3 Healthcare Administrators jobs in Clayton

**Candidates who reside within 50 miles of the following locations may be asked to work in person: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ.**
**Description**
The job profile for this position is Data Measurement & Reporting Advisor, which is a Band 4 Senior Contributor Career Track Role.
This is a technical individual contributor role within the Delivery Support & Insights organization, specifically supporting Data Management and Reporting (DM&R) and a companywide tool conversion. This position will primarily be focused on understanding a new provider tool's frontend and backend, documenting the necessary database needs for DM&R, training DM&R on the tool, and converting all existing reporting to the new database.
A successful candidate for this role will have Oracle and T-SQL querying knowledge, system conversion or migration experience, strong technical writing skills, the ability to train team members, and proven data analysis and problem-solving skills. SAS, SSIS and Tableau experience are desired but not required.
This role requires the ability to be on point in medium complexity projects, or components of larger projects impacting multiple business units relating to quality data analysis, quality excellence, and process improvement. This role requires equal parts technical skill and knowledge with the ability to fully understand the business processes it supports.
**Job responsibilities include:**
+ Ability to work with very technical skills with a strong understanding of the business processes involved - equal parts technical and business
+ Comfortable working in an environment with priorities often changing daily - ability to prioritize work accordingly
+ Development and maintenance of various tables that are critical to identifying and remediating defective data
+ Development and maintenance of automated processes to support identification of defective data and remediation
+ Strong ability to tell the story of the data for the business in order to help influence process decisions
+ Close engagement with all Quality and Process Outcomes focused teams to assist with any technical needs to support the business
+ Collaboration with IT and other key matrix partners to build and maintain many different technical tools and automated processes
+ Creating and maintaining documentation for all developed and supported processes and tools
+ Ability to quickly deliver in an ambiguous environment - able to handle multiple iterations to accomplish the final product
+ Able to organize and execute project deliverables with high quality, leadership, and drive strategic execution
+ Is comfortable leaning in to learn complex data relationships
+ Builds and maintains working relationships with functional areas outside of the Department
+ Maintains project issues/risk logs, implement mitigation strategies, and confirm all issues are resolved appropriately
+ Co-leads regular project driven meetings as necessary to review progress and priorities
**Required Competencies:**
+ **Interpersonal Savvy** : Building and utilizing formal and informal channels and relationships.
+ **Perspective** : Differentiate between what's really important through a larger lens. Consumers, customers, impact. Utilizing perspective in day to day and program planning efforts and prioritization.
+ **Informing:** Communications are tailored for audiences. Right medium, right timing, right content. Effective at simplifying the message and conveying important facts and concepts. Consistent, effective communication.
+ **Priority Setting** : Can separate what's truly important vs. what is not. Ensures proper attention and action to critical items. Through the lens of impact, planning, deliverables. Gains awareness and buy in.
+ **Organizing** : Strong, visible leadership. Identifies action items and organizes to drive action and results. Comfortable leading and organizing amongst higher bands. Efficient and effective meetings, calls, actions items.
**Required Qualifications** :
+ Bachelor's degree or higher strongly preferred or equivalent work experience required
+ Minimum 7+ years of experience working in a role driving insights from large data sets using technical skills and tools
+ 4+ years of solid experience working with and using Oracle SQL, ideally with experience comparing output data across data sources.
+ Experience with Tableau, SSIS and SAS not required but a plus
+ Strong data mining and analytical skills
+ Solid oral, presentation, and written communication skills with the ability to work effectively within diverse groups
+ Ability to determine the best technology for various reporting requests
+ Strong organization skills with the ability to manage multiple priorities that differ in complexity and scope
+ Self-directed, works independently with minimal oversight
+ Functions as a team player
+ Adept critical thinking skills with the ability to identify process gaps and determine root causes with consistency in results
**Preferred Qualifications** :
+ Knowledge of Medicare and/or Commercial Network, Contract and Demographic provider data elements highly preferred
+ System migration or conversion participation
+ Technical documentation writing experience
+ Experience working in HCPM highly desired, not required
+ Related experience executing in an Agile environment preferred
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 94,600 - 157,600 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._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

This is a hybrid position (3 days per week in-office + 2 days work at home). The incumbent candidate can be based out of any US Cigna Healthcare office. This position is a Hybrid role where the Cigna policy requires office alignment but is not restricted to locations that are identified in this posting.

The Product Management Senior Advisor manages and supports the overall vision, goals, and objectives of programs and products offered to Cigna Healthcare integrated Pharmacy clients and customers.

The Product Management Senior Advisor will be responsible for management of existing products within the pharmacy benefit and financial product team as well as developing new product offerings to support Cigna Pharmacy sales growth, retention and organizational goals. Product development opportunities will be focused on closing market problems and trends, delivering best-in-class customer/client affordability and promoting integrated customer health and well-being. The Product Management Senior Advisor will report to the Director, Clinical Product Strategy within the Pharmacy Benefit and Financial Product team.

The successful individual in this role will have a deep understanding of pharmacy benefits, clinical programs and customer experience as well as strong analytic, communication, research and decision-making skills. The position works closely with matrix partners across the enterprise including Express Scripts and Evernorth partners, contracting, pharmacy pricing/finance, clinical, operations, sales, pharmacy product, analytics, compliance and legal, as well as external partners where applicable.

This individual will be adept at working as part of a team in leading work in a complex environment with aggressive timelines and occasional ambiguity. Excellent organizational skills, an orientation to detail and the demonstrated ability to deliver quality, finished work is a must. This role is individual contributor but requires well-developed people management, matrix management and influencing skills.

RESPONSIBILTIES

• Proactively identifies and asses new product development opportunities based on market trends, competitive intel and client/market demand.
• Lead product design and business case development of high potential opportunities and promote within organization against competing ideas
• Develops strategy, product requirements document and other key deliverables needed to communicate concept to business and tech project teams
• Collaborates with cross-functional partners across the enterprise to successfully build and launch project on-time with minimal issues and within budget utilizing leadership as necessary to overcome barriers
• Communicate clearly and consistently with all key stakeholders
• Coordinate with Legal, Compliance and Filing teams to ensure new products offerings are compliant with federal /state regulations; develop plan language and state filing updates as needed
• Provide education and training for matrix partners (Sales and account management, Product, client support team, call centers) for new products and existing products
• Provides support for the development, enhancement, and evaluation of the Pharmacy Product portfolio.
• Other product management responsibilities as assigned

QUALIFICATIONS

• Bachelor's degree required; MBA preferred.
• 5+ years' experience in insurance or healthcare industry with 3+ years' experience in pharmacy benefit.
• Excellent written and verbal communication skills, including demonstrated ability to quickly translate ideas and insights into presentation-ready documents.
• Excellent meeting facilitation and organizational skills.
• Strong strategic, financial, analytical, quantitative and interpersonal skills.
• Demonstrated ability to work in a highly matrixed environment including complex systems and processes
• Demonstrated ability to think/act strategically and influence key leaders and matrix partners
• Demonstrated ability to execute on multiple projects and excel in a results-oriented and highly matrixed environment.
• Demonstrated ability to identify and pursue market opportunities.
• Demonstrated decision-making capability
• Demonstrated ability to work with remote personnel to achieve agreed upon goals and objectives

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 110,700 - 184,500 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 Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.