05 Oct
|
Cigna Healthcare
|
Bengaluru
05 Oct
Cigna Healthcare
Bengaluru
Medical Economics Analytics Manager
Position Summary
The International Health Medical Economics team is looking for a Medical Economics Analytics Manager to help identify the drivers of medical cost and utilization trends and translate them into actions that improve affordability and health outcomes. This role combines healthcare claims expertise, advanced analytics, data visualization, and stakeholder leadership. The successful candidate will lead a team responsible for analysing complex claims and eligibility data, identifying actionable opportunities, and partnering with Network, Clinical, and Fraud, Waste and Abuse teams to develop targeted interventions. The role is suited to an analytics leader who can move from data exploration and root-cause analysis to executive communication, recommended interventions, and measurable business action. It offers the prospect to build scalable analytics capabilities supporting Cigna’s international health insurance business across multiple markets.
Responsibilities
Claims analytics and insight generation
• Lead analysis of medical cost and utilization trends to identify underlying drivers across markets, clients, providers, populations, and clinical categories.
• Apply healthcare claims knowledge to distinguish the effects of utilization, unit cost, provider mix, service mix, disease burden, benefit design, and member behavior.
• Develop analytics covering provider performance, population risk, claims leakage, clinical variation, and potential fraud, waste and abuse.
• Convert analytical findings into clearly defined opportunities, supported by evidence, expected impact, and recommended next actions.
Business action and stakeholder partnership
• Partner with Network teams to support provider benchmarking, contracting strategies, and provider negotiations.
• Partner with Clinical teams to identify opportunities related to care pathways, disease management, utilization management, and site-of-care optimization.
• Partner
📌 Medical Economics Analytics Manager (Bengaluru)
🏢 Cigna Healthcare
📍 Bengaluru