Overview
The Health Data Advisor supports Cigna’s Quality Management initiatives by leading data-driven projects that inform clinical and operational improvements. This role ensures compliance with external accreditation and regulatory requirements through advanced data analysis and reporting. As Cigna transitions from traditional HEDIS measurement to digital quality measurement, the advisor will adapt methodologies, tools, and strategies to evolving standards and technologies.
Responsibilities
- Project Leadership & Technical Guidance
- Lead time-bound projects and components of larger initiatives.
- Provide technical direction to quality staff on system requirements and data solutions.
- HEDIS & Clinical Data Analysis
- Manage HEDIS data collection, reporting, and analysis for assigned regions/projects.
- Analyze clinical initiative outcomes to identify improvement opportunities across various populations (clients, CACs, commercial markets, IFP).
- Perform statistical and qualitative analysis using claims, pharmacy, lab, and demographic data.
- Support the transition to digital quality measurement by adapting data workflows, tools, and reporting strategies.
- Measurement & Reporting
- Define measurement strategies and develop scorecards and reports to support external accreditation, population health improvement, regulatory compliance, and performance monitoring.
- Process Improvement & Efficiency
- Identify opportunities to enhance analytical efficiency and reduce costs.
- Develop and maintain tools for tracking and forecasting HEDIS performance.
- Stakeholder Engagement
- Collaborate with internal matrix teams and external partners to drive personalization and localization efforts.
- Interface with state immunization registries and other external entities for data submissions.
- Documentation & Training
- Document data methodologies and train analysts for cross-coverage.
- Maintain the Quality SharePoint site and ensure data integrity across all reporting.
- Research & Strategic Recommendations
- Conduct literature reviews and barrier analyses.
- Present findings and recommendations to leadership.
Qualifications
- Bachelor’s degree highly preferred; equivalent experience considered.
- 5+ years of experience in managed care or healthcare analytics.
- Prior HEDIS experience strongly preferred.
- Proficiency in data processing tools (Access, Excel); experience with SQL coding and/or equivalent querying tools a plus.
- Tableau reporting experience is a plus.
- Strong understanding of technical processes and project specifications.
- Proven ability to analyze large datasets across multiple environments.
- Excellent communication and presentation skills.
- Demonstrated customer-centric mindset and problem-solving capabilities.
- Ability to minimally travel as required.
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 95,100 - 158,500 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 The 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: 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. 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.
