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Cigna Stars Program Management Lead Analyst - West Region (Mountain States) in Salt Lake City, Utah

Stars Program Management Lead Analyst - West Region (Mountain States)

This position is responsible for Cigna Medicare Advantage’s Stars program for multiple states and is aligned to a region of the United States. The Stars Lead Analyst will be responsible for continuously improving quality and overall Star Ratings to achieve 4+ Stars for assigned contract(s) and supporting all contracts in region. Additional accountabilities include managing physician and market leader Stars education and quality improvement activities within the region, for HEDIS® measures and hybrid data collection, CAHPS and HOS improvement, Pharmacy / Part D, Administrative measures, general Stars program education and related activities, as well as other activities as assigned.

Responsibilities:

  • Responsible for coordinating Stars activities at the regional level within the Market.

  • Assist Stars Director in leading in-market cross functional teams for collaboration on HEDIS, CAHPS, HOS, Pharmacy and Enterprise metrics.

  • Responsible for tracking and reporting Stars Measure data to the Stars Director. This includes working with Network Operations, Partnership for Quality, Coding and market leadership to track initiative for improvement on Stars metrics under the guidance of the Stars Director.

  • Serve as a Subject Matter Expert on all Stars metrics.

  • Conducts analysis and runs ad-hoc reporting as needed on initiatives designed to impact Star ratings to provide insight to future projects.

  • Responsible for pulling, reviewing, and ensuring accuracy of metric level reporting at market level.

  • Responsible for completing projects on time, on budget, and to requirements.

Key success factors include:

  • Ability to assist the Star Director in leading cross functional teams for collaboration on measure improvement

  • Drive strategy based on established targets and also aligning with the Company strategy for achieving the membership goals for 4 Star plans and above

  • Analytical and have the ability to create, monitor, quality check dashboards and data for tracking and reporting performance on Star metrics

  • Lead in market Stars Operational Review meetings

  • Attend market Stars Operational Review meetings as necessary

  • Organize and document meeting minutes and action items during Star related meetings

  • Ability to deal with and manage vendor relationships – including participating in RFP’s, contracting and training of the vendors

Qualifications

  • Bachelor’s degree or equivalent experience required

  • 2+ years of CMS Stars, clinical quality, or healthcare quality improvement experience required, with 5+ years of healthcare or related experience preferred

  • Medicare/Medicaid experience preferred

  • Public speaker capability with excellent written and verbal communication skills

  • Strategic thinking capability

  • Organizational Agility

  • Proficiency in Microsoft Office applications (Outlook, Word, Excel, Power Point, etc.), including experience running web based meetings.

  • Excellent stakeholder relationship management skills

  • High level of confidence and interpersonal savvy

  • Excellent organizational and time management skills.

This position requires that someone reside in one of the Mountain States on the West Coast (CO, NM, UT), with a strong preference to Denver, CO. This person will support the West Region and must go into the office during the week.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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.

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