Summary The Data Science Advisor - Clinical Outcomes Research position is an opportunity to provide leadership on complex analytics projects and initiatives supporting the Integrated Pharmacy and Specialty Analytics team. This role will work with an innovative team on setting and executing the vision for how advanced embedded analytics can lead Cigna to achieving our growth goals.
We are looking for a Data Scientist to conduct opportunity analyses, program evaluation and support Pharmacy Therapeutic Class Strategy/Clinical Condition analytics work to drive business decisions supporting Cigna's Pharmacy Integrated Medical business. The candidate will have the opportunity to work on analytical projects supporting other benefit domains such as Behavioral Health and Specialty Solutions with the goal of performing Integrated Analytics to support the enterprise.
Responsibilities Work collaboratively with Rx Clinical stakeholders to advise on strategic analytics that helps drive data decision making to support formulary strategy, clinical program strategy and clinical product design
Lead analyses related to Cigna's Total Cost of Care Strategy with a focus on clinical conditions and related medications/treatment (root cause analyses, Health Outcome Studies, Opportunity analysis including descriptive and multivariate statistics to identify patterns in the data.)
Perform Causal inference Studies, Matched-case control studies and/or randomized control trials for determining the effectiveness of clinical programs and clinical outcome studies
Execute and apply advanced analytics techniques to evaluate and inform initiatives that will help achieve improved affordability and drive membership growth
Analytical/Synthesizing of large volumes of data into meaningful information that is communicated effectively to drive meaningful conclusions that help make informed decisions and future projections/recommendations
Determine opportunities and identify solutions to increase analytical processing efficiency
Extraction and analysis of large healthcare claims data using state of the art big-data tools and techniques in a largely tool agnostic environment
Build models using machine learning tools and various statistical packages
Explore and visualize data using advanced tools and libraries
Qualifications 5+ years' of industry experience in solving Health Plan or Pharmacy Benefit Manager business problems through the application of advanced analytic approaches
Proven experience and competency with predictive analytics and forecasting future state needs is highly desirable
Proven experience building clinical outcome studies and presenting the findings in a clear and comprehensive manner to an non-technical audience is highly desirable
Experience in Healthcare analytics (preferably PBM Analytics), Clinical Outcomes, Real World Evidence, Care Management Programs
Deep healthcare data experience (e.g., PBM experience, Provider Networks, Billing, Medical and Pharmacy claims), statistical analysis experience, and an understanding of all the associated clinical, utilization and financial levers
Experience with statistical software/programming languages; R preferred
Experience with data visualization tools and libraries; Tableau and/or PowerBI preferred
Demonstrated ability to understand and effectively communicate (both verbally and written) analytic and clinical data (i.e., claims) to a varied audience
A data-driven personality w/ Intellectual curiosity and internal motivation; uses deep analytics knowledge and acumen to advise functional leaders and provide thought leadership
BS/MS/PhD in Econometrics, Actuarial Science, Data Science, Health Outcomes, Epidemiology, Statistics, or in any technical field that provides a solid basis for analytics highly desired
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 102,000 - 170,000 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 The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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: for support. Do not email 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.
