Data Science Director - Provider Contracting and Network Performance - Evernorth

Overview:

Health Plan Analytics offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure/forecast business performance. The Provider Contracting and Network Performance Experience Group drives the vision and delivery of solutions to maximize healthcare affordability through the provider contracting process. This role will lead data science teams managing performance from our provider partners and networks. This includes the identification of higher performing facilities and professionals to enable steerage, the design of competitively affordable networks, achieving value through current and future provider collaborations and automated techniques to discover cost savings opportunities. Additionally this role will oversee an advanced analytics roadmap including working with the Data Science Center of Expertise to progress technical and methodological capabilities using the Analytics Platform. This role is an opportunity for a proven leader in the field who can define and build out the advanced capabilities in predictive analytics, machine learning and AI that will lead Cigna to achieving our goals. This role will work collaboratively with peers across Global Data & Analytics team as well as business stakeholders to build and deliver Data Science solutions that drive business and customer impact, while deepening and scaling internal capabilities and talent. This role will provide insights, influence business strategy, and execute in partnership with stakeholders, product management and IT via agile delivery teams.

So, you're excited and motivated to take over this challenging role by becoming the newest member of this team? Great choice! Let's check some boxes to see if you fit the bill:

• Provide vision and thought leadership to achieve healthcare affordability


• Champion data science as a strategic capability


• Influence business partners using analytic insights


• Assemble highly performing teams


• Drive value through Agile development patterns


• Advance Evernorth's affordability and analytics strategies

Role Summary:

This person will be a leader who manages data science teams to provide analytic insights and methodology design while working with agile development teams to scale solutions for maximum business impact.

Responsibilities Include:

• Setting strategic analytics direction for optimizing results from our network of provider partners, including value based care programs positioning Cigna for effective customer steerage


• Execute on analytical methodologies and contribute to programs targeting total cost of care savings for US Commercial Medical business


• Execute on building models that help automate identification of actionable opportunities by local market, such as unit cost or utilization outliers and suboptimal patterns of care


• Execute on effective and externally defensible provider performance methodologies to drive steerage


• Execute on effective prediction and monitoring of results from our provider networks


• Execute on industry leading value based care models including population health management, risk assessment and leverage from health information interoperability


• Develop roadmap of analytic inquiry into next best opportunities to improve affordability through the healthcare supply chain.


• Challenge the way we do business through application of advanced analytics and data science including predictive modeling, machine learning, natural language processing, deep learning, pattern recognition, expert systems and AI


• Work in close partnership with analytics and data engineering leaders and peers to design, build, and deploy data science solutions that create meaningful and measurable impact


• Support the operationalization and integration of insights in business processes and collaborate with business facing analytics teams to ensure adoption and value realization


• Define and execute data science talent strategy, provide individual and team leadership to data scientists to ensure they are growing their capabilities and achieving their career goals


• Define and evolve data science methods, toolset and processes including the use of advanced and emerging methodologies, end-to-end analytic development lifecycle, and agile ways of working

Blend creativity, relentless problem-solving, business acumen, and leadership to drive innovation through data science working with Innovation team

This position is with Evernorth, a new business within the Cigna Corporation.

Key Skillsets:

• Strategic Vision and Agility - Ability to think strategically, anticipate future consequences and trends, and incorporate them into strategic roadmap and delivery


• Leadership and Organization - Exceptional capacity for managing and leading people and cross-functional teams; a team builder who has experience in scaling up organizations; ability to connect staff both on an individual level and in large groups; capacity to enforce accountability, develop and empower top-notch leaders from the bottom up, lead from the top down, cultivate entrepreneurship, and learn the strengths and weaknesses of the team so as to put people in a position to succeed.


• Customer Focus - Is dedicated to meeting the expectations and requirements of clients; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind.


• Matrix Management/Relationship Building - Enterprise thinker with proven ability to influence across a matrix environment. Ability to develop strong relationships across all levels of the organization, and with external partners.


• Communication - Strong persuasion skills and effective communicator; ability to create and communicate a compelling vision internally and externally.


• Action Oriented - Enjoys working hard and looks for challenges; able to act and react as necessary, even if limited information is available; not afraid to take charge of a situation; can overcome resistance to leadership and take unpopular stands when necessary

Qualifications:

This position requires healthcare and insurance content knowledge, analytic expertise, and project delivery experience to support key Affordability initiatives.

• Bachelor's or advanced degree required in business and/or analytics (including but not limited to finance, accounting, statistics, actuarial science, and data science)


• A seasoned, respected leader with 10+ years of experience in the health services industry with 5+ years of direct experience in leadership role for data & analytic teams and strategy creation.


• Deep expertise in advanced analytics and data science methods, tools, platforms and processes required to successfully design, build and operationalize data science solutions


• Combination of analytical, technical and business acumen


• Knowledge of big data tools and platforms, structured and unstructured data mining, analysis of real-time/streaming data and usage of external and non-traditional data sources


• Proven ability to work collaboratively in complex matrix organizations and agile teams


• Experience managing high degree of change and complexity across organization and portfolio


• Effective leadership, prioritization and management of complex deliverable portfolio in a dynamic environment


• Ability to prototype statistical analysis and modeling algorithms, and apply these algorithms for data driven solutions to problems in new domains.


• Ability to communicate complex technical concepts and insights to senior business leaders and partners in a relevant and actionable manner


• Demonstrated results in being able to think strategically, anticipate future consequences and trends, and incorporate them into both a short-term and long-term planning


• Drive for Results - Proven track record of exceeding goals and a bottom-line orientation


• Evidence of the ability to consistently make good decisions through a combination of analysis, wisdom, experience, and judgment


• High level of business acumen, including successful value management and the ability to balance the delivery of programs against the realities of a budget


• Allocates resources and manages operating expenses to maximize P&L while managing risk.

For this position in Colorado, we anticipate offering an annual salary of 148,600.00, +/- 20%, depending on experience.

This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class 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 dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

About Evernorth

Evernorth, Cigna Corporation's health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't. Join us. What difference will you make?

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.