Business Analytics Advisor, Payment Integrity - Cigna Healthcare - Remote
South Carolina Work at Home, United States
R
USD 98K-163K Mid-level Full Time
Tasks
- Analyze edit performance
- Apply responsible AI governance
- Automate manual processes and accelerate insights
- Build scalable analytical solutions and reusable assets
- Create dashboards and executive reporting
- Develop editing logic and proof of concept models
- Develop predictive analytics and machine learning models
- Document claim editing enhancement needs
- Implement data governance and quality processes
- Interpret query language using data dictionaries
- Lead payment integrity analytics
- Migrate SAS edits to ARM claim editing platform
- Operationalize AI enabled analytics solutions
- Perform exploratory data analysis
- Research and update unified claim record data
- Standardize and format claim editing data
- Validate model performance and monitor outcomes
Perks/Benefits
Skills/Tech-stack
AI | AWS | Automation | Azure | Data Analysis | Data Governance | Data Mapping | Data Quality | Data Visualization | Databricks | Exploratory Data Analysis | Feature Engineering | Language Processing | Machine Learning | Model Evaluation | Natural Language | Natural Language Processing | Performance Monitoring | Power BI | Predictive Analytics | Python | R | SAS | SQL | Snowflake | Statistical modeling | Tableau
Education
Bachelor of Engineering | Bachelor of Science | Master of Science | PhD
Related jobs
-
Computational Scientist USD 85K-139KAlgorithm Optimization | Backend Development | Computational modeling | Computer Vision | Data AnalysisRemote Hybrid eligibleMid-level Full TimeUniversity R9h ago
-
Senior AI Engineer – AI Platform USD 140K-160KAWS | Agentic AI | Alerting | Alignment | Distributed SystemsDaily meal specials | Dry cleaning | Free shuttle transportation | Gourmet cafeteria | Group fitness classesSenior-level Full TimeEnglewood Cliffs, NEW JERSEY, United States R11h ago
-
Data Analysis | Drug Interaction Prediction | Drug development | Drug interaction | GastroPlusHealth insurance | Paid time off | Retirement contributionsMid-level Full TimeBillerica, Massachusetts, US, 01821 R16h ago
-
Senior Data Scientist USD 169K-190KA/B | A/B Testing | B testing | Dashboards | Data AnalysisDisability benefits | Health insurance | Life insurance | Paid time off | Parental leaveSenior-level Full TimeSanta Monica, California R19h ago
-
Databricks Platform Engineer USD 115K-135KAWS | Asset bundles | Audit Logs | Azure Databricks | CI/CD401k match | Employee assistance resources | Medical/Dental/Vision insurance | Paid time off | Professional development supportMid-level Full TimeRemote, United States R20h ago
-
Analytics Engineer USD 140K-190KCI/CD | DBT | Data Modeling | Data Quality | Data Testing401k match | Flexible time off | Growth opportunities | Health benefits | Remote-friendlySenior-level Full TimeUnited States (Remote) R22h ago
-
Machine Learning Lead Engineer USD 134K-224KAI Governance | AWS | AWS Lambda | AWS Strands | Agentic WorkflowsBereavement leave | Hybrid work option | Jury duty leave | Military Leave | Paid HolidaysSenior-level Full TimeAtlanta, GA - 6305 Peachtree Dunwoody … R23h ago
-
Data Scientist: III (Senior) USD 93K-158KAWS SageMaker | Artificial Intelligence | Bayesian Networks | Caret | Data PipelinesFlexible work arrangement | Work from homeSenior-level Full TimeEaston Ops Cols C Oh, United … R23h ago
-
GenAI Engineer, Associate USD 85K-110KAPI | AWS | Agentic Coding Tools | Agentic Workflows | Agentic codingRemote workMid-level Full TimeChicago - 550 Van Buren, United … R23h ago
-
Early Career Consult Program - Associate AI Engineer USD 129K-279KAWS | Azure | CI/CD | Cloud Computing | Data AnalysisAccess to learning opportunities | Be Well programs | Coaching | Continuous feedback | Employee referral programMid-level Full TimeUSDALFRI - Dallas Frisco AI HUB … R23h ago
-
3D Reconstruction | 6DoF Pose | C++ | Camera Calibration | Computer VisionSenior-level Full TimeRemote, United States, United States R23h ago
-
Data Engineering Tech Lead USD 10KAPI Development | Apache Spark | Automated unit testing | Azure | Azure DataSenior-level Full TimeWORK AT HOME - OHIO, United … R23h ago
-
Senior Data Scientist - Insurance USD 88K-141KBusiness Intelligence | Data segmentation | Descriptive Analytics | Hive | Microsoft OfficeHybrid workSenior-level Full TimeChicago - 555 West Adams St, … R23h ago
-
Senior Expert I / Senior Expert II** Data Science USD 126K-234KArtificial Intelligence | Data Governance | Data Pipelines | Data Quality | Data Visualization401k match | Disability insurance | Health insurance | Life insurance | Paid time offSenior-level Full TimeCambridge (USA), United States R23h ago
-
Analytics Engineer USD 110K-120KAmazon Redshift | BigQuery | Data Modeling | Data Pipelines | DatabricksCareer progression | Cross-functional collaboration | Equity | Remote-first workMid-level Full TimeRemote, United States R1d ago
-
Software Engineer, Data Integration USD 165K-225KAWS | Automated testing | Azure | Cloud Computing | Data IngestionSenior-level Full TimeRemote - US Only R1d ago
-
Software Engineer - AI Developer Productivity USD 165K-330KAudit Logging | Authentication | Authorization | CI/CD | Context ManagementCompany facilitated 401k | Fertility and family building stipend | Flexible PTO | Medical dental vision insurance 100 percent | Paid parental leaveSenior-level Full TimeSan Francisco R1d ago
-
Telemetry Data Engineer USD 110K-128KAnomaly Detection | Azure Data | Azure Data Explorer | Data Engineering | Data Explorer401k retirement plan | Medical/Dental/VisionMid-level ContractRedmond, Washington, USA R1d ago
-
Senior AI Engineer USD 176K-258KAgentic Workflows | Agile | Cloud Architecture | Code review | DatabricksCell phone allowance | Comprehensive health coverage | Equity grants | Growth-focused environment | Home office setup allowanceSenior-level Full TimeRemote - US R1d ago
-
Senior AI Engineer - Grafana AI/ML | USA | Remote USD 127K-203KAWS | Agent Frameworks | Agent workflows | Artificial Intelligence | AzureAnnual leave | Company funded AI coding assistants usage budget | Equity | RSUs | Remote workSenior-level Full TimeUnited States (Remote) R1d ago
-
Senior Data Scientist, Membership USD 133K-185KDeep learning | Experimentation | Machine Learning | Python | SQLBackup child elder and pet care | Community Time Off | Comprehensive health benefits | Family planning reimbursement | Generous vacation and paid days offSenior-level Full TimeSan Francisco, CA, USA R1d ago
-
Senior Data Scientist, Growth Product USD 133K-185KA/B | A/B Testing | Airflow | B testing | Causal InferenceBackup child elder and pet care | Community volunteer time | Comprehensive health and wellbeing benefits | Family planning reimbursement | Flexible hybrid work scheduleSenior-level Full TimeSan Francisco, CA, USA R1d ago
-
Staff Data Scientist USD 172K-209KAmazon Bedrock | Amazon SageMaker | Claude | Cloud Data | Cloud Data Science PlatformsSenior-level Full TimeUS - Remote ; Canada - … R1d ago
-
Automated testing | Build Automation | C++ | CI/CD | Firmware401k | Employee assistance program | Health savings account | Life insurance | Long-term disabilityMid-level ContractDallas, Texas, USA R1d ago
-
AWS | AWS EC2 | Automation | Azure | Azure Virtual401k match | ESPP | Family leave programs | Flexible time away | Flexible-hybrid workSenior-level Full TimeSan Diego, CALIFORNIA, United States R1d ago