Translate data and program results into actionable insights and business cases
Identify trends, risks, and affordability opportunities across cost containment and payment integrity programs
Prepare clear, executive-ready insights for technical, operational, and senior leadership audiences
Own financial impact assessments and business cases, including forecasts, variance analysis, and performance recommendations
Monitor program performance through dashboards, scorecards, and executive materials
Assess billing patterns, coding and reimbursement dynamics, and drivers of wasteful or abusive practices
Partner with Finance, Operations, Clinical, Network, Claims, Product, vendors, and other enterprise teams
Support vendor evaluation and sourcing through analysis informing negotiations, pricing structures, and performance guarantees
Improve data quality, strengthen controls, and enable scalable self-service analytics through automation and AI-enabled tools

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 with 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 in regulated and compliance-aware environments
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 for senior and executive audiences
Strong collaboration and influence skills in a matrixed environment
Self-starter orientation toward continuous improvement, ownership, and impact
Home internet through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload, if working at home

Benefits

Comp & perks

Annual bonus plan eligibility
Medical, vision, and dental benefits starting on day one
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-at-home arrangement
Cable broadband or fiber optic internet requirement for home working, with at least 10Mbps download/5Mbps upload